title: [Delphi consensus on the individualised management of diabetes in primary care. ICANDAP study].
abstract: BACKGROUND
  To determine the level of acceptance of the message of individualised management of type 2 diabetes mellitus among Spanish Primary Care (PC) physicians, and to evaluate the factors that may interfere with its implementation in clinical practice.
  
  
  METHODS
  National study in the field of PC, exploratory, and following a two-round modified Delphi method. Evaluation by a homogeneous panel of 152 physicians using a 27-items questionnaire divided into 6 thematic areas.
  
  
  RESULTS
  Overall, consensus was achieved in 19 (70.4%) of the 27 items, 12 in agreement (44.4%), and 7 in disagreement (25.9%). There was no consensus in 8 (29.6%) of the items.
  
  
  CONCLUSIONS
  Although there are certain aspects indicating the good acceptance of the message of diabetes management based on the individual patient profile, such as in the establishment of targets or the selection of antidiabetic drugs, the message has not been assimilated by all Spanish PC physicians. Further studies, involving a large number of physicians, are required to corroborate these results, and identify more factors that may be interfering with the implementation in clinical practice.
authors.affiliation: Universitat de Barcelona, Centro de Atención Primaria La Mina, Barcelona, España.
authors.forename: E
authors.initials: E
authors.lastname: Vinyoles-Bargalló
authors.affiliation: Medicina de Familia, Centro de Salud Espronceda, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Galgo-Nafria
authors.affiliation: Servicio de Endocrinología, Hospital Ramón y Cajal, Madrid, España.
authors.forename: O
authors.initials: O
authors.lastname: González-Albarrán
authors.affiliation: Departamento Médico Mylan, Madrid, España. Electronic address: patricia.rodriguezfortunez@mylan.com.
authors.forename: P
authors.initials: P
authors.lastname: Rodríguez-Fortúnez
mesh_terms: D001291:Attitude of Health Personnel; D032921:Consensus; D003697:Delphi Technique; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D058007:Physicians, Primary Care / Q000706:statistics & numerical data; D057285:Precision Medicine / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D013030:Spain; D011795:Surveys and Questionnaires
chemical_list: D007004:Hypoglycemic Agents
keywords: Atención Primaria; Consenso; Consensus; Diabetes; Individual; Individualizado; Management; Manejo; Primary Care