Display options
Cite
Mehta S, Mocarski M, Wisniewski T, et al. Primary care physicians' utilization of type 2 diabetes screening guidelines and referrals to behavioral interventions: a survey-linked retrospective study. BMJ Open Diabetes Res Care. 2017;5(1):e000406doi: 10.1136/bmjdrc-2017-000406.
Mehta, S., Mocarski, M., Wisniewski, T., Gillespie, K., Narayan, K. M. V., & Lang, K. (2017). Primary care physicians' utilization of type 2 diabetes screening guidelines and referrals to behavioral interventions: a survey-linked retrospective study. BMJ open diabetes research & care, 5(1), e000406. https://doi.org/10.1136/bmjdrc-2017-000406
Mehta, Sandhya, et al. "Primary care physicians' utilization of type 2 diabetes screening guidelines and referrals to behavioral interventions: a survey-linked retrospective study." BMJ open diabetes research & care vol. 5,1 (2017): e000406. doi: https://doi.org/10.1136/bmjdrc-2017-000406
Mehta S, Mocarski M, Wisniewski T, Gillespie K, Narayan KMV, Lang K. Primary care physicians' utilization of type 2 diabetes screening guidelines and referrals to behavioral interventions: a survey-linked retrospective study. BMJ Open Diabetes Res Care. 2017 Aug 11;5(1):e000406. doi: 10.1136/bmjdrc-2017-000406. eCollection 2017. PMID: 28878936; PMCID: PMC5574450.
Copy Download .nbib Format: NLM
Share it on

BMJ Open Diabetes Res Care. 2017 Aug 11;5(1):e000406. doi: 10.1136/bmjdrc-2017-000406. eCollection 2017.

Primary care physicians' utilization of type 2 diabetes screening guidelines and referrals to behavioral interventions: a survey-linked retrospective study.

BMJ open diabetes research & care

Sandhya Mehta, Michelle Mocarski, Tami Wisniewski, Karin Gillespie, K M Venkat Narayan, Kathleen Lang

Affiliations

  1. QuintilesIMS, Cambridge, Massachusetts, USA.
  2. Novo Nordisk, Plainsboro, New Jersey, USA.
  3. Emory University, Atlanta, Georgia, USA.

PMID: 28878936 PMCID: PMC5574450 DOI: 10.1136/bmjdrc-2017-000406

Abstract

OBJECTIVE: To assess primary care physicians' (PCPs) knowledge of type 2 diabetes screening guidelines (American Diabetes Association (ADA) and 2008 US Preventive Services Task Force (USPSTF)), the alignment between their self-reported adherence and actual practice, and how often PCPs recommended diabetes prevention and self-management education programs (DPP/DSME).

RESEARCH DESIGN AND METHODS: An online survey of PCPs to understand knowledge and adherence toward use of USPSTF/ADA guidelines and recommendation of DPP/DSME. Patient data from electronic medical records (EMRs) for each PCP were used to identify rates of screening in eligible patients as per guidelines and the two sources were compared to assess concordance.

RESULTS: Of 305 surveyed physicians, 38% reported use of both guidelines (33% use ADA only, 25% USPSTF only). Approximately one-third of physicians who reported use of USPSTF/ADA guidelines had non-concordant EMR data. Similarly, while most PCPs reported they are 'very likely' to screen patients with risk factors listed in guidelines, for each criterion at least one-fourth (24%) of PCPs survey responses were non-concordant with EMRs. PCPs reported they provide referral to DPP and DSME on average to 45% and 67% of their newly diagnosed patients with pre-diabetes and diabetes, respectively.

CONCLUSION: Findings show disconnect between PCPs' perceptions of adherence to screening guidelines and actual practice, and highlight limited referrals to DPP/DSME programs. More research is needed to understand barriers to guideline consistent screening and uptake of DPP/DSME, particularly in light of recent policy changes such as the linking USPSTF criteria to reimbursement and expected Medicare DPP reimbursement in 2018.

Keywords: Adherence; Diabetes Mellitus; Knowledge; Primary Care Physician; Screening Guidelines

Conflict of interest statement

Competing interests: QuintilesIMS, Inc. designed and conducted this study and developed the manuscript. The study sponsor (Novo Nordisk, Inc.) contributed to conceptualizing and designing of the study

References

  1. J Gen Intern Med. 2015 May;30(5):612-8 - PubMed
  2. Diabetes Care. 2002 Dec;25(12):2165-71 - PubMed
  3. Prev Chronic Dis. 2004 Apr;1(2):A06 - PubMed
  4. Diabetes Care. 2014 Jan;37 Suppl 1:S14-80 - PubMed
  5. Mayo Clin Proc. 2010 Jan;85(1):27-35 - PubMed
  6. Diabetes Care. 2013 Apr;36(4):1033-46 - PubMed
  7. Prev Chronic Dis. 2011 Mar;8(2):A32 - PubMed
  8. Popul Health Metr. 2014 May 07;12:12 - PubMed
  9. Diabetes Care. 2010 Jan;33 Suppl 1:S11-61 - PubMed
  10. Diabetes Educ. 2009 Mar-Apr;35(2):246-8, 252-6, 258-63 - PubMed
  11. Diabetes Care. 2004 Jan;27(1):9-12 - PubMed
  12. PLoS One. 2015 Apr 30;10(4):e0125249 - PubMed
  13. Diabetes Care. 2009 Jan;32 Suppl 1:S13-61 - PubMed

Publication Types

Grant support