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Multidisciplinary Panel Consensus for the Management of Patients with Type 2 Diabetes: A Delphi Study


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Título :
Multidisciplinary Panel Consensus for the Management of Patients with Type 2 Diabetes: A Delphi Study
Autor :
Orozco-Beltrán, Domingo
Cebrián-Cuenca, Ana M.
Moreno-Pérez, Oscar
Campuzano-Ruiz, Raquel
Soler, Maria Jose
García de Lucas, M. Dolores
Editor :
Elsevier
Departamento:
Departamentos de la UMH::Medicina Clínica
Fecha de publicación:
2024
URI :
https://hdl.handle.net/11000/31432
Resumen :
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 pos- itive/negative statements distributed in four thematic blocks on diabetes management: early diagnosis and prediabetes, referral criteria, treatment and comorbidities, and clin- ical management. The expert panel was composed of 105 physicians from different specialties (family medicine, cardiology, endocrinology, internal medicine, and nephrol- ogy) 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%, respec- tively. After both rounds, a consensus was reached on 52 (76.5%) items. The recom- mendations 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.
Palabras clave/Materias:
Type 2 Diabetes Mellitus
Disease management
Delphi technique
Consensus
Patient
Área de conocimiento :
CDU: Ciencias aplicadas: Medicina
Tipo documento :
application/pdf
Derechos de acceso:
info:eu-repo/semantics/openAccess
DOI :
https://doi.org/10.1016/j.arcmed.2023.102923
Aparece en las colecciones:
Artículos Medicina Clínica



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