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Quality improvement
Use of a treatment algorithm did not improve blood pressure control in primary care patients with type 2 diabetes

http://dx.doi.org/10.1136/ebn.10.4.121

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    Bebb C, Kendrick D, Coupland C, et al. A cluster randomised controlled trial of the effect of a treatment algorithm for hypertension in patients with type 2 diabetes. Br J Gen Pract 2007;57:136–43.OpenUrlAbstract/FREE Full Text

    Q Does a treatment algorithm improve blood pressure (BP) control in primary care patients with type 2 diabetes?

    METHODS

    Embedded ImageDesign:

    cluster randomised controlled trial (RCT).

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    blinded (data analysts).

    Embedded ImageFollow-up period:

    1 year.

    Embedded ImageSetting:

    42 general practices in Nottingham, UK.

    Embedded ImagePatients:

    1534 patients 18–80 years of age (mean age 64 y, 59% men) who had type 2 diabetes and had not required insulin within 12 months of diagnosis. Exclusion criteria were life expectancy <1 year and inability to attend appointments.

    Embedded ImageIntervention:

    20 practices (797 patients) were allocated to use of a treatment algorithm for 1 year. Practice nurses received training and guidelines on the use …

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    Footnotes

    • For correspondence: Dr C Bebb, Renal Unit, Nottingham University Hospitals, Nottingham, UK. charlottebebb{at}nuh.nhs.uk

    • Source of funding: NHS Executive, Trent, UK.