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Consensus Recommendations for Sick Day Medication Guidance for People With Diabetes, Kidney, or Cardiovascular Disease: A Modified Delphi Process

Watson, Kaitlyn E. ; Dhaliwal, Kirnvir ; Robertshaw, Sandra ; [et al.]

Elsevier BV ; 2023

In: American Journal of Kidney Diseases Vol. 81, No. 5 ( 2023-05), p. 564-574

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In: American Journal of Kidney Diseases, Elsevier BV, Vol. 81, No. 5 ( 2023-05), p. 564-574

Type of Medium: Online Resource

ISSN: 0272-6386

URL: Article

DOI: 10.1053/j.ajkd.2022.10.012

Language: English

Publisher: Elsevier BV

Publication Date: 2023

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Enrolment in primary care networks: impact on outcomes and processes of care for patients with diabetes

Manns, Braden J. ; Tonelli, Marcello ; Zhang, Jianguo ; [et al.]

CMA Impact Inc. ; 2012

In: Canadian Medical Association Journal Vol. 184, No. 2 ( 2012-02-07), p. E144-E152

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In: Canadian Medical Association Journal, CMA Impact Inc., Vol. 184, No. 2 ( 2012-02-07), p. E144-E152

Type of Medium: Online Resource

ISSN: 0820-3946 , 1488-2329

URL: Article

DOI: 10.1503/cmaj.110755

Language: English

Publisher: CMA Impact Inc.

Publication Date: 2012

detail.hit.zdb_id: 2028772-0

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Strategies for enhancing the initiation of cholesterol lowering medication among patients at high cardiovascular disease risk: a qualitative descriptive exploration of patient and general practitioners’ perspectives on a facilitated relay intervention in Alberta, Canada

Campbell, David J T ; Lee-Krueger, Rachelle C W ; McBrien, Kerry ; [et al.]

BMJ ; 2020

In: BMJ Open Vol. 10, No. 11 ( 2020-11), p. e038469-

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In: BMJ Open, BMJ, Vol. 10, No. 11 ( 2020-11), p. e038469-

Abstract: The objective of our study was to explore the perspectives of patients and general practitioners (GPs) regarding interventions to increase initiation of cholesterol lowering medication (or statins), including a proposed laboratory-based facilitated relay intervention. Design Qualitative descriptive study using interviews and focus groups for data collection, and thematic analysis for data analysis. Setting Primary care providers and patients in Calgary, Alberta, Canada. Participants 17 GPs with primarily community-based, non-academic practices with at least 1 year of practice experience participated in semistructured interviews. 14 patients at high risk of cardiovascular disease participated in focus groups. Main outcome measures Exploration of strategies that might be used to enhance the prescription of, and adherence to statin therapy for patients with statin-indicated conditions. Results GPs proposed a variety of interventions to improve statin prescription, including electronic record audit solutions, GP directed education, and patient-oriented campaigns. Patients expressed that they may benefit from being provided access to their laboratory test results, as well as targeted education. Both parties provided positive feedback on the proposed laboratory-based facilitated relay intervention, while pointing out areas for improvement. Notably, GPs were concerned that the patient-directed component of the intervention might jeopardise therapeutic relationships, and patients were concerned about accidental disclosure of personal health information. Important considerations for the design of facilitated relay messaging should include brevity, simplicity and the provision of contact information for inquiries. Conclusions GPs and patients described several suggestions for increasing statin initiation and welcomed the proposal of a laboratory-based facilitated relay strategy. These findings support further testing of this intervention which may enhance GPs’ ability to successfully engage patients in cardiovascular risk reduction through statin therapy.

Type of Medium: Online Resource

ISSN: 2044-6055 , 2044-6055

URL: Article

DOI: 10.1136/bmjopen-2020-038469

Language: English

Publisher: BMJ

Publication Date: 2020

detail.hit.zdb_id: 2599832-8

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Effectiveness of hospital avoidance interventions among elderly patients: A systematic review

Pritchard, Caillie ; Ness, Alyssa ; Symonds, Nicola ; [et al.]

Springer Science and Business Media LLC ; 2020

In: CJEM Vol. 22, No. 4 ( 2020-07), p. 504-513

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In: CJEM, Springer Science and Business Media LLC, Vol. 22, No. 4 ( 2020-07), p. 504-513

Abstract: Les personnes âgées ayant besoin de soins complexes et disposant de peu de ressources personnelles et sociales sont de grands utilisateurs des services d'urgence (SU) et les consultations aboutissent souvent à l'hospitalisation. Une collecte d'information à jour sur les stratégies les plus efficaces visant à éviter judicieusement les consultations au SU et les hospitalisations chez les personnes âgées s'impose donc. Méthode Il s'agit d'une revue systématique visant à relever les interventions qui se sont montrées efficaces dans la diminution du recours au SU et du nombre d'hospitalisations chez les personnes âgées. Une recherche exhaustive a été entreprise dans les bases de données Ovid MEDLINE, EMBASE, CINAHL et Cochrane Central Register of Controlled Trials depuis leur début respectif jusqu’à juillet 2019, et ce, sans restriction de langue. Étaient retenues les études d'intervention menées dans des populations de 65 ans et plus. Les principaux critères d’évaluation étaient les consultations au SU et les hospitalisations. Les critères secondaires comprenaient les réadmissions à l'hôpital, la mortalité, les coûts et les résultats déclarés par les patients. Résultats Au total, 7943 citations ont fait l'objet d'examen et 53 études ont été retenues dans la synthèse qualitative, dont 26 essais comparatifs à répartition aléatoire (ECRA), 8 ECRA par grappes et 19 études de type avant-après. La caractérisation des données a révélé que les stratégies communautaires se traduisaient par une diminution du nombre de consultations au SU, notamment celles qui comprenaient des évaluations gérontologiques standardisées et des visites à domicile. D'après les études, ces stratégies ont permis une diminution de l'utilisation moyenne des SU (interventions contre témoins) variant de -0,12 à -1,32 visite/patient. Les interventions qui comprenaient des visites à domicile ont également révélé des réductions du taux d'hospitalisation variant de −6 à −14%. Toutefois, il y avait des différences importantes entre les études quant à l’établissement des résultats, aux analyses statistiques et au risque de biais, ce qui a limité la capacité de quantifier davantage l'effet de ces interventions. Conclusion Différentes stratégies d'intervention visant à éviter les consultations au SU et les hospitalisations chez les personnes âgées ont fait l'objet d’études. Bien que les modèles de soins comprenant des évaluations gérontologiques standardisées et des visites à domicile puissent diminuer le recours aux soins actifs, il faudrait uniformiser les mesures de résultats afin d’être en mesure déterminer quels éléments de ces interventions complexes contribuent à l'efficacité. Les effets potentiels de la composition multidisciplinaire des équipes sur les résultats observés chez les patients justifient également la poursuite des études.

Type of Medium: Online Resource

ISSN: 1481-8035 , 1481-8043

URL: Article

DOI: 10.1017/cem.2020.4

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2020

detail.hit.zdb_id: 2059217-6

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Health Care Costs in People With Diabetes and Their Association With Glycemic Control and Kidney Function

McBrien, Kerry A. ; Manns, Braden J. ; Chui, Betty ; [et al.]

American Diabetes Association ; 2013

In: Diabetes Care Vol. 36, No. 5 ( 2013-05-01), p. 1172-1180

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In: Diabetes Care, American Diabetes Association, Vol. 36, No. 5 ( 2013-05-01), p. 1172-1180

Abstract: To determine the association between laboratory-derived measures of glycemic control (HbA1c) and the presence of renal complications (measured by proteinuria and estimated glomerular filtration rate [eGFR]) with the 5-year costs of caring for people with diabetes. RESEARCH DESIGN AND METHODS We estimated the cumulative 5-year cost of caring for people with diabetes using a province-wide cohort of adults with diabetes as of 1 May 2004. Costs included physician visits, hospitalizations, ambulatory care (emergency room visits, day surgery, and day medicine), and drug costs for people & gt;65 years of age. Using linked laboratory and administrative clinical and costing data, we determined the association between baseline glycemic control (HbA1c), proteinuria, and kidney function (eGFR) and 5-year costs, controlling for age, socioeconomic status, duration of diabetes, and comorbid illness. RESULTS We identified 138,662 adults with diabetes. The mean 5-year cost of diabetes in the overall cohort was $26,978 per patient, excluding drug costs. The mean 5-year cost for the subset of people & gt;65 years of age, including drug costs, was $44,511 (Canadian dollars). Cost increased with worsening kidney function, presence of proteinuria, and suboptimal glycemic control (HbA1c & gt;7.9%). Increasing age, Aboriginal status, socioeconomic status, duration of diabetes, and comorbid illness were also associated with increasing cost. CONCLUSIONS The cost of caring for people with diabetes is substantial and is associated with suboptimal glycemic control, abnormal kidney function, and proteinuria. Future studies should assess if improvements in the management of diabetes, assessed with laboratory-derived measurements, result in cost reductions.

Type of Medium: Online Resource

ISSN: 0149-5992 , 1935-5548

URL: Article

DOI: 10.2337/dc12-0862

Language: English

Publisher: American Diabetes Association

Publication Date: 2013

detail.hit.zdb_id: 1490520-6

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Variation in Patient-Described Barriers to and Facilitators of Diabetes Management by Individual-Level Characteristics: A Cross-Sectional, Open-Ended Survey

Campbell, David J.T. ; Ghuttora, Harleen ; Mladenovic, Ana ; [et al.]

American Diabetes Association ; 2022

In: Clinical Diabetes Vol. 40, No. 3 ( 2022-07-01), p. 283-296

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In: Clinical Diabetes, American Diabetes Association, Vol. 40, No. 3 ( 2022-07-01), p. 283-296

Abstract: This study analyzed patient-described barriers and facilitators related to diabetes management, focusing on how these differ by glycemia and across individual characteristics. A cross-sectional telephone survey was conducted with adult patients with diabetes in Alberta, Canada, asking two open-ended questions to describe the most helpful and difficult components of their diabetes management. Responses were analyzed using directed content analysis using the Theoretical Domains Framework as a template. The most frequently cited facilitator was care context and information, and the most frequently cited barriers were cognitive challenges and structural barriers, with patient-perceived barriers and facilitators varying by individual-level factors.

Type of Medium: Online Resource

ISSN: 0891-8929 , 1945-4953

URL: Article

DOI: 10.2337/cd21-0060

Language: English

Publisher: American Diabetes Association

Publication Date: 2022

detail.hit.zdb_id: 2001527-6

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Iron deficiency, anemia and association with refugee camp exposure among recently resettled refugees: A Canadian retrospective cohort study

Davidson, Marta B. ; Brown, Garielle ; Street, Lesley ; [et al.]

Public Library of Science (PLoS) ; 2022

In: PLOS ONE Vol. 17, No. 12 ( 2022-12-15), p. e0278838-

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In: PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 12 ( 2022-12-15), p. e0278838-

Abstract: Malnutrition and poor health are common among recently resettled refugees and may be differentially associated with pre-migration exposure to refugee camp versus non-camp dwelling. We aimed to investigate the associations of iron deficiency (ID), anemia, and ID anemia (IDA) with pre-migration refugee camp exposure among recently arrived refugees to Canada. To this end, we conducted a retrospective cohort study of 1032 adult refugees who received care between January 1, 2011, and December 31, 2015, within a specialized refugee health clinic in Calgary, Canada. We evaluated the prevalence, severity, and predictors of ID, anemia, and IDA, stratified by sex. Using multivariable logistic regression, we estimated the association of refugee camp exposure with these outcomes, adjusting for age, months in Canada prior to investigations, global region of origin, and parity. Among female refugees, the prevalence of ID, anemia, and IDA was 25% (134/534), 21% (110/534), and 14% (76/534), respectively; among males, 0.8% (4/494), 1.8% (9/494), and 0% (0/494), respectively. Anemia was mild, moderate, and severe in 55% (60/110), 44% (48/110) and 1.8% (2/110) of anemic females. Refugee camp exposure was not associated with ID, anemia, or IDA while age by year (ID OR = 0.96, 95% CI 0.93–0.98; anemia OR = 0.98, 95% CI 0.96–1.00; IDA OR = 0.96, 95% CI 0.94–0.99) and months in Canada prior to investigations (ID OR = 0.85, 95% CI 0.72–1.01; anemia OR = 0.81, 95% CI 0.67–0.97; IDA OR = 0.80, 95% CI 0.64–1.00) were inversely correlated with these outcomes. ID, anemia, and IDA are common among recently arrived refugee women irrespective of refugee camp exposure. Our findings suggest these outcomes likely improve after resettlement; however, given proportionally few refugees are resettled globally, likely millions of refugee women and girls are affected.

Type of Medium: Online Resource

ISSN: 1932-6203

URL: Article

DOI: 10.1371/journal.pone.0278838

DOI: 10.1371/journal.pone.0278838.g001

DOI: 10.1371/journal.pone.0278838.g002

DOI: 10.1371/journal.pone.0278838.g003

DOI: 10.1371/journal.pone.0278838.g004

DOI: 10.1371/journal.pone.0278838.t001

DOI: 10.1371/journal.pone.0278838.t002

DOI: 10.1371/journal.pone.0278838.t003

DOI: 10.1371/journal.pone.0278838.s001

DOI: 10.1371/journal.pone.0278838.s002

DOI: 10.1371/journal.pone.0278838.s003

DOI: 10.1371/journal.pone.0278838.s004

DOI: 10.1371/journal.pone.0278838.s005

DOI: 10.1371/journal.pone.0278838.r001

DOI: 10.1371/journal.pone.0278838.r002

DOI: 10.1371/journal.pone.0278838.r003

DOI: 10.1371/journal.pone.0278838.r004

DOI: 10.1371/journal.pone.0278838.r005

DOI: 10.1371/journal.pone.0278838.r006

Language: English

Publisher: Public Library of Science (PLoS)

Publication Date: 2022

detail.hit.zdb_id: 2267670-3

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Cervical Cancer Screening by Refugee Category in a Refugee Health Primary Care Clinic in Calgary, Canada, 2011–2016

Whalen-Browne, Molly ; Talavlikar, Rachel ; Brown, Garielle ; [et al.]

Springer Science and Business Media LLC ; 2022

In: Journal of Immigrant and Minority Health Vol. 24, No. 6 ( 2022-12), p. 1534-1542

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In: Journal of Immigrant and Minority Health, Springer Science and Business Media LLC, Vol. 24, No. 6 ( 2022-12), p. 1534-1542

Abstract: Newly arrived refugees and refugee claimants experience low cervical cancer screening (CCS) rates in Canada. We investigated CCS at a dedicated refugee clinic. We completed a retrospective cohort study among patients at the Mosaic Refugee Health Clinic in Calgary, Canada, between 2011 and 2016. We investigated CCS offers and completion by refugee category. We then used multivariable logistic regression to estimate the association of CCS screening and refugee category, accounting for sociodemographic and clinical factors. We included 812 refugees. Most were married (71%) and had limited English proficiency (57%). Overall, 88% and 77% of patients were offered and completed screening, respectively. Compared to government assisted refugees, privately sponsored refugees completed CCS more often (OR 1.60, 95% CI [1.02–2.49]). A dedicated refugee clinic may provide effective CCS to newly arrived refugees irrespective of refugee category, insurance status or other barriers.

Type of Medium: Online Resource

ISSN: 1557-1912 , 1557-1920

URL: Article

DOI: 10.1007/s10903-022-01345-5

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2022

detail.hit.zdb_id: 2220162-2

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Leaving the Walkman and ICD-9 Behind: Modernizing the Disease Classification System Used by Canadian Physicians

Garies, Stephanie ; Ng, Phoebe ; Dickinson, James ; [et al.]

Longwoods Publishing ; 2022

In: Healthcare Policy | Politiques de Santé Vol. 18, No. 1 ( 2022-08-29), p. 32-39

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In: Healthcare Policy | Politiques de Santé, Longwoods Publishing, Vol. 18, No. 1 ( 2022-08-29), p. 32-39

Type of Medium: Online Resource

ISSN: 1715-6580

URL: Issue

URL: Journal

URL: Article

DOI: 10.12927/hcpol.2022.26902

DOI: 10.12927/hcpol

DOI: 10.12927/hcpol.2022.26907

Language: Unknown

Publisher: Longwoods Publishing

Publication Date: 2022

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Intensive and Standard Blood Pressure Targets in Patients With Type 2 Diabetes Mellitus : Systematic Review and Meta-analysis

McBrien, Kerry ; Rabi, Doreen M. ; Campbell, Norm ; [et al.]

American Medical Association (AMA) ; 2012

In: Archives of Internal Medicine Vol. 172, No. 17 ( 2012-09-24), p. 1296-

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In: Archives of Internal Medicine, American Medical Association (AMA), Vol. 172, No. 17 ( 2012-09-24), p. 1296-

Type of Medium: Online Resource

ISSN: 0003-9926

URL: Article

DOI: 10.1001/archinternmed.2012.3147

RVK:

XA 29200

Language: English

Publisher: American Medical Association (AMA)

Publication Date: 2012

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