Multidisciplinary Panel Consensus for the Management of Patients with Type 2 Diabetes: A Delphi Study

被引：2

作者：

Cebrian-Cuenca, Ana M. ^{[1
]}

Moreno-Perez, Oscar ^{[2
,3
,8
]}

Campuzano-Ruiz, Raquel ^{[4
]}

Soler, Maria Jose ^{[5
]}

de Lucas, Dolores Garcia ^{[6
]}

Orozco-Beltran, Domingo ^{[3
,7
]}

机构：

[1] Biomed Res Inst Murcia IMIB, Family Med Hlth Ctr Cartagena Casco, Primary Care Res Grp, Cartagena, Spain

[2] Dr Balmis Gen Univ Hosp, Alicante Inst Hlth & Biomed Res ISABIAL, Endocrinol Dept, Alicante, Spain

[3] Miguel Hernandez Univ, Med Dept, Alacant, Spain

[4] Univ Hosp Fdn Alcorcon, Cardiol Dept, Madrid, Spain

[5] Vall dHebron Univ Hosp, Nephrol Dept, Vall dHebron Inst Res, Barcelona, Spain

[6] Hosp Costa Sol, Internal Med Dept, Malaga, Spain

[7] Family Med Hlth Ctr Cabo Huertas, Alicante, Spain

[8] Hosp Gen Univ Alicante Dr Balmis, Endocrinol & Nutr Dept, Inst Invest Sanit & Biomed Alicante ISABIAL, Pintor Baeza 11, Alicante 03010, Spain

来源：

ARCHIVES OF MEDICAL RESEARCH | 2023年 / 55卷 / 01期

关键词：

Type 2 Diabetes Mellitus; Disease management; Delphi technique; Consensus; Patient care team; TEAM-APPROACH; CARE; GUIDELINES;

D O I：

10.1016/j.arcmed.2023.102923

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Aim. To reach a multidisciplinary consensus on managing patients with type 2 diabetes among specialists in family medicine, cardiology, endocrinology, internal medicine, and nephrology. Methods. A two-round Delphi study was conducted using a questionnaire with 68 positive/negative statements distributed in four thematic blocks on diabetes management: early diagnosis and prediabetes, referral criteria, treatment and comorbidities, and clinical management. The expert panel was composed of 105 physicians from different specialties (family medicine, cardiology, endocrinology, internal medicine, and nephrology) with experience in managing patients with diabetes and who were members of a Results. Response rates for the first and second rounds were 86.7 and 75.2%, respectively. After both rounds, a consensus was reached on 52 (76.5%) items. The recommendations with the highest degree of consensus (median = 10, IQR = 0.00) were related to anti-smoking education, cardiovascular risk factor target control, and diabetic kidney disease. There were significant differences between family physicians and other specialties for some items. Conclusions. This study provides a set of recommendations for diabetes management agreed upon by specialists from different healthcare settings.(c) 2023 Instituto Mexicano del Seguro Social (IMSS). Published by Elsevier Inc. All rights reserved.

引用

页数：9

共 50 条

[21] Management of antithrombotic therapy in gray areas of venous thromboembolism: a Delphi consensus panel [J].

Giovanni Barillari ;

Cristiano Bortoluzzi ;

Mauro Giorgi ;

Rossana Orabona ;

Edoarda Pacetti ;

Edoardo Sciatti ;

Marco Zaffaroni ;

Francesco Dentali .

Internal and Emergency Medicine, 2020, 15 :1255-1264

[22] Management of antithrombotic therapy in gray areas of venous thromboembolism: a Delphi consensus panel [J].

Barillari, Giovanni ;

Bortoluzzi, Cristiano ;

Giorgi, Mauro ;

Orabona, Rossana ;

Pacetti, Edoarda ;

Sciatti, Edoardo ;

Zaffaroni, Marco ;

Dentali, Francesco .

INTERNAL AND EMERGENCY MEDICINE, 2020, 15 (07) :1255-1264

[23] Factors Associated with Adherence to Clinical Practice Guidelines for Patients with Type 2 Diabetes Mellitus: Results of a Spanish Delphi Consensus [J].

Antonio Gimeno, Jose ;

Canovas, Gloria ;

Duran, Alejandra .

JOURNAL OF DIABETES RESEARCH, 2021, 2021

[24] Consensus Guideline on the Management of Epilepsy in Egypt: A National Delphi Consensus Study [J].

Kishk, Nirmeen ;

Hosny, Hassan ;

Badry, Reda ;

Elmenshawi, Ibrahim ;

Hamdy, Mohamed M. ;

Shaker, Ehab ;

Shehata, Hatem S. ;

Magdy, Rehab ;

Ramzy, Gihan M. ;

Hemeda, Mahmoud ;

Gaber, Ahmed ;

Abdelhamed, Mohamed ;

Abohagar, Ahmed ;

Yassine, Imane A. ;

Abbas, Mohammed ;

Shaheen, Hala A. ;

Moety, Mahmoud Abdel ;

Metwally, Hussein M. H. ;

Saeed, Mohammad Ali ;

Essmat, Ahmed ;

Abdou, Ashraf ;

Soliman, Rasha Hassan ;

Oraby, Mohammed I. ;

Morad, Abd El-Naser ;

Kasem, Shaimaa Mohammed ;

Aidaros, Magdy ;

El Heneedy, Yasser ;

ElNemr, Ahmed ;

Elkady, Ahmed ;

Amin, Ramy ;

Ghany, Walid A. Abdel ;

Morsy, Ahmed A. ;

Hamdi, Hussein ;

Shamloul, Reham .

EPILEPSIA OPEN, 2024, 9 (04) :1233-1251

[25] Radiologist-rheumatologist multidisciplinary approach in the management of axial spondyloarthritis: a Delphi consensus statement [J].

Marchesoni, A. ;

D'Angelo, S. ;

Anzidei, M. ;

Bortolotti, R. ;

Cantini, F. ;

Caramella, D. ;

Carotti, M. ;

Chimenti, M. S. ;

Delle Sedie, A. ;

Egan, C. G. ;

Fabbroni, M. ;

Frediani, B. ;

Fusaro, E. ;

Galeazzi, M. ;

Gallazzi, M. B. ;

Gentileschi, S. ;

Gentili, F. ;

Gerli, R. ;

Gilio, M. ;

Iannone, F. ;

La Paglia, E. ;

Lubrano, E. ;

Macarini, L. ;

Olivieri, I. ;

Pellerito, R. ;

Ramonda, R. ;

Salvarani, C. ;

Scarano, E. ;

Scarpa, R. ;

Spaggiari, L. ;

Spano, A. ;

Zawaideh, J. P. ;

Mazzei, M. A. .

CLINICAL AND EXPERIMENTAL RHEUMATOLOGY, 2019, 37 (04) :575-584

[26] Comment on the consensus report on the management of hyperglycaemia in Type 2 diabetes by the American Diabetes Association and the European Association for the Study of Diabetes [J].

Skinner, T. ;

Byrne, M. ;

Dickinson, J. K. ;

Fisher, L. ;

Funnell, M. ;

Guzman, S. ;

Hendrieckx, C. ;

Hermanns, N. ;

Kanc, K. ;

Lloyd, C. ;

Mocan, A. ;

Nouwen, A. ;

Pouwer, F. ;

Saleh-Stattin, N. ;

Snoek, F. ;

Speight, J. ;

Sturt, J. ;

Vallis, M. ;

Wagner, J. ;

Willaing, I. ;

Young-Hyman, D. ;

Zoffmann, V. .

DIABETIC MEDICINE, 2019, 36 (07) :911-912

[27] Recommendations for the management of cutaneous squamous cell carcinoma: a systematic multidisciplinary Delphi consensus approach [J].

Munoz Couselo, Eva ;

Canueto, Javier ;

Guia, Vanessa Jerviz ;

Lopez, Ana Maria Lopez ;

Segu, Josep Oriol Bermejo ;

Castano, Almudena Garcia ;

Sarda, Susana Puig ;

Jimenez, Onofre Sanmartin ;

Soria Rivas, Ainara ;

Gratal, Paula ;

Pardo, Maria Teresa ;

Rogado, Alvaro ;

Berrocal Jaime, Alfonso .

CLINICAL & TRANSLATIONAL ONCOLOGY, 2025, 27 (07) :3058-3072

[28] Post-acute phase and sequelae management of epidermal necrolysis: an international, multidisciplinary DELPHI-based consensus [J].

Ingen-Housz-Oro, S. ;

Schmidt, V. ;

Ameri, M. M. ;

Abe, R. ;

Brassard, A. ;

Mostaghimi, A. ;

Paller, A. S. ;

Romano, A. ;

Didona, B. ;

Kaffenberger, B. H. ;

Ben Said, B. ;

Thong, B. Y. H. ;

Ramsay, B. ;

Brezinova, E. ;

Milpied, B. ;

Mortz, C. G. ;

Chu, C. Y. ;

Sotozono, C. ;

Gueudry, J. ;

Fortune, D. G. ;

Dridi, S. M. ;

Tartar, D. ;

Do-Pham, G. ;

Gabison, E. ;

Phillips, E. J. ;

Lewis, F. ;

Salavastru, C. ;

Horvath, B. ;

Dart, J. ;

Setterfield, J. ;

Newman, J. ;

Schulz, J. T. ;

Delcampe, A. ;

Brockow, K. ;

Seminario-Vidal, L. ;

Joerg, L. ;

Watson, M. P. ;

Goncalo, M. ;

Lucas, M. ;

Torres, M. ;

Noe, M. H. ;

Hama, N. ;

Shear, N. H. ;

O'Reilly, P. ;

Wolkenstein, P. ;

Romanelli, P. ;

Dodiuk-Gad, R. P. ;

Micheletti, R. G. ;

Tiplica, G. S. ;

Sheridan, R. .

ORPHANET JOURNAL OF RARE DISEASES, 2023, 18 (01)

[29] Management of Small Testicular Masses: A Delphi Consensus Study [J].

Pang, Karl H. ;

Fallara, Giuseppe ;

Lobo, Joao ;

Alnajjar, Hussain M. ;

Sangar, Vijay ;

von Stempel, Conrad ;

Huang, Dean Y. ;

Parnham, Arie ;

Cazzaniga, Walter ;

Giganti, Francesco ;

Haider, Aiman ;

Sachdeva, Ashwin ;

Albersen, Maarten ;

Alifrangis, Costi ;

Bandini, Marco ;

Castiglione, Fabio ;

De Vries, Hielke-Martijn ;

Fankhauser, Christian ;

Ho, Daniel Heffernan ;

Nicol, David ;

Shamash, Jonathan ;

Thomas, Anita ;

Walkden, Miles ;

Freeman, Alex ;

Muneer, Asif .

EUROPEAN UROLOGY ONCOLOGY, 2025, 8 (01) :152-163

[30] Detection and management of milk allergy: Delphi consensus study [J].

Allen, Hilary I. ;

Pendower, Ursula ;

Santer, Miriam ;

Groetch, Marion ;

Cohen, Mitchell ;

Murch, Simon H. ;

Williams, Hywel C. ;

Munblit, Daniel ;

Katz, Yitzhak ;

Gupta, Neeraj ;

Adil, Sabeen ;

Baines, Justine ;

de Bont, Eefje G. P. M. ;

Ridd, Matthew ;

Sibson, Victoria L. ;

McFadden, Alison ;

Koplin, Jennifer J. ;

Munene, Josephine ;

Perkin, Michael R. ;

Sicherer, Scott H. ;

Boyle, Robert J. .

CLINICAL AND EXPERIMENTAL ALLERGY, 2022, 52 (07) :848-858

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