CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Case Management Interventions to Improve Glycemic Control
CDC
An Evidence-Based Practice
Description
Case management is a process which involves planning, coordinating, and providing healthcare to individuals affected by a disease. It is intended for patients who have limited resources and who likely use too much of their income to pay for related healthcare services, who are not receiving the services that give them the best chance to stay healthy, or who are receiving services that are not well coordinated with one another.
The Community Preventive Services Task Force recommends diabetes case management strategies due to strong evidence of effectiveness in improving glycemic control. There is also evidence of improved provider monitoring of glycated hemoglobin (GHb) when combining case management and disease management.
The Community Preventive Services Task Force recommends diabetes case management strategies due to strong evidence of effectiveness in improving glycemic control. There is also evidence of improved provider monitoring of glycated hemoglobin (GHb) when combining case management and disease management.
Impact
The Community Preventive Services Task Force has found that case management helps improve glycemic control for patients with diabetes.
Results / Accomplishments
Results from the Systematic Reviews:
Fifteen studies qualified for the review.
• Glycated hemoglobin (GHb) levels: Median decrease of 0.53 percentage points (interquartile range: -0.65% to -0.46%; 11 studies) when case management was implemented with disease management and of 0.40 percentage points (range: -0.6% to -0.16%; 3 studies) without it.
• Healthcare providers monitoring of GHb levels: median increase of 33% when implemented with disease management (interquartile interval, -13% to -42%; 5 studies).
• Additional physiologic outcomes examined in this review include:
-Lipid concentrations (3 studies)
-Body mass index (1 study)
-Weight (4 studies)
-Blood pressure (2 studies)
• The reviewed studies showed that case management helped adults with type 2 diabetes who were in managed care systems; whether or not the results apply beyond adults with type 2 diabetes in managed care systems has not been determined.
• Case management was implemented along with disease management in 11 of the included studies.
Fifteen studies qualified for the review.
• Glycated hemoglobin (GHb) levels: Median decrease of 0.53 percentage points (interquartile range: -0.65% to -0.46%; 11 studies) when case management was implemented with disease management and of 0.40 percentage points (range: -0.6% to -0.16%; 3 studies) without it.
• Healthcare providers monitoring of GHb levels: median increase of 33% when implemented with disease management (interquartile interval, -13% to -42%; 5 studies).
• Additional physiologic outcomes examined in this review include:
-Lipid concentrations (3 studies)
-Body mass index (1 study)
-Weight (4 studies)
-Blood pressure (2 studies)
• The reviewed studies showed that case management helped adults with type 2 diabetes who were in managed care systems; whether or not the results apply beyond adults with type 2 diabetes in managed care systems has not been determined.
• Case management was implemented along with disease management in 11 of the included studies.
About this Promising Practice
Primary Contact
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
404-498-1827
communityguide@cdc.gov
http://www.thecommunityguide.org/index.html
MS E69
Atlanta, GA 30329
404-498-1827
communityguide@cdc.gov
http://www.thecommunityguide.org/index.html
Topics
Health / Diabetes
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
http://www.thecommunityguide.org/index.html#topics
http://www.thecommunityguide.org/diabetes/casemgmt...
http://www.thecommunityguide.org/diabetes/casemgmt...
Target Audience
Children, Teens, Adults, Women, Men, Families