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Verfasst von:Miksch, Antje [VerfasserIn]   i
 Laux, Gunter [VerfasserIn]   i
 Ose, Dominik [VerfasserIn]   i
 Joos, Stefanie [VerfasserIn]   i
 Campbell, Stephen [VerfasserIn]   i
 Riens, Burgi [VerfasserIn]   i
 Szecsenyi, Joachim [VerfasserIn]   i
Titel:Is there a survival benefit within a German primary care-based disease management program?
Verf.angabe:Antje Miksch, MD; Gunter Laux, DSc, MSc; Dominik Ose, MPH; Stefanie Joos, MD; Stephen Campbell, PhD; Burgi Riens, DSc; and Joachim Szecsenyi, MD, MSc
Jahr:2010
Umfang:6 S.
Fussnoten:Gesehen am 26.04.2023
Titel Quelle:Enthalten in: The American journal of managed care
Ort Quelle:Plainsboro, NJ : Managed Care & Healthcare Communications, 1995
Jahr Quelle:2010
Band/Heft Quelle:16(2010), 1 vom: Jan., Seite 49-54
ISSN Quelle:1936-2692
Abstract:OBJECTIVE: To compare the mortality rate of patients with type 2 diabetes who were enrolled in the German diabetes disease management program (DMP) with the mortality rate of those who were not enrolled. - STUDY DESIGN: This observational study was part of the ELSID study (Evaluation of a Large Scale Implementation of disease management programs) in Germany. - METHODS: Participants had type 2 diabetes and were either enrolled or not enrolled in the DMP. The DMP provides systems-based, multifaceted, and patient-centered interventions. To reduce imbalances between the groups, a matched sample was created using sex, age, retirement status, federal state, pharmacy-based cost groups, and diagnostic-cost groups as matching criteria. Cox proportional hazards regression model and the Kaplan-Meier method were used to assess overall mortality. The observation period was 3 years beginning on January 1, 2006. - RESULTS: A total of 11,079 patients were included in the analysis. As of January 1, 2006, 2300 patients were enrolled in the DMP and 8779 were receiving routine care. There were 1927 matched pairs of patients in the DMP group and the non-DMP group. The overall mortality rate was 11.3% in the DMP and 14.4% in the non-DMP group (log-rank test P <.01). - CONCLUSIONS: We found an association between participation in the German diabetes DMP and reduced mortality. This reduced mortality cannot be attributed directly to the DMP. However, further research should evaluate whether a primary care-based DMP contributes to increased life expectancy in patients with diabetes.
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://pubmed.ncbi.nlm.nih.gov/20148605/
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Aged
 Controlled Clinical Trials as Topic
 Diabetes Mellitus, Type 2
 Female
 Germany
 Health Behavior
 Humans
 Male
 Middle Aged
 Patient Education as Topic
 Primary Health Care
 Self Care
 Survival Analysis
K10plus-PPN:1843585774
Verknüpfungen:→ Zeitschrift

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