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Source: BMJ Open
Condition: Diabetes Type 2

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Total 28 results found since Jan 2013.

Point-of-care testing of HbA1c levels in community settings for people with established diabetes or people at risk of developing type 2 diabetes: a systematic review and meta-analysis protocol
Introduction Diabetes mellitus has increased in prevalence worldwide and is causing an increasing burden on health services. The best patient outcomes occur with early diagnosis to prevent health complications. Glycated haemoglobin (HbA1c) is used to assess glycaemic control over 3–6 months and inform clinical management. Point-of-care (POC) HbA1c devices can be used in community settings, independent of clinical laboratories. This review aims to evaluate how these devices have been implemented in community settings and what patient outcomes have been documented. Methods and analysis This protocol follows the Prefer...
Source: BMJ Open - May 12, 2023 Category: General Medicine Authors: Gourlay, A., Sutherland, C., Radley, A. Tags: Open access, Diabetes and Endocrinology Source Type: research

Effectiveness of self-management applications in improving clinical health outcomes and adherence among diabetic individuals in low and middle-income countries: a systematic review
Introduction A variety of mobile health (mHealth) applications are available to monitor an individual’s health or lifestyle to make it convenient to access healthcare facilities at home. The usability of mHealth applications in controlling HbA1c (estimated average blood glucose) levels is unclear despite their increasing use. The burden of type 2 diabetes mellitus (T2DM) is high in low and middle-income countries (LMICs), with the highest burden in the Indian population. Our objective is to identify the effectiveness of mHealth applications in managing blood glucose levels of individuals with T2DM and to assess the i...
Source: BMJ Open - November 15, 2022 Category: General Medicine Authors: Dsouza, S. M., Shetty, S., Venne, J., Pundir, P., Rajkhowa, P., Lewis, M. G., Brand, H. Tags: Open access, Public health Source Type: research

Transitioning care in youth-onset type 1 and type 2 diabetes: a scoping review protocol using the socio-ecological model framework
The objectives are : (1) to identify the factors within the socio-ecological framework (individual, relationship, community, societal) associated with transitioning to adult care in Y-T2DM compared with Y- T1DM, and (2) to identify knowledge gaps related to transitioning to adult care. Methods The scoping review protocol and reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping reviews guidelines. A systematic search of scientific databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health, Scopus and APA PsycNet will be undertaken for articles between 1 Janu...
Source: BMJ Open - October 27, 2022 Category: General Medicine Authors: Ude, A. O., De Baca, T. C., Dixon, S. A., Arboine, S.-A., Terry, N. L., Chung, S. T. Tags: Open access, Diabetes and Endocrinology Source Type: research

Pharmacotherapy in paediatric type 2 diabetes mellitus: a protocol for a systematic review and network meta-analysis of randomised trials
This study will not require ethics approval. We will disseminate our findings through publication in a peer-reviewed journal and conference presentations. PROSPERO registration number CRD42022310100.
Source: BMJ Open - September 26, 2022 Category: General Medicine Authors: Zhou, F., Deng, J., Banfield, L., Thabane, L., Sadeghirad, B., Samaan, M. C. Tags: Open access, Diabetes and Endocrinology Source Type: research

Non-pharmacological interventions for the prevention of type 2 diabetes in low-income and middle-income countries: a systematic review of randomised controlled trials
Conclusions Emphasising non-pharmacological interventions for T2DM prevention can improve health outcomes and lessen the economic burdens, which will be of paramount importance in LMICs. Systematic review registration number CRD42020191507
Source: BMJ Open - June 6, 2022 Category: General Medicine Authors: Sarker, A., Das, R., Ether, S., Shariful Islam, M., Saif-Ur-Rahman, K. M. Tags: Open access, Epidemiology Source Type: research

Effect of routinely assessing and addressing depression and diabetes distress on clinical outcomes among adults with type 2 diabetes: a systematic review
Conclusion Studies are sparse in which PROMs are used to assess and address depressive symptoms or diabetes distress during routine clinical care of adults with type 2 diabetes. Further research is warranted to understand how to integrate PROMs into clinical care efficiently and determine appropriate interventions to manage identified problem areas. PROSPERO registration number CRD42020200246.
Source: BMJ Open - May 25, 2022 Category: General Medicine Authors: McMorrow, R., Hunter, B., Hendrieckx, C., Kwasnicka, D., Speight, J., Cussen, L., Ho, F. C. S., Emery, J., Manski-Nankervis, J.-A. Tags: Open access, Diabetes and Endocrinology Source Type: research

Randomised controlled trials on prevention, diagnosis and treatment of diabetes in African countries: a systematic review
Conclusions Research activities increased in recent years, but available evidence is still not representative for all African countries. There is a big lack of evidence in primary healthcare and rural settings, implementation research, pharmacological interventions, especially in poorer countries. Nevertheless, the identified studies offer a variety of effective interventions that can inform medical care and future research. PROSPERO registration number CRD42019122785.
Source: BMJ Open - May 11, 2022 Category: General Medicine Authors: Sandholzer-Yilmaz, A. S., Kroeber, E. S., Ayele, W., Frese, T., Kantelhardt, E. J., Unverzagt, S. Tags: Open access, Diabetes and Endocrinology Source Type: research

Association between social supports and depression among patients with diabetes mellitus in Ethiopia: a systematic review and meta-analysis
Conclusions Our meta-analysis revealed that patients who had poor social support were significantly associated with an increased level of depression. Additional studies exploring factors that might moderate or mediate this association are needed. Targeted interventions for comorbid depression should be implemented in clinical practice. Systematic review registration We have submitted the protocol for registration at the PROSPERO on 9 October 2020. But we have not yet received a registration number.
Source: BMJ Open - May 11, 2022 Category: General Medicine Authors: Diress, G., Endalifer, M. L., Addisu, A., Mengist, B. Tags: Open access, Evidence based practice Source Type: research

Metabolic disorders and the risk of head and neck cancer: a protocol for a systematic review and meta-analysis
This study has been registered with the International Prospective Register of Systematic Reviews (PROSPERO) with study registration number CRD42021250520. This protocol has been developed in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidance statement.
Source: BMJ Open - May 4, 2022 Category: General Medicine Authors: Gormley, A., Richards, C., Spiga, F., Gray, E., Hooper, J., Main, B., Vincent, E. E., Richmond, R., Higgins, J., Gormley, M. Tags: Open access, Oncology Source Type: research

Impact of virtual care on health-related quality of life in children with diabetes mellitus: a systematic review protocol
Introduction Diabetes mellitus is the most common endocrine disorder in children, and the prevalence of paediatric type 1 and type 2 diabetes continue to rise globally. Diabetes clinical care programs pivoted to virtual care with the COVID-19 pandemic-driven social distancing measures. Yet, the impact of virtual care on health-related quality of life in children living with diabetes remains unclear. This protocol reports on the methods that will be implemented to conduct a systematic review to assess the health-related quality of life and metabolic health impacts of virtual diabetes care. Methods and analysis We will sear...
Source: BMJ Open - February 16, 2022 Category: General Medicine Authors: Rajan, R., Kshatriya, M., Banfield, L., Athale, U., Thabane, L., Samaan, M. C. Tags: Open access, Diabetes and Endocrinology Source Type: research

Patient perspectives on integrated healthcare for HIV, hypertension and type 2 diabetes: a scoping review
Conclusion Patient perspectives and experiences on integrated care for HIV, diabetes and hypertension were mostly positive. Integrated services can save resources and allow for a more personalised approach to healthcare. There is a paucity of evidence and further longitudinal and interventional evidence from a more diverse range of healthcare systems are needed.
Source: BMJ Open - November 16, 2021 Category: General Medicine Authors: Singh, S., Kirk, O., Jaffar, S., Karakezi, C., Ramaiya, K., Kallestrup, P., Kraef, C. Tags: Open access, Global health Source Type: research

Health equity audits: a systematic review of the effectiveness
Conclusions There is an urgent need to identify effective interventions to address health inequalities. While HEAs are recommended, we only identified limited weak evidence to support their use. More evidence is needed to explore whether HEA implementation can reduce inequalities and which factors are influencing effectiveness. Trial registration number The study was registered prior to its conduction in PROSPERO (CRD 42020218642).
Source: BMJ Open - November 11, 2021 Category: General Medicine Authors: van Daalen, K. R., Davey, F., Norman, C., Ford, J. A. Tags: Open access, Public health Source Type: research

Barriers and facilitators of diabetes management by continuous glucose monitoring systems among adults with type 2 diabetes: a protocol of qualitative systematic review
Introduction Studies suggest that continuous glucose monitors (CGMs) play an important role in the management of diabetes. Although general acceptance has been reported by patients with type 2 diabetes towards the use of CGMs, potential barriers exist like pain due to sensor insertion, accidental removal of the device or adhesive strip, impacts of daily activities, skin reactions to sensor adhesive, etc. This systematic review of qualitative studies aims to explore the perspectives, experiences and narratives of patients and caregivers about CGM use, and its barriers and facilitators. Methods and analysis This review will...
Source: BMJ Open - October 29, 2021 Category: General Medicine Authors: Zheng, M., Patel, A., Khoja, A., Luo, Y., Lin, W., He, Q., Zhao, X., Wang, J., Yang, S., Hu, P. Tags: Open access, Diabetes and Endocrinology Source Type: research

Network meta-analysis of four kinds of traditional Chinese exercise therapy in the treatment of type 2 diabetes: protocol for a systematic review
This study aims to integrate clinical randomised controlled correlations via network meta-analysis evidence. Methods and analysis The comprehensive search included Chinese and other language databases such as the MEDLINE (PubMed), Web of Science, Excerpt Medica Database (EMBASE), The Cochrane Library, China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, China Scientific Journal Database (VIP), China Biomedical Literature Database (CBM). Clinical randomised controlled trials of four traditional Chinese exercise therapies in the treatment of type 2 diabetes, including Tai Chi, Ba Duan Jin, Yi Ji...
Source: BMJ Open - July 9, 2021 Category: General Medicine Authors: Jia, Y., Yu, Y., Huang, H. Tags: Open access, Diabetes and Endocrinology Source Type: research

Values, preferences and burden of treatment for the initiation of GLP-1 receptor agonists and SGLT-2 inhibitors in adult patients with type 2 diabetes: a systematic review
Conclusions As no evidence for preferences on SGLT-2i was available, only preferences for GLP-1 RA were assessed; however, evidence is still limited for the latter. Studies comparing preferences for GLP1-RA to other glucose-lowering alternatives only included twice daily or once daily injection regimens of GLP-1 RA drugs. According to our findings, once weekly alternatives are widely preferred than the formers. The extent to which patients with type 2 diabetes value reduced adverse cardiovascular and kidney outcomes, weighed benefits against harms and burden of treatment is limited and with very low certainty. PROSPERO re...
Source: BMJ Open - July 9, 2021 Category: General Medicine Authors: Gonzalez-Gonzalez, J. G., Diaz Gonzalez-Colmenero, A., Millan-Alanis, J. M., Lytvyn, L., Solis, R. C., Mustafa, R. A., Palmer, S. C., Li, S., Hao, Q., Alvarez-Villalobos, N. A., Vandvik, P. O., Rodriguez-Gutierrez, R. Tags: Open access, Diabetes and Endocrinology Source Type: research