Improving quality of care for persons with diabetes: an overview of systematic reviews - what does the evidence tell us?

Worswick, Julia; Wayne, S Carolyn; Bennett, Rachel; Fiander, Michelle; Mayhew, Alain; Weir, Michelle C; Sullivan, Katrina J; Grimshaw, Jeremy M

doi:10.1186/2046-4053-2-26

Systematic Reviews

Table 3 Summary of results from included reviews on outcomes

From: Improving quality of care for persons with diabetes: an overview of systematic reviews - what does the evidence tell us?

Review	Quality^a	Glycaemic control		Vascular risk factor control		Retinopathy screening	Foot screening	Renal monitoring	Smoking
		Process	Patient	Process	Patient				Process	Patient
Patient education and support
Allemann 2009 [26]	9		+
Armour 2005 [27]	5		+
Brown 1990 [30]	6		+		+ (Lipids), 0 (BP)
Cooper 2009 [34]	7		0
Couch 2008 [35]	10		+
Deakin 2005 [36]	10		+		+ (BP), 0 (Lipids)
Duke 2009 [37]	9		+		Mixed (BP), O (Lipids)					0
Ellis 2004 [38]	6		+
Gary 2003 [42]	6		+
Hampson 2001 [45]	8		+		0 (Lipids)
Harkness 2010 [46]	5		+
Hawthorne 2008 [47]	11		+		+ (Lipids) 0 (BP)
Loveman 2008 [53]	7		+		+ (Lipids, BP)
Loveman 2003 [52]	8		+		Mixed (Lipids) + (BP)
Minet 2010 [55]	5		+
Norris 2005 [60]	9		Mixed		0 (Lipids, BP)
Norris 2002 [59]	8		+		0 (Lipids, BP)
Norris 2001 [58]	5		+		+ (Lipids) 0 (BP)		0
Savage 2010 [65]	5		+
Valk 2001 [69]	9						*
Winkley 2006 [72]	9		Mixed
Telemedicine
Balas 2004 [28]	5	0	+			0	0
Farmer 2005 [39]	5		Mixed
Liang 2011 [49]	5		+
Montori 2004 [56]	6		+
Polisena 2009 [62]	8		Mixed
Russell 2009 [64]	5		+
Shulman 2010 [67]	8		+
Sutcliffe 2011 [68]	7		+
Verhoeven 2007 [70]	5		Mixed		0 (Lipids, BP)
Wu 2010 [73]	7		+
Provider role changes
Alam 2009 [25]	7		+
Clark 2011 [33]	7			Unclear	+ (BP)
Lindenmeyer
2006 [50]	7	0	+			0	0
Loveman 2003 [51]	9		+
Machado 2007 [54]	7		+		+ (Lipids, BP)
Norris 2006 [57]	6	0	+		0 (Lipids, BP)
Wubben 2008 [74]	6		+		+ (Lipids, BP)
Organisational changes
Al-Ansary 2011 [24]	7		0
Clar 2007 [32]	9		0
Foy 2010 [40]	7		+
Griffin 1998 [44]	6		0
Broad based reviews
Chodosh 2005 [31]	6		+
Glazier 2006 [43]	5		+		0 (Lipids, BP)	0	0	0
Pimouguet 2011 [61]	7		+
Renders 2001 [63]	5	+	+	0	0 (Lipids, BP)	+	0	0
Shojania 2006 [16]	5	0	+		0 BP	0	0
Saxena 2007 [66]	6		+		+ (Lipids) mixed (BP)
Vermeire 2005 [71]	9		0		0 (Lipids, BP)					0
Zhang 2007 [75]	7					+

^aAMSTAR score; +, generally effective based on n ≥ 5 comparisons; 0, insufficient comparisons to draw conclusions about effectiveness. * The Valk review reported favourable patient outcomes that may reflect screening activities. See Additional file 3 for further details of this review. BP blood pressure.

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ISSN: 2046-4053

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