Multidisciplinary Panel Consensus for the Management of Patients with Type 2 Diabetes: A Delphi Study

IF 4.7 3区医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Archives of Medical Research Pub Date : 2023-12-22 DOI:10.1016/j.arcmed.2023.102923

Ana M. Cebrián-Cuenca , Oscar Moreno-Pérez , Raquel Campuzano-Ruiz , Maria Jose Soler , M. Dolores García de Lucas , Domingo Orozco-Beltrán

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Abstract

Aim

To reach a multidisciplinary consensus on managing patients with type 2 diabetes among specialists in family medicine, cardiology, endocrinology, internal medicine, and nephrology.

Methods

A two-round Delphi study was conducted using a questionnaire with 68 positive/negative statements distributed in four thematic blocks on diabetes management: early diagnosis and prediabetes, referral criteria, treatment and comorbidities, and clinical management. The expert panel was composed of 105 physicians from different specialties (family medicine, cardiology, endocrinology, internal medicine, and nephrology) with experience in managing patients with diabetes and who were members of a diabetes-related society.

Results

Response rates for the first and second rounds were 86.7 and 75.2%, respectively. After both rounds, a consensus was reached on 52 (76.5%) items. The recommendations with the highest degree of consensus (median = 10, IQR = 0.00) were related to anti-smoking education, cardiovascular risk factor target control, and diabetic kidney disease. There were significant differences between family physicians and other specialties for some items.

Conclusions

This study provides a set of recommendations for diabetes management agreed upon by specialists from different healthcare settings.

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2 型糖尿病患者管理的多学科小组共识：德尔菲研究

方法使用一份调查问卷进行了两轮德尔菲研究，该问卷包含 68 项正面/负面陈述，分布在糖尿病管理的四个主题区块：早期诊断和糖尿病前期、转诊标准、治疗和并发症以及临床管理。专家小组由来自不同专业（家庭医学、心脏病学、内分泌学、内科学和肾脏病学）的 105 名医生组成，他们都具有管理糖尿病患者的经验，并且是糖尿病相关协会的成员。结果第一轮和第二轮的回复率分别为 86.7% 和 75.2%。两轮调查后，有 52 个项目（76.5%）达成了共识。共识度最高的建议（中位数 = 10，IQR = 0.00）涉及禁烟教育、心血管危险因素目标控制和糖尿病肾病。在某些项目上，家庭医生和其他专科医生之间存在明显差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Medical Research 医学-医学：研究与实验

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

28 days

期刊介绍： Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.