Strategies for the introduction and implementation of a guideline for the treatment by family physicians of diabetics in the Lazio region of Italy

Conditions

Type 2 non-complicated diabetes Nutritional, Metabolic, Endocrine Diabetes

Penglai Chen, Jing Chai, Jing Cheng, Kaichun Li, Shaoyu Xie et al. (9 authors)

Journal of Medical Internet Research2014-04-0123 citations

The CLUES study: a cluster randomized clinical trial for the evaluation of cardiovascular guideline implementation in primary care

Arritxu Etxeberría, Itziar Pérez, Idoia Alcorta, José Ignacio Emparanza, Elena Ruiz de Velasco et al. (8 authors)

BMC Health Services Research2013-10-2440 citations

10.1186/1472-6963-13-438

A cluster randomized controlled trial of a clinical pathway for hospital treatment of heart failure: study design and population.

Panella M, Marchisio S, Gardini A, Di Stanislao F.

2007-11-0722 citations

10.1186/1472-6963-7-179

Implementing a guideline for the treatment of type 2 diabetics: results of a cluster-randomized controlled trial (C-RCT).

Perria C, Mandolini D, Guerrera C, Jefferson T, Billi P, Calzini V, Fiorillo A, Grasso G, Leotta S, Marrocco W, Suraci C, Pasquarella A.

2007-06-0422 citations

10.1186/1472-6963-7-79

Interventions

Different strategies for the implementation of a guideline of non-complicated type 2 diabetes mellitus in the region of Lazio (Italy). Eighty four GPs in each arm were randomised in the care of type 2

Eligibility

Inclusion criteria

Inclusion criteria: 252 General Practitioners (GPs) taking part in an electronically-linked diseases surveillance network.

Exclusion criteria

Exclusion criteria: 1. Patients aged less than 40 2. Patients with complications 3. Diabetic pregnancy

Design outcomes

Primary

Measure	Time frame
The proportion of patients who were prescribed three measurements of glycosylated haemoglobin with at least two months? interval per year.	—

Secondary

Measure	Time frame
1. Process of care variables on metabolic control and prevention of micro-macrovascular complications (ie proportion of overweight/obese diabetics who were prescribed methformin in monotherapy as first-choice therapy) 2. Proportion of diabetics with a complete lipid assessment per year 3. Proportion of diabetics with an eye examination or a fundus per year)	—

Countries

Italy

Outcome results

None listed