Improving Hypertension Control in Individuals With Diabetes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 11,510
- 主要终点
- Systolic blood pressure
研究概览
简要总结
Twelve health organizations from around the US were selected to participate in a chart review Hypertension and Diabetes Initiative with the goal of improving blood pressure control in persons with diabetes.
Hypothesis:
A three-phase quality improvement initiative facilitated and monitored through the International Diabetes Center (IDC) will result in improved population-mean systolic blood pressure in the aggregate data pool of patients from all 12 participating sites at geographically distinct health systems.
详细描述
Phase 1 - Preparation: Each participating site begins to organize itself for the project. Baseline data will be collected and will be used to benchmark where each site is relative to blood pressure control/management of persons with diabetes prior to the implementation of the training programs.
Phase 2 - Implementation: Sites begin to address the gaps they have identified that affect blood pressure outcomes of patients with diabetes. IDC provides two on-site training programs for providers and support staff.
Phase 3 - Follow-up: IDC provides on-going support to each site via individual and collaborative conference calls and resources on the project Web site. Patient and visit data (audit form) will be collected six and 12 months after training. This data will be compared to the site's pre-training data.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ICD-9 Code 250 (indicates type 1 or type 2 diabetes)
- •ICD- Code 648.0 (indicates pregnancy with type 1 or type 2 diabetes)
- •ICD-9 Code 357.2 or 362.0, indicating complications of diabetes.
- •A prescription for insulin or oral hypoglycemic agents
- •Include those 18-75 years
排除标准
- •Attend a dialysis unit (if the nephrologist is primary care manager)
- •Have gestational diabetes (ICD-9 Code 648.8)
- •Have a terminal illness (e.g., hospice patient)
- •Do not have a documented blood pressure within the past year (this is asked on the audit form)
结局指标
主要结局
Systolic blood pressure
时间窗: 1 year
次要结局
- Measure changes in action taken related to improving blood pressure management as percent of providers reporting changing (initiating or adjusting) blood pressure medication(1 year)