NCT00498147

Determining Rates of Cardiovascular Complications Among Patients of a Managed Diabetes Care Program

Does Managed Diabetes Care Decrease Cardiovascular Complications of Diabetes?

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 1,213 (actual)
• Sponsor: Group Health Centre · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The primary objective of this study is to identify whether cardiovascular complication rates are lower in patients who participate in managed diabetes care, in comparison to provincial and national rates. This study will involve an electronic medical record (EMR) chart audit, augmented by a manual review of hospital and other pertinent medical records, as necessary.

Detailed description

The DECIDE study will identify whether cardiovascular complication rates (the composite rate of myocardial infarction (MI), Percutaneous Coronary Intervention (PCI), Coronary Artery Bypass Grafting (CABG), stroke, carotid endarterectomy, peripheral revascularization, and peripheral amputation) are lower in patients who participate in managed diabetes care by ADEC in comparison to provincial and national rates. Comparison statistics will be provided by the Institute of Evaluative Sciences (ICES) Atlas 2003 and other Diabetes studies such as the 2005 DICE study. Complications such as nephropathy and retinopathy will be documented, along with hospitalization rates and all cause mortality. Clinical outcomes relevant to diabetes management such as blood pressure and lipids will also be compared.

Conditions

• Disease Management
• Diabetes Complications
• Diabetic Vascular Complications
• Diabetic Neuropathy
• Diabetic Nephropathy
• Diabetic Retinopathy

Interventions

Type	Name	Description
OTHER	ADEC Program	Interventions (managed diabetes care) employed by the ADEC Program include: diabetes education, nutrition care, individual and group counseling sessions, foot care, and insulin and oral diabetes medication adjustments with a signed medical directive. ADEC Diabetes Educators (Registered Dietitians and Registered Nurses) will use adult education principles throughout the education process and promote self-care by encouraging responsibility and promoting a positive attitude towards acceptance of diabetes. All patients will be encouraged to self-monitor their blood glucose at home. Team member collaboration and with other agencies to promote a total client care approach to diabetes management will be employed.

Timeline

• Start date: 2007-07-01
• Primary completion: 2010-03-01
• Completion: 2010-07-01
• First posted: 2007-07-09
• Last updated: 2009-10-06

Locations

1 site across 1 country: Canada