Vuohijoki, A., Mikkola, I., Jokelainen, J., Keinänen-Kiukaanniemi, S., Winell, K., Frittitta, L., … Hagnäs, M. (2020). Implementation of a Personalized Care Plan for Patients With Type 2 Diabetes Is Associated With Improvements in Clinical Outcomes: An Observational Real-World Study. Journal of Primary Care & Community Health. https://doi.org/10.1177/2150132720921700
Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes : an observational real-world study
|Author:||Vuohijoki, Anni1; Mikkola, Ilona2; Jokelainen, Jari1;|
1University of Oulu, Oulu, Finland
2Rovaniemi Health Center, Rovaniemi, Lapland, Finland
3Oulu University Hospital, Oulu, Finland
4Healthcare and Social Services of Selänne, Pyhäjärvi, Finland
5Conmedic, Espoo, Finland
6University of Catania, Catania, Italy
7Garibaldi Hospital, Catania, Italy
|Online Access:||PDF Full Text (PDF, 0.2 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2020070847153
|Publish Date:|| 2020-07-08
Objective: To analyze the clinical outcomes of patients with type 2 diabetes (T2D) before and after implementation of a personalized care plan in the primary health care setting.
Design: Observational, retrospective, real-world study. Setting: All T2D patients with a care plan in Rovaniemi Health Center, Rovaniemi, Finland, for whom data were available from a baseline visit (in 2013–2015 during which the care plan was written) and from a follow-up visit, including an updated care plan by the year 2017.
Subjects: In total, 447 patients were included. Mean age was 66.9 (SD 10.1) years, 58.8% were male, 15.4% were smokers, 33.1% had vascular disease, and 17.0% were receiving insulin treatment. The mean follow-up time was 14.4 months.
Main Outcome Measures: Glycosylated hemoglobin A1 (HbA1c), low-density lipoprotein (LDL), blood pressure (BP), and body mass index (BMI). Clinical values were taken at both baseline and follow-up.
Results: LDL decreased by 0.2 mmol/L, systolic blood pressure by 2.2 mm Hg, diastolic blood pressure by 1.5 mm Hg, and BMI by 0.5 kg/m² (P < 0.05 for each). The decrease in HbA1c was 0.8 mmol/mol (P = 0.07).
Conclusion: We observed statistically significant decreases in LDL, BP, and BMI. Our results indicate that, over 14 months of follow-up, implementation of a written care plan was associated with small improvements in the clinical outcomes of T2D patients in a primary health care study population in a real-world setting.
Journal of primary care & community health
|Pages:||1 - 7|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3142 Public health care science, environmental and occupational health
3121 General medicine, internal medicine and other clinical medicine
This work was supported by the Finnish Cultural Foundation, Lapland Regional Fund, and the Finnish Medical Foundation.
© The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).