Essential steps in primary care management of older people with Type 2 diabetes: an executive summary on behalf of the European geriatric medicine society (EuGMS) and the European diabetes working party for older people (EDWPOP) collaboration

被引:19
作者
Bourdel-Marchasson, Isabelle [1 ,17 ]
Maggi, Stefania [2 ]
Abdelhafiz, Ahmed [3 ]
Bellary, Sri [4 ]
Demurtas, Jacopo [5 ]
Forbes, Angus [6 ]
Ivory, Philip
Rodriguez-Manas, Leocadio [7 ]
Sieber, Cornel [8 ,18 ]
Strandberg, Timo [9 ,10 ,19 ]
Tessier, Daniel [11 ,20 ]
Vergara, Itziar [12 ]
Veronese, Nicola [13 ]
Zeyfang, Andrej [14 ]
Christiaens, Antoine [15 ,21 ]
Sinclair, Alan [16 ]
机构
[1] Univ Bordeaux, CNRS, CRMSB, UMR 5536, F-33000 Bordeaux, France
[2] Natl Res Council Italy, Neurosci Inst, Via Giustiniani 2, I-35121 Padua, Italy
[3] Rotherham Gen Hosp, Dept Geriatr Med, Rotherham, S60 2UD, England
[4] Aston Univ, Birmingham, England
[5] Azienda Usl Toscana Sud Est, Primary Care Dept, Grosseto, Italy
[6] Kings Coll London, Div Care Long Term Condit, London, England
[7] Hosp Univ Getafe, Div Geriatr, Getafe 28905, Spain
[8] Friedrich Alexander Univ Erlangen Nuremberg, Inst Biomed Aging, Nurnberg, Germany
[9] Univ Helsinki, Clinicum, Helsinki, Finland
[10] Helsinki Univ Hosp, Helsinki, Finland
[11] CIUSSS Estrie CHUS, Res Ctr Aging, 1036 Rue Belvedere Sud, Sherbrooke, PQ J1H 4C4, Canada
[12] Biodonostia Hlth Res Inst, Paseo Dr Begiristain S-N, Donostia San Sebastian 20014, Basque Country, Spain
[13] Univ Palermo, Dept Internal Med & Geriatr, Geriatr Unit, Palermo, Italy
[14] Medius Klin Ostfildern Ruit & Nurtingen, Dept Internal Med Geriatr Med Palliat Med & Diabet, Nurtingen, Germany
[15] Catholic Univ Louvain, Louvain Drug Res Inst, Brussels, Belgium
[16] Kings Coll London, London WC2R 2LS, England
[17] CHU Bordeaux, F-33000 Bordeaux, France
[18] Kantonsspital Winterthur, Dept Med, Winterthur, Switzerland
[19] Univ Oulu, Ctr Life Course Hlth Res, Oulu, Finland
[20] Univ Sherbrooke, Boul Univ, Fac Med & Hlth Sci, 2500 Boul Univ, Sherbrooke, PQ J1K 2R1, Canada
[21] Fund Sci Res, Brussels, Belgium
关键词
Type diabetes mellitus; Integrative care; Frailty; Prevention; Glucose lowering therapy; Cognitive disorders; FRAILTY; ADULTS; INDEX; ASSOCIATION; VALIDATION; MORTALITY;
D O I
10.1007/s40520-023-02519-3
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
We present an executive summary of a guideline for management of type 2 diabetes mellitus in primary care written by the European Geriatric Medicine Society, the European Diabetes Working Party for Older People with contributions from primary care practitioners and participation of a patient's advocate. This consensus document relies where possible on evidence-based recommendations and expert opinions in the fields where evidences are lacking. The full text includes 4 parts: a general strategy based on comprehensive assessment to enhance quality and individualised care plan, treatments decision guidance, management of complications, and care in case of special conditions. Screening for frailty and cognitive impairment is recommended as well as a comprehensive assessment all health conditions are concerned, including end of life situations. The full text is available online at the following address: essential_steps_inprimary_care_in_older_people_with_diabetes_-_EuGMS-EDWPOP___3_.pdf.
引用
收藏
页码:2279 / 2291
页数:13
相关论文
共 24 条
[1]   Deintensification of hypoglycaemic medications-use of a systematic review approach to highlight safety concerns in older people with type 2 diabetes [J].
Abdelhafiz, A. H. ;
Sinclair, A. J. .
JOURNAL OF DIABETES AND ITS COMPLICATIONS, 2018, 32 (04) :444-450
[2]  
Abdelhafiz A H, 2014, Int J Clin Pract, V68, P790, DOI 10.1111/ijcp.12455
[3]   Cardio-renal protection in older people with diabetes with frailty and medical comorbidities - A focus on the new hypoglycaemic therapy [J].
Abdelhafiz, Ahmed H. ;
Sinclair, Alan J. .
JOURNAL OF DIABETES AND ITS COMPLICATIONS, 2020, 34 (09)
[4]  
Amod A, 2020, DIABETES THER, V11, P53, DOI [10.1007/s13300-019-00715-x, 10.2337/dci19-0066]
[5]  
Bourdel MI., 2009, DIABETES ELDERLY, P453, DOI [10.1002/9780470744093.ch33, DOI 10.1002/9780470744093.CH33]
[6]   Characteristics of undiagnosed diabetes in community-dwelling French elderly:: The 3C study [J].
Bourdel-Marchasson, I. ;
Helmer, C. ;
Barberger-Gateau, P. ;
Peuchant, E. ;
Fevrier, B. ;
Ritchie, K. ;
Dartigues, J.-F. .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2007, 76 (02) :257-264
[7]   One-year survival and admission to hospital for cardiovascular events among older residents of long-term care facilities who were prescribed intensive- and moderate-dose statins [J].
Campitelli, Michael A. ;
Maxwell, Colleen J. ;
Maclagan, Laura C. ;
Ko, Dennis T. ;
Bell, Chaim M. ;
Jeffs, Lianne ;
Morris, Andrew M. ;
Lapane, Kate L. ;
Daneman, Nick ;
Bronskill, Susan E. .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2019, 191 (02) :E32-E39
[8]   Individualisation of glycaemic management in older people with type 2 diabetes: a systematic review of clinical practice guidelines recommendations [J].
Christiaens, Antoine ;
Henrard, Severine ;
Zerah, Lorene ;
Dalleur, Olivia ;
Bourdel-Marchasson, Isabelle ;
Boland, Benoit .
AGE AND AGEING, 2021, 50 (06) :1935-1942
[9]   Development and validation of an electronic frailty index using routine primary care electronic health record data [J].
Clegg, Andrew ;
Bates, Chris ;
Young, John ;
Ryan, Ronan ;
Nichols, Linda ;
Teale, Elizabeth Ann ;
Mohammed, Mohammed A. ;
Parry, John ;
Marshall, Tom .
AGE AND AGEING, 2016, 45 (03) :353-360
[10]   Risk Factors for Incident Fracture in Older Adults With Type 2 Diabetes: The Framingham Heart Study [J].
Dufour, Alyssa B. ;
Kiel, Douglas P. ;
Williams, Setareh A. ;
Weiss, Richard J. ;
Samelson, Elizabeth J. .
DIABETES CARE, 2021, 44 (07) :1547-1555