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A multicomponent intervention improved diabetes care in primary care practicesCommentary

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QUESTION

Does a multicomponent intervention improve diabetes care in primary care practices?

METHODS

Design:

cluster-randomised controlled trial (TRANSLATE). ClinicalTrials.gov NCT00108927.

Allocation:

concealed.

Blinding:

unblinded.

Follow-up period:

1 year.

Setting:

24 family medicine or general internal medicine primary care practices (238 physicians) in Minnesota, USA. Practices were excluded if they already had electronic medical records or an electronic diabetes registry, or had recently participated in a diabetes-specific quality improvement programme.

Patients:

8405 community-dwelling patients 18–89 years of age (mean age 63 y, 50% men) who had type 2 diabetes that was managed or co-managed by a physician in 1 of the primary care practices.

Intervention:

TRANSLATE intervention (12 practices, 4587 patients) or usual quality improvement (12 practices, 3818 patients). Components …

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