Department of Family Medicine Cleveland Clinic, Cleveland, Ohio
Center for Value-Based Care Research Cleveland Clinic, Cleveland, Ohio.
Ann Fam Med. 2021 May-Jun;19(3):258-261. doi: 10.1370/afm.2647.
Shared medical appointments, which allow greater access to care and provide peer support, may be an effective treatment modality for prediabetes. We used a retrospective propensity-matched cohort analysis to compare patients attending a prediabetes shared medical appointment to usual care. Primary outcome was patient's weight change over 24 months. Secondary outcomes included change in hemoglobin A, low density lipoprotein, and systolic blood pressure. The shared medical appointments group lost more weight (2.88 kg vs 1.29 kg, = .003), and achieved greater reduction in hemoglobin A (-0.87% vs +0.87%, = .001) and systolic blood pressure (-4.35 mmHg vs +0.52 mmHg, = .044). The shared medical appointment model can be effective in treating prediabetes.
共享医疗预约使更多人能够获得医疗服务，并提供同伴支持，这可能是治疗糖尿病前期的一种有效治疗方式。我们使用回顾性倾向评分匹配队列分析，将参加糖尿病前期共享医疗预约的患者与常规护理进行比较。主要结果是患者在 24 个月内的体重变化。次要结果包括血红蛋白 A、低密度脂蛋白和收缩压的变化。共享医疗预约组体重减轻更多（2.88 千克对 1.29 千克， =.003），血红蛋白 A 降低更显著（-0.87%对+0.87%， =.001），收缩压降低更显著（-4.35 毫米汞柱对+0.52 毫米汞柱， =.044）。共享医疗预约模式在治疗糖尿病前期方面可能是有效的。
