title: Overcoming barriers to diabetic polyneuropathy management in primary care.
abstract: Diabetic polyneuropathy is a highly prevalent and costly complication of diabetes that is frequently underdiagnosed and undertreated in primary care settings. In this article, we discuss challenges in the management of diabetic polyneuropathy symptoms, including diagnostic complexity, the limited efficacy and high side effect rates associated with available treatments and the time constrained primary care visit. We call for the development of novel patient-centric, system-level strategies that engage patients between physician visits in order to facilitate timely communication of symptoms and treatment response and to promote patient-centered care.
authors.affiliation: Kaiser Permanente Division of Research, 2000 Broadway, Oakland, California 94131, USA. Electronic address: Alyce.S.Adams@kp.org.
authors.forename: Alyce S
authors.initials: AS
authors.lastname: Adams
authors.affiliation: Department of Neurology, University of Michigan, University Hospital South Room F2593, 1500 E Medical Center Dr. SPC 5036, Ann Arbor, Michigan 48109, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Callaghan
authors.affiliation: Kaiser Permanente Division of Research, 2000 Broadway, Oakland, California 94131, USA.
authors.forename: Richard W
authors.initials: RW
authors.lastname: Grant
mesh_terms: D003142:Communication; D003929:Diabetic Neuropathies / Q000453:epidemiology / Q000628:therapy*; D019468:Disease Management; D006801:Humans; D018802:Patient-Centered Care; D011320:Primary Health Care / Q000191:economics / Q000379:methods*; D011369:Professional-Patient Relations
keywords: Diabetes; Neuropathy; Primary care