Are home visits an effective method for diabetes management? A quantitative systematic review and meta‐analysis

Autor:	Jun Zhang, Xiaochun Yang, Lin Han, Suhong Wei, Yuexian Shi, Jinhui Tian, Xiping Shen, Yuxia Ma
Jazyk:	angličtina
Rok vydání:	2017
Předmět:	medicine.medical_specialty Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Cochrane Library law.invention Diabetes Complications 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Randomized controlled trial Nursing law Diabetes management Risk Factors Internal medicine Internal Medicine medicine Diabetes Mellitus Humans 030212 general & internal medicine Glycemic Randomized Controlled Trials as Topic Glycated Hemoglobin Home visit business.industry Diabetes General Medicine Articles Confidence interval House Calls Clinical Science and Care Treatment Outcome chemistry Cardiovascular Diseases Meta-analysis Meta‐analysis Original Article Glycated hemoglobin business Body mass index
Zdroj:	Journal of Diabetes Investigation
ISSN:	2040-1124 2040-1116
Popis:	Aims/Introduction Previous reviews have revealed uncertainty regarding the effectiveness of home visit interventions for managing diabetes. Therefore, we carried out a quantitative systematic review and meta-analysis to evaluate the effects of home visit interventions among patients with diabetes. Materials and Methods We searched various electronic databases (PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, Wanfang and Chinese scientific full-text databases) from their inception until March 2016. We included randomized controlled trials that included patients with diabetes, and evaluated the effects of home visit programs on glycated hemoglobin concentrations. Two reviewers independently used the Cochrane Collaboration methods to assess the included studies’ risk of bias and quality. Results We included seven randomized controlled trials with 686 participants. Compared with the usual care, the home visit group showed a greater reduction in glycated hemoglobin concentrations (mean difference −0.79% [−9 mmol/mol], 95% confidence interval [CI]: −0.93 to −0.25% [11 to −3 mmol/mol]; P
Databáze:	OpenAIRE
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