Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)

Detalhes bibliográficos
Autor(a) principal: Fonseca, Reine Marie Chaves
Data de Publicação: 2009
Outros Autores: Lobo, Roberta Lordelo, Abreu, M., Farias, Maria das Graças Velanes de, Coutinho, J. F., Ribeiro, M. N., Athayde, Luciana Gordilho Matteoni de, Lessa, I., Pousada, Judith Maria Dias Carreiro, Oliveira, M., Lopes, C., Strock, Ellie, Mazze, Roger, Matos, Odelisa Silva de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5817
Resumo: Acesso restrito: Texto completo. p. 286-292
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spelling Fonseca, Reine Marie ChavesLobo, Roberta LordeloAbreu, M.Farias, Maria das Graças Velanes deCoutinho, J. F.Ribeiro, M. N.Athayde, Luciana Gordilho Matteoni deLessa, I.Pousada, Judith Maria Dias CarreiroOliveira, M.Lopes, C.Strock, EllieMazze, RogerMatos, Odelisa Silva deFonseca, Reine Marie ChavesLobo, Roberta LordeloAbreu, M.Farias, Maria das Graças Velanes deCoutinho, J. F.Ribeiro, M. N.Athayde, Luciana Gordilho Matteoni deLessa, I.Pousada, Judith Maria Dias CarreiroOliveira, M.Lopes, C.Strock, EllieMazze, RogerMatos, Odelisa Silva de2012-05-10T11:31:13Z20090742-3071http://www.repositorio.ufba.br/ri/handle/ri/5817v. 26, n. 3Acesso restrito: Texto completo. p. 286-292Background Staged Diabetes Management (SDM) improves glycaemic control and reduces diabetes-related complications in primary care. Methods An 18-month randomized controlled cohort study was conducted in two municipalities in the state of Bahia, Brazil, involving 100 patients with Type 2 diabetes in each municipality. In one municipality, healthcare professionals were trained to use SDM customized protocols for clinical decisions and, in the other municipality, no protocols for diabetes care were implemented. We hypothesized that, in the municipality with SDM trained professionals, patients would have better outcomes, including a fall in glycated haemoglobin (HbA 1c).Results Improvements in some metabolic parameters were observed in the SDM group, including a 22% decrease in mean random glucose, a significant 15% decrease in mean HbA 1c , a 6% decrease in systolic blood pressure and an 11% decrease in diastolic blood pressure. There were no differences in body mass index and lipid profile. Conclusions SDM customized algorithms are effective, practical and easy to use in primary healthcare teams with very limited resources.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-05-10T11:31:13Z No. of bitstreams: 1 __onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdf: 122149 bytes, checksum: fa660254e2084b0399885ccaeabe64d8 (MD5)Made available in DSpace on 2012-05-10T11:31:13Z (GMT). No. of bitstreams: 1 __onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdf: 122149 bytes, checksum: fa660254e2084b0399885ccaeabe64d8 (MD5) Previous issue date: 2009DOI: 10.1111/j.1464-5491.2008.02656.xreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBABrazildiabetesglycated haemoglobinprimary carestaged diabetes managementBlackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)DIABETIC MEDICINEinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINAL__onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdf__onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdfapplication/pdf122149https://repositorio.ufba.br/bitstream/ri/5817/1/__onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdffa660254e2084b0399885ccaeabe64d8MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/5817/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT__onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdf.txt__onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdf.txtExtracted texttext/plain33889https://repositorio.ufba.br/bitstream/ri/5817/3/__onlinelibrary.wiley.co...fc0fddc08c672071a69e6971e71ef.pdf.txt837e6dd4bdc87adb8d333d77704777e1MD53ri/58172022-07-05 14:03:31.313oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:31Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
dc.title.alternative.pt_BR.fl_str_mv DIABETIC MEDICINE
title Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
spellingShingle Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
Fonseca, Reine Marie Chaves
Brazil
diabetes
glycated haemoglobin
primary care
staged diabetes management
title_short Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
title_full Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
title_fullStr Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
title_full_unstemmed Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
title_sort Blackwell Publishing Ltd Original Article: Organisation and Delivery of Care Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)
author Fonseca, Reine Marie Chaves
author_facet Fonseca, Reine Marie Chaves
Lobo, Roberta Lordelo
Abreu, M.
Farias, Maria das Graças Velanes de
Coutinho, J. F.
Ribeiro, M. N.
Athayde, Luciana Gordilho Matteoni de
Lessa, I.
Pousada, Judith Maria Dias Carreiro
Oliveira, M.
Lopes, C.
Strock, Ellie
Mazze, Roger
Matos, Odelisa Silva de
author_role author
author2 Lobo, Roberta Lordelo
Abreu, M.
Farias, Maria das Graças Velanes de
Coutinho, J. F.
Ribeiro, M. N.
Athayde, Luciana Gordilho Matteoni de
Lessa, I.
Pousada, Judith Maria Dias Carreiro
Oliveira, M.
Lopes, C.
Strock, Ellie
Mazze, Roger
Matos, Odelisa Silva de
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fonseca, Reine Marie Chaves
Lobo, Roberta Lordelo
Abreu, M.
Farias, Maria das Graças Velanes de
Coutinho, J. F.
Ribeiro, M. N.
Athayde, Luciana Gordilho Matteoni de
Lessa, I.
Pousada, Judith Maria Dias Carreiro
Oliveira, M.
Lopes, C.
Strock, Ellie
Mazze, Roger
Matos, Odelisa Silva de
Fonseca, Reine Marie Chaves
Lobo, Roberta Lordelo
Abreu, M.
Farias, Maria das Graças Velanes de
Coutinho, J. F.
Ribeiro, M. N.
Athayde, Luciana Gordilho Matteoni de
Lessa, I.
Pousada, Judith Maria Dias Carreiro
Oliveira, M.
Lopes, C.
Strock, Ellie
Mazze, Roger
Matos, Odelisa Silva de
dc.subject.por.fl_str_mv Brazil
diabetes
glycated haemoglobin
primary care
staged diabetes management
topic Brazil
diabetes
glycated haemoglobin
primary care
staged diabetes management
description Acesso restrito: Texto completo. p. 286-292
publishDate 2009
dc.date.issued.fl_str_mv 2009
dc.date.accessioned.fl_str_mv 2012-05-10T11:31:13Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5817
dc.identifier.issn.none.fl_str_mv 0742-3071
dc.identifier.number.pt_BR.fl_str_mv v. 26, n. 3
identifier_str_mv 0742-3071
v. 26, n. 3
url http://www.repositorio.ufba.br/ri/handle/ri/5817
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv DOI: 10.1111/j.1464-5491.2008.02656.x
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