Nurse Case Management To Improve Glycemic Control in Diabetic Patients in a Health Maintenance Organization
Annals of Internal MedicinePublished 15 October 1998
Ronald E. Aubert, William H. Herman, Janice Waters, William T. Moore, David Sutton, Bercedis L. Peterson
Citations557
SJR quartileQ1
SJR score3.38
SNIP3.27
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A 12-month randomized, controlled trial compared a nurse case management model of diabetes care with usual diabetes management in a primary care setting and showed a strong association between algorithm-directed nurse interventions and improved glycemic control.
Abstract
A nurse case manager with considerable management responsibility can, in association with primary care physicians and an endocrinologist, help improve glycemic control in diabetic patients in a group-model HMO.
Keywords
Medicine
New England Journal of MedicineThe Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus
24,537 Citations1993David M. Nathan
Intensive therapy effectively delays the onset and slows the progression of diabetic retinopathy, nephropathy, and neuropathy in patients with IDDM.
Diabetes Research and Clinical PracticeIntensive insulin therapy prevents the progression of diabetic microvascular complications in Japanese patients with non-insulin-dependent diabetes mellitus: a randomized prospective 6-year study
3,104 Citations1995Yasuo Ohkubo, Hideki Kishikawa +7 more
In conclusion, intensive glycemic control by multiple insulin injection therapy can delay the onset and the progression of diabetic retinopathy, nephropathy and neuropathy in Japanese patients with NIDDM.
Annals of Internal MedicineA Case-Management System for Coronary Risk Factor Modification after Acute Myocardial Infarction
743 Citations1994Robert F. DeBusk, Nancy Houston Miller +15 more
This randomized, controlled trial compared the effectiveness of a physician-directed, nurse-managed, home-based case-management system for coronary risk factor modification with that of usual medical care.
PubMedMeasuring health-related quality of life for public health surveillance.
535 Citations1994Catherine Hagan Hennessy, David G. Moriarty +3 more
The rationale for and concepts measured by four quality of life questions developed for the 1993 Behavioral Risk Factor Surveillance System, a State-based telephone surveillance system, are discussed.
Diabetes CareDiabetes management in a health maintenance organization. Efficacy of care management using cluster visits.
350 Citations1999C N Sadur, N. Moline +8 more
A 6-month cluster visit group model of care for adults with diabetes improved glycemic control, self-efficacy, and patient satisfaction and resulted in a reduction in health care utilization after the program.
Diabetes CareModel of Complications of NIDDM: II. Analysis of the health benefits and cost-effectiveness of treating NIDDM with the goal of normoglycemia
337 Citations1997Richard C. Eastman, Jonathan C. Javitt +10 more
The incremental effectiveness of treating NIDDM with the goal of normoglycemia is estimated to be ∼ $16,000/QALY gained, which is in the range of interventions that are generally considered cost-effective.
Diabetes CareModel of Complications of NIDDM: I. Model construction and assumptions
260 Citations1997Richard C. Eastman, Jonathan C. Javitt +12 more
A probabilistic model of N IDDM predicts the vascular complications of NIDDM in a cohort representative of the incident cases of diabetes in the U.S. before age 75 years, and is suitable for evaluating the effect of preventive interventions on the natural history of NIDs.
Annals of Internal MedicineMedical Care for Patients with Diabetes: Epidemiologic Aspects
102 Citations1996Maureen I Harris
Detailed data are presented based on household interviews with a representative sample of diabetic adults in the U.S. population to indicate that the current status of most health care for diabetes does not involve a health care team and that patient knowledge and methods used for glycemic control are probably inadequate to achieve the level of glycemia that will delay or prevent diabetes complications.
Diabetes CareAttitudes and Behaviors of Primary Care Physicians Regarding Tight Control of Blood Glucose in IDDM Patients
58 Citations1993Marilyn Tuttleman, Lois F Lipsett +1 more
It appears that primary-care physicians are not fully aware of recommended criteria for intensive treatment of blood glucose in IDDM patients or of the importance of multiple insulin injections, use of HbA1; and patient SMBG.
PubMedManagement of patients with diabetes by nurses with support of subspecialists.
48 Citations1995Anne L. Peters, Mayer B. Davidson +1 more
A program was developed for managing diabetic patients within an HMO system that uses physician-supervised diabetes nurse specialists and a computer system to enhance compliance and management of patients and was associated with a significant fall in glycated hemoglobin levels.
PubMed[Health-related quality of life measures].
12 Citations1993Harri Sintonen
The two-stage valuation method applied for deriving the values for 15D dramatically simplifies the valuation process and makes the task easier than the traditional direct valuation methods.
Annals of Internal MedicineGlucose Control in Type 2 Diabetes Mellitus
8 Citations1997Jay S. Skyler
The findings of this study were similar to those of the DCCT in terms of reduction of risk for complications, and supports the glucose hypothesis: that overall glycemic exposure drives the biochemical pathways that result in diabetic complications.
