Ana M. Cebrián-Cuenca , Oscar Moreno-Pérez , Raquel Campuzano-Ruiz , Maria Jose Soler , M. Dolores García de Lucas , Domingo Orozco-Beltrán
{"title":"2 型糖尿病患者管理的多学科小组共识：德尔菲研究","authors":"Ana M. Cebrián-Cuenca , Oscar Moreno-Pérez , Raquel Campuzano-Ruiz , Maria Jose Soler , M. Dolores García de Lucas , Domingo Orozco-Beltrán","doi":"10.1016/j.arcmed.2023.102923","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p><span><span><span>To reach a multidisciplinary consensus on managing patients with type 2 diabetes among specialists in family medicine, </span>cardiology, </span>endocrinology, </span>internal medicine<span>, and nephrology.</span></p></div><div><h3>Methods</h3><p>A two-round Delphi study was conducted using a questionnaire with 68 positive/negative statements distributed in four thematic blocks on diabetes management: early diagnosis and prediabetes<span>, referral criteria, treatment and comorbidities, and clinical management. The expert panel was composed of 105 physicians from different specialties (family medicine, cardiology, endocrinology, internal medicine, and nephrology) with experience in managing patients with diabetes and who were members of a diabetes-related society.</span></p></div><div><h3>Results</h3><p>Response rates for the first and second rounds were 86.7 and 75.2%, respectively. After both rounds, a consensus was reached on 52 (76.5%) items. The recommendations with the highest degree of consensus (median = 10, IQR = 0.00) were related to anti-smoking education, cardiovascular risk factor target control, and diabetic kidney disease. There were significant differences between family physicians and other specialties for some items.</p></div><div><h3>Conclusions</h3><p>This study provides a set of recommendations for diabetes management agreed upon by specialists from different healthcare settings.</p></div>","PeriodicalId":8318,"journal":{"name":"Archives of Medical Research","volume":null,"pages":null},"PeriodicalIF":4.7000,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Multidisciplinary Panel Consensus for the Management of Patients with Type 2 Diabetes: A Delphi Study\",\"authors\":\"Ana M. Cebrián-Cuenca , Oscar Moreno-Pérez , Raquel Campuzano-Ruiz , Maria Jose Soler , M. Dolores García de Lucas , Domingo Orozco-Beltrán\",\"doi\":\"10.1016/j.arcmed.2023.102923\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><p><span><span><span>To reach a multidisciplinary consensus on managing patients with type 2 diabetes among specialists in family medicine, </span>cardiology, </span>endocrinology, </span>internal medicine<span>, and nephrology.</span></p></div><div><h3>Methods</h3><p>A two-round Delphi study was conducted using a questionnaire with 68 positive/negative statements distributed in four thematic blocks on diabetes management: early diagnosis and prediabetes<span>, referral criteria, treatment and comorbidities, and clinical management. The expert panel was composed of 105 physicians from different specialties (family medicine, cardiology, endocrinology, internal medicine, and nephrology) with experience in managing patients with diabetes and who were members of a diabetes-related society.</span></p></div><div><h3>Results</h3><p>Response rates for the first and second rounds were 86.7 and 75.2%, respectively. After both rounds, a consensus was reached on 52 (76.5%) items. The recommendations with the highest degree of consensus (median = 10, IQR = 0.00) were related to anti-smoking education, cardiovascular risk factor target control, and diabetic kidney disease. There were significant differences between family physicians and other specialties for some items.</p></div><div><h3>Conclusions</h3><p>This study provides a set of recommendations for diabetes management agreed upon by specialists from different healthcare settings.</p></div>\",\"PeriodicalId\":8318,\"journal\":{\"name\":\"Archives of Medical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2023-12-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Medical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0188440923001613\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Medical Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0188440923001613","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Multidisciplinary Panel Consensus for the Management of Patients with Type 2 Diabetes: A Delphi Study
Aim
To reach a multidisciplinary consensus on managing patients with type 2 diabetes among specialists in family medicine, cardiology, endocrinology, internal medicine, and nephrology.
Methods
A two-round Delphi study was conducted using a questionnaire with 68 positive/negative statements distributed in four thematic blocks on diabetes management: early diagnosis and prediabetes, referral criteria, treatment and comorbidities, and clinical management. The expert panel was composed of 105 physicians from different specialties (family medicine, cardiology, endocrinology, internal medicine, and nephrology) with experience in managing patients with diabetes and who were members of a diabetes-related society.
Results
Response rates for the first and second rounds were 86.7 and 75.2%, respectively. After both rounds, a consensus was reached on 52 (76.5%) items. The recommendations with the highest degree of consensus (median = 10, IQR = 0.00) were related to anti-smoking education, cardiovascular risk factor target control, and diabetic kidney disease. There were significant differences between family physicians and other specialties for some items.
Conclusions
This study provides a set of recommendations for diabetes management agreed upon by specialists from different healthcare settings.
期刊介绍：
Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.
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