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Quality improvement
Pharmacist led, primary care based disease management reduced risk factors and improved glycaemic control in diabetes

https://doi.org/10.1136/ebm.10.5.154

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    Rothman RL, Malone R, Bryant B, et al. A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. Am J Med 2005;118:276–84.
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 Q In vulnerable patients with poorly controlled type 2 diabetes mellitus, does a pharmacist led, primary care-based, disease management programme reduce cardiovascular risk factors and improve glycaemic control?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Internal medicine ★★★★★★☆ Cardiology ★★★★★★☆ Endocrine ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed*}†.

    Embedded ImageBlinding:

    blinded (outcome assessors {and data collectors}†).

    Embedded ImageFollow up period:

    1 year.

    Embedded ImageSetting:

    University of North Carolina General Internal Medicine Practice, Chapel Hill, North Carolina, USA.

    Embedded ImagePatients:

    217 English speaking patients who were ⩾18 years of age, had a clinical diagnosis of type 2 …

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    Footnotes

    • ↵* See glossary.

    • ↵† Information provided by author.

    • For correspondence: Dr R Rothman, Vanderbilt University Medical Center, Nashville, TN, USA. russell.rothmanvanderbi

    • Sources of funding: Robert Wood Johnson Clinical Scholars Program, University of North Carolina, and Vanderbilt Center for Health Services Research.

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2005; 10 160a-160a Published Online First: 30 Sep 2005. doi: 10.1136/ebm.10.5.160a