Staged diabetes management: a systematic evidence-based approach to the prevention and treatment of diabetes and its co-morbidities

Mazze, Roger S.; Simonson, Gregg D.; Strock, Ellie S.; Bergenstal, Richard M.; Idrogo, Manuel; Ramirez, Sylvia; Hsu, Stephen I‐Hong

doi:10.1002/pdi.240

Cited by 21 publications

(21 citation statements)

References 17 publications

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“…In the systemized care program for diabetes patients implemented at this Center, we use research instruments recommended by the IDC. One of them refers to the patients' satisfaction with the care they receive (2) .…”

Section: University Of São Paulo At Ribeirão Preto College Ofmentioning

confidence: 99%

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Satisfaction of diabetes patients under follow-up in a diabetes education program

Zanetti

Otero

Biaggi

et al. 2007

Rev. Latino-Am. Enfermagem

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Section: University Of São Paulo At Ribeirão Preto College Ofmentioning

confidence: 99%

“…In this sense, several education programs and care services for diabetes patients with this focus have been implemented in different countries (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

Satisfaction of diabetes patients under follow-up in a diabetes education program

Zanetti

Otero

Biaggi

et al. 2007

Rev. Latino-Am. Enfermagem

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“…This training session was developed in collaboration with a disease management provider, the International Diabetes Center, a World Health Organization designated expert center in diabetes disease management. This program, which has been demonstrated to significantly improve both short-and long-term clinical outcomes in various populations (35,36), was modified through a customization session that included the participation of 10% of the country's entire primary care physician population. Similar disease management programs have been demonstrated to result in significant improvements in both clinical and economic outcomes for patients with complex chronic diseases (37).…”

Section: Early Intervention and Disease Managementmentioning

confidence: 99%

A Comprehensive Public Health Approach to Address the Burden of Renal Disease in Singapore

Ramirez¹

2003

Journal of the American Society of Nephrology

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Abstract. With the epidemic rise of ESRD in multiple regions of the world, there is an urgent need to implement programs to address this increasing burden of kidney disease. We illustrate a public health approach using the program of the National Kidney Foundation of Singapore that incorporates stepwise primary, secondary, and tertiary strategies for prevention. Components of the program include an aggressive public education program, routine surveillance for kidney disease and associated chronic diseases, the implementation of a disease management program to improve physician practice patterns, and the provision of comprehensive services in the community through a network of Prevention Centers designed to optimize the care of patients at risk for kidney disease. Finally, an equally important aspect is the clinical and epidemiologic research component, because this will provide clear benchmarks to determine the program's effect on ESRD as well as generate information that can be used to identify future directions for this evolving program.The rising annual incidence of ESRD in many countries of the world (1), its profound effect on morbidity and mortality, and the escalating health care costs associated with it have promoted the development of strategies aimed at preventing the development and progression of chronic kidney disease (CKD). These include population-based and high risk screening programs (2,3), the initiation of public education campaigns targeted at improving public awareness of kidney disease and its consequences (4), and the dissemination of evidence-based guidelines for the approach to CKD (5). Current clinical recommendations for several components of kidney disease prevention are based on consensus expert opinion rather than on clinical trial data (5). In addition, many of these programs are in the early stages of implementation and thus, the cumulative effectiveness of these independent interventions remains to be seen. Similarly, in Singapore, a program for the prevention of kidney failure is still in its infancy. Nevertheless, given its integrated public health and community-based approach, with components of screening, early detection, and early intervention, as well as the country's small size and unique logistical and demographic advantages, the NKF Singapore Prevention Program merits consideration.The National Kidney Foundation Singapore (NKFS), the largest charitable organization in the country, is responsible for providing subsidized dialysis care to over 60% of the country's total ESRD population (6). The Prevention Program, components of which were initiated in 1997, has a long-term goal of effecting a plateau in the rising incidence of ESRD in the country based on a framework of the natural history of kidney disease development and progression. It incorporates stepwise primary, secondary, and tertiary prevention approaches to intervene at various stages of kidney disease and associated chronic diseases, including type 2 diabetes mellitus and hypertension (7). This report describes ...

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“…The first of these is the implementation of a diabetes disease management system by the use of an established system developed by a partner in this initiative, the International Diabetes Center (33). This program has been shown to significantly improve clinical outcomes in several populations worldwide, including the American Indian Community (33). This disease management system, known as Staged Diabetes Management, was presented to the medical community, and 10% of the total general practitioner population of the country took part in this NKF Singapore-facilitated process of incorporating clinical care algorithms in the day-to-day management of diabetes mellitus (19).…”

Section: Early Intervention and Disease Management Programmentioning

confidence: 99%

Chronic Kidney Disease Prevention in Singapore

Ramirez¹

2008

Clinical Journal of the American Society of Nephrology

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In consideration of the epidemiologic basis for screening and surveillance, a comprehensive program for chronic kidney disease prevention was initiated in Singapore by the National Kidney Foundation Singapore (NKF Singapore) in 1997. Reasons for developing this include the rising rate of end-stage renal disease in the country, and the projected escalation because of the increase in chronic diseases that lead to end-stage renal disease (ESRD) such as diabetes mellitus and hypertension. Presented are progress and preliminary findings of this program, as well as that of the parallel initiative of Singapore's Ministry of Health. The NKF Singapore program incorporates primary, secondary and tertiary approaches to the prevention of chronic kidney disease. These include the population-based screening for early chronic kidney disease and chronic diseases that are associated with kidney disease and the implementation of disease management programs that aim to improve the multi-faceted care of patients with chronic diseases that lead to ESRD, including the development of community-based "Prevention Centers." The screening program identified risk factors for proteinuria, including the Malay race, increasing age, family history of kidney disease, and higher levels of systolic and diastolic BP even within the normal ranges. Longitudinal follow-up of both prevention programs are critical to provide evidence for the efficacy of such screening and intervention programs in improving chronic kidney disease outcomes, while reducing the cost of care.

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Staged diabetes management: a systematic evidence-based approach to the prevention and treatment of diabetes and its co-morbidities

Cited by 21 publications

References 17 publications

Satisfaction of diabetes patients under follow-up in a diabetes education program

Satisfaction of diabetes patients under follow-up in a diabetes education program

A Comprehensive Public Health Approach to Address the Burden of Renal Disease in Singapore

Chronic Kidney Disease Prevention in Singapore

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