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©The Author(s) 2021.
World J Diabetes. Apr 15, 2021; 12(4): 407-419
Published online Apr 15, 2021. doi: 10.4239/wjd.v12.i4.407
Published online Apr 15, 2021. doi: 10.4239/wjd.v12.i4.407
Table 1 Comparison of achievement of alphabet strategy components between practices of evidence-based medicine audits[10]
Alphabet strategy | Baseline audit, n = 420 | Follow-up audit, n = 1071 | P value | |
A | Smoking status (%) | 15.5 | 14.7 | 0.83 |
B | Blood pressure (mmHg) | 141/77 | 136/76 | 0.007 |
C | Total cholesterol (mmol/L) | 4.9 | 4.5 | < 0.001 |
LDL cholesterol (mmol/L) | 2.5 | 2.4 | < 0.001 | |
Creatinine (mmol/L) | 109 | 105 | 0.036 | |
D | HbA1c (%) (mmol/mol) | 8.3 (67.2) | 7.9 (62.8) | 0.09 |
E | Eye examination (%) | 95.5 | 97.1 | 0.72 |
F | Foot examination (%) | 83.5 | 97.3 | < 0.001 |
G | Aspirin (%) | 83.5 | 88.0 | 0.20 |
ACEI/ARB (%) | 73.0 | 74.4 | 0.75 | |
Lipid lowering (%) | 55.0 | 73.4 | < 0.001 |
Table 2 Change in care process performance following implementation of the alphabet strategy in a low-resource diabetes clinic[10]
Pre implementation (%) | Post implementation (%) | P value | ||
A | Body mass index | 99 | 99 | NS |
Smoking status | 99 | 99 | NS | |
Smoking cessation | 100 | 100 | NS | |
B | Blood pressure | 99 | 99 | NS |
C | Total cholesterol | 60 | 99 | < 0.001 |
Lipid profile | 10 | 64 | < 0.001 | |
Creatinine | 5 | 49 | < 0.001 | |
Proteinuria | 48 | 93 | < 0.001 | |
D | Fasting and postprandial glucose | 41 | 97 | < 0.001 |
E | Eye examination | 98 | 100 | NS |
F | Feet examination | 95 | 100 | NS |
G | Aspirin therapy | 6 | 71 | < 0.001 |
ACEI/ARB therapy | 7 | 57 | < 0.001 | |
Statin therapy | 5 | 38 | < 0.001 | |
All three | 2 | 20 | < 0.001 |
- Citation: Upreti R, Lee JD, Kotecha S, Patel V. Alphabet strategy for diabetes care: A checklist approach in the time of COVID-19 and beyond. World J Diabetes 2021; 12(4): 407-419
- URL: https://www.wjgnet.com/1948-9358/full/v12/i4/407.htm
- DOI: https://dx.doi.org/10.4239/wjd.v12.i4.407