Effectiveness of self-management support interventions for people with comorbid diabetes and chronic kidney disease: a systematic review and meta-analysis
| العنوان: | Effectiveness of self-management support interventions for people with comorbid diabetes and chronic kidney disease: a systematic review and meta-analysis |
|---|---|
| المؤلفون: | Marie Misso, Sophia Zoungas, Peter G. Kerr, Clement Lo, Edward Zimbudzi, Sanjeeva Ranasinha, Helena J. Teede |
| المصدر: | Systematic Reviews Systematic Reviews, Vol 7, Iss 1, Pp 1-14 (2018) |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Psychological intervention, lcsh:Medicine, Medicine (miscellaneous), Renal function, Blood Pressure, Comorbidity, 030204 cardiovascular system & hematology, law.invention, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Randomized controlled trial, law, Chronic kidney disease, Internal medicine, Diabetes mellitus, Diabetes Mellitus, medicine, Humans, 030212 general & internal medicine, Renal Insufficiency, Chronic, Interventions, Randomized Controlled Trials as Topic, Glycated Hemoglobin, business.industry, Research, Self-Management, lcsh:R, Diabetes, medicine.disease, Self Care, Blood pressure, chemistry, Meta-analyses, Meta-analysis, Systematic review, Glycated hemoglobin, business, Glomerular Filtration Rate, Kidney disease |
| الوصف: | Background Self-management support interventions may potentially delay kidney function decline and associated complications in patients with comorbid diabetes and chronic kidney disease. However, the effectiveness of these interventions remains unclear. We investigated the effectiveness of current self-management support interventions and their specific components and elements in improving patient outcomes. Methods Electronic databases were systematically searched from January 1, 1994, to December 19, 2017. Eligible studies were randomized controlled trials on self-management support interventions for adults with comorbid diabetes and chronic kidney disease. Primary outcomes were systolic blood pressure, diastolic blood pressure, estimated glomerular filtration rate, and glycated hemoglobin. Secondary outcomes included self-management activity, health service utilization, health-related quality of life, medication adherence, and death. Results Of the 48 trials identified, eight studies (835 patients) were eligible. There was moderate-quality evidence that self-management support interventions improved self-management activity (standard mean difference 0.56, 95% CI 0.15 to 0.97, p |
| تدمد: | 2046-4053 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d05598c171ee9d0bf78abf2fc9200f72Test https://doi.org/10.1186/s13643-018-0748-zTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d05598c171ee9d0bf78abf2fc9200f72 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20464053 |
|---|