Potential Overtreatment and Undertreatment of Type 2 Diabetes Mellitus in Long-Term Care Facilities: A Systematic Review
Jacquelina Stasinopoulos, Stephen J Wood, J Simon Bell, Jo-Anne Manski-Nankervis, Michelle Hogan, Janet K Sluggett
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | ELSEVIER SCIENCE INC | Published : 2021
OBJECTIVE: To investigate the prevalence, outcomes, and factors associated with potential glycemic overtreatment and undertreatment of type 2 diabetes mellitus (T2DM) in long-term care facilities (LTCFs). DESIGN: Systematic review. SETTING AND PARTICIPANTS: Residents with T2DM and aged ≥60 years living in LTCFs. MEASURES: Articles published between January 2000 and September 2020 were retrieved following a systematic search of MEDLINE, EMBASE, Cochrane Library, CINAHL plus, and gray literature. Inclusion criteria were the reporting of (1) potential overtreatment and undertreatment quantitatively defined (implicitly or explicitly) based on hemoglobin A1c (HbA1c) and/or blood glucose; (2) prev..View full abstract
Awarded by NHMRC Early Career Fellowship
Awarded by Medical Research Future Fund Next Generation Clinical Researchers Program e TRIP Fellowship
JMN has received travel grants from MSD, personal fees for independent education activities and research support from Sanofi, and research funding from Eli Lilly and Boehringer Ingelheim. MH is employed by an organization providing aged care services. JS, SW, JSB, and JKS declare no conflict of interest.JS is a recipient of the Cyril Tonkin Scholarship for PhD research at the Faculty of Pharmacy and Pharmaceutical Sciences, Monash University. SW is supported by an Australian Government Research Training Program Scholarship. JSB has received research grants paid to his employer from NHMRC, Dementia Australia Research Foundation, Yulgilbar Foundation, Dementia Centre for Research Collaboration, Victorian Government Department of Health and Human Services, GSK Independent Medical Education, Aged Care Quality and Safety Commission, and several aged care provider organizations. JKS is supported by a NHMRC Early Career Fellowship (grant number APP1156439). JMN is supported by a Medical Research Future Fund Next Generation Clinical Researchers Program e TRIP Fellowship (APP1168265). The funders had no role in study design, methods, data collection and analysis, decision to publish or preparation of this manuscript. All authors had final responsibility for the decision to submit for publication.