Primary care experience and remission of type 2 diabetes: a population-based prospective cohort study
Year: 2020
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Remission of Type 2 diabetes is achievable through dietary change and weight loss. In the UK, lifestyle advice and referrals to weight loss programmes predominantly occur in primary care where most Type 2 diabetes is managed. OBJECTIVE: To quantify the association between primary care experience and remission of Type 2 diabetes over 5-year follow-up. METHODS: A prospective cohort study of adults with Type 2 diabetes registered to 49 general practices in the East of England, UK. Participants were followed-up for 5 years and completed the Consultation and Relational Empathy measure (CARE) on diabetes-specific primary care experiences over the first year after diagnosis of the disease. Remission at 5-year follow-up was measured with HbA1c levels. Univariable and multivariable logistic regression models were constructed to quantify the association between primary care experience and remission of diabetes. RESULTS: Of 867 participants, 30% (257) achieved remission of Type 2 diabetes at 5 years. Six hundred twenty-eight had complete data at follow-up and were included in the analysis. Participants who reported higher CARE scores in the 12 months following diagnosis were more likely to achieve remission at 5 years in multivariable models; odds ratio = 1.03 (95% confidence interval = 1.01-1.05, P = 0.01). CONCLUSION: Primary care practitioners should pay greater attention to delivering optimal patient experiences alongside clinical management of the disease as this may contribute towards remission of Type 2 diabetes. Further work is needed to examine which aspects of the primary care experience might be optimized and how these could be operationalized.
Source: Family Practice
Authors: Hajira Dambha-Miller, Alexander Day, Ann Louise Kinmonth, Simon J Griffin
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,892
Awards: Anglo-Danish-Dutch study of Intensive Treatment of people with Newly diagnosed diabetes in primary care (ADDITION) - effects on cardiovascular events at five years, G2289583185, G2448080532, G2892497062, Epidemiological contribution to primary and secondary prevention of diabetes and obesity, G3416093469, G4532840192, G6514246486, A randomised trial of the cost-effectiveness of a program of screening and intensive multifactorial intervention for Type 2 diabetes in primary care., Reducing the burden of type 2 diabetes: translating epidemiology and behavioural science into preventive action, G7700387550, A multiple methods investigation of the role of patient-practitioner interactions, health behaviours and cardiovascular risk among patients with type 2 diabetes in primary care, NIHR Senior Investigator Award
OpenAlex ID: W3086482982