Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study
Abstract Objective: To analyze the clinical outcomes of patients with type 2 diabetes (T2D) before and after implementation of a personalized care plan in the primary health care setting. Design: Observational, retrospective, real-world study. Setting: All T2D patients with a care plan in Rovaniemi...
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ftunivoulu:oai:oulu.fi:nbnfi-fe2020070847153 2023-07-30T04:06:34+02:00 Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study Vuohijoki, A. (Anni) Mikkola, I. (Ilona) Jokelainen, J. (Jari) Keinänen-Kiukaanniemi, S. (Sirkka) Winell, K. (Klas) Frittitta, L. (Lucia) Timonen, M. (Markku) Hagnäs, M. (Maria) 2020 application/pdf http://urn.fi/urn:nbn:fi-fe2020070847153 eng eng SAGE Publications info:eu-repo/semantics/openAccess © The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). https://creativecommons.org/licenses/by-nc/4.0/ health outcomes managed care patient-centeredness prevention primary care info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2020 ftunivoulu 2023-07-08T19:56:58Z Abstract Objective: To analyze the clinical outcomes of patients with type 2 diabetes (T2D) before and after implementation of a personalized care plan in the primary health care setting. Design: Observational, retrospective, real-world study. Setting: All T2D patients with a care plan in Rovaniemi Health Center, Rovaniemi, Finland, for whom data were available from a baseline visit (in 2013–2015 during which the care plan was written) and from a follow-up visit, including an updated care plan by the year 2017. Subjects: In total, 447 patients were included. Mean age was 66.9 (SD 10.1) years, 58.8% were male, 15.4% were smokers, 33.1% had vascular disease, and 17.0% were receiving insulin treatment. The mean follow-up time was 14.4 months. Main Outcome Measures: Glycosylated hemoglobin A1 (HbA1c), low-density lipoprotein (LDL), blood pressure (BP), and body mass index (BMI). Clinical values were taken at both baseline and follow-up. Results: LDL decreased by 0.2 mmol/L, systolic blood pressure by 2.2 mm Hg, diastolic blood pressure by 1.5 mm Hg, and BMI by 0.5 kg/m² (P < 0.05 for each). The decrease in HbA1c was 0.8 mmol/mol (P = 0.07). Conclusion: We observed statistically significant decreases in LDL, BP, and BMI. Our results indicate that, over 14 months of follow-up, implementation of a written care plan was associated with small improvements in the clinical outcomes of T2D patients in a primary health care study population in a real-world setting. Article in Journal/Newspaper Rovaniemi Jultika - University of Oulu repository Rovaniemi ENVELOPE(26.159,26.159,66.392,66.392) |
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Open Polar |
collection |
Jultika - University of Oulu repository |
op_collection_id |
ftunivoulu |
language |
English |
topic |
health outcomes managed care patient-centeredness prevention primary care |
spellingShingle |
health outcomes managed care patient-centeredness prevention primary care Vuohijoki, A. (Anni) Mikkola, I. (Ilona) Jokelainen, J. (Jari) Keinänen-Kiukaanniemi, S. (Sirkka) Winell, K. (Klas) Frittitta, L. (Lucia) Timonen, M. (Markku) Hagnäs, M. (Maria) Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study |
topic_facet |
health outcomes managed care patient-centeredness prevention primary care |
description |
Abstract Objective: To analyze the clinical outcomes of patients with type 2 diabetes (T2D) before and after implementation of a personalized care plan in the primary health care setting. Design: Observational, retrospective, real-world study. Setting: All T2D patients with a care plan in Rovaniemi Health Center, Rovaniemi, Finland, for whom data were available from a baseline visit (in 2013–2015 during which the care plan was written) and from a follow-up visit, including an updated care plan by the year 2017. Subjects: In total, 447 patients were included. Mean age was 66.9 (SD 10.1) years, 58.8% were male, 15.4% were smokers, 33.1% had vascular disease, and 17.0% were receiving insulin treatment. The mean follow-up time was 14.4 months. Main Outcome Measures: Glycosylated hemoglobin A1 (HbA1c), low-density lipoprotein (LDL), blood pressure (BP), and body mass index (BMI). Clinical values were taken at both baseline and follow-up. Results: LDL decreased by 0.2 mmol/L, systolic blood pressure by 2.2 mm Hg, diastolic blood pressure by 1.5 mm Hg, and BMI by 0.5 kg/m² (P < 0.05 for each). The decrease in HbA1c was 0.8 mmol/mol (P = 0.07). Conclusion: We observed statistically significant decreases in LDL, BP, and BMI. Our results indicate that, over 14 months of follow-up, implementation of a written care plan was associated with small improvements in the clinical outcomes of T2D patients in a primary health care study population in a real-world setting. |
format |
Article in Journal/Newspaper |
author |
Vuohijoki, A. (Anni) Mikkola, I. (Ilona) Jokelainen, J. (Jari) Keinänen-Kiukaanniemi, S. (Sirkka) Winell, K. (Klas) Frittitta, L. (Lucia) Timonen, M. (Markku) Hagnäs, M. (Maria) |
author_facet |
Vuohijoki, A. (Anni) Mikkola, I. (Ilona) Jokelainen, J. (Jari) Keinänen-Kiukaanniemi, S. (Sirkka) Winell, K. (Klas) Frittitta, L. (Lucia) Timonen, M. (Markku) Hagnäs, M. (Maria) |
author_sort |
Vuohijoki, A. (Anni) |
title |
Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study |
title_short |
Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study |
title_full |
Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study |
title_fullStr |
Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study |
title_full_unstemmed |
Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study |
title_sort |
implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study |
publisher |
SAGE Publications |
publishDate |
2020 |
url |
http://urn.fi/urn:nbn:fi-fe2020070847153 |
long_lat |
ENVELOPE(26.159,26.159,66.392,66.392) |
geographic |
Rovaniemi |
geographic_facet |
Rovaniemi |
genre |
Rovaniemi |
genre_facet |
Rovaniemi |
op_rights |
info:eu-repo/semantics/openAccess © The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). https://creativecommons.org/licenses/by-nc/4.0/ |
_version_ |
1772819245390888960 |