Evid Based Nurs 10:25 doi:10.1136/ebn.10.1.25
  • Quality improvement

Review: case management and team changes are particularly effective strategies for reducing HbA1c concentrations in type 2 diabetes

 Q Which quality improvement (QI) strategies help to improve glycaemic control in patients with type 2 diabetes mellitus?


GraphicData sources:

Medline (1966 to April 2006) and Cochrane Effective Practice and Organisation of Care Group database (which includes the results of periodic searches of Medline, EMBASE/Excerpta Medica, and CINAHL), and bibliographies of key articles.

GraphicStudy selection and assessment:

randomised controlled trials (RCTs), quasi-randomised trials, and controlled before-after studies assessing interventions that met the definition for ⩾1 of 11 types of QI strategies (audit and feedback, case management, team changes, electronic patient registries, clinician education, clinical reminders, facilitated relay of clinical information to clinicians, patient education, promotion of self management, patient reminder systems, or continuous QI) and reported mean pre-intervention and post-intervention glycated haemoglobin (HbA1c) concentrations in adult outpatients with type 2 diabetes. 66 trials (reported in 58 articles) met the inclusion criteria (50 RCTs, 3 quasi-randomised trials, and 13 controlled before-after trials.


HbA1c concentrations.


Meta-analysis showed …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article