The effectiveness of disease and case management for people with diabetes. A systematic review.
This report presents the results of a systematic review of the effectiveness and economic efficiency of disease management and case management for people with diabetes and forms the basis for recommendations by the Task Force on Community Preventive Services on the use of these two interventions. Evidence supports the effectiveness of disease management on glycemic control; on screening for diabetic retinopathy, foot lesions and peripheral neuropathy, and proteinuria; and on the monitoring of lipid concentrations. This evidence is applicable to adults with diabetes in managed care organizations and community clinics in the United States and Europe. Case management is effective in improving both glycemic control and provider monitoring of glycemic control. This evidence is applicable primarily in the U.S. managed care setting for adults with type 2 diabetes. Case management is effective both when delivered in conjunction with disease management and when delivered with one or more additional educational, reminder, or support interventions.
Norris
Susan L
SL
Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. Scn5@cdc.gov
Nichols
Phyllis J
PJ
Caspersen
Carl J
CJ
Glasgow
Russell E
RE
Engelgau
Michael M
MM
Jack
Leonard
L
Isham
George
G
Snyder
Susan R
SR
Carande-Kulis
Vilma G
VG
Garfield
Sanford
S
Briss
Peter
P
McCulloch
David
D
D019090:Case Management; D003153:Community Health Services; D003920:Diabetes Mellitus / Q000517:prevention & control*; D019468:Disease Management; D006801:Humans; D011314:Preventive Health Services; D014481:United States