Stratified Patient-Centered Care in Type 2 Diabetes

Clinical Trial News Thursday, August 22nd, 2013

A cluster-randomized, controlled clinical trial of effectiveness and cost-effectiveness

Diabetes Care: August 15, 2013

OBJECTIVE Diabetes treatment should be effective and cost-effective. HbA1c-associated complications are costly. Would patient-centered care be more (cost-) effective if it was targeted to patients within specific HbA1c ranges?

RESEARCH DESIGN AND METHODS This prospective, cluster-randomized, controlled trial involved 13 hospitals (clusters) in the Netherlands and 506 patients with type 2 diabetes randomized to patient-centered (n = 237) or usual care (controls) (n = 269). Primary outcomes were change in HbA1c and quality-adjusted life years (QALYs); costs and incremental costs (USD) after 1 year were secondary outcomes.  Read more

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