- A multinational panel has developed a standard list of 27 diabetes outcomes for use in routine clinical practice to monitor, benchmark, and improve diabetes care.
Why this matters
- Standardized diabetes care monitoring can improve quality through routine audits and benchmarking.
- Inconsistencies among measures adopted in different countries hamper this process and undermine international comparisons.
- Systematic review of outcome measures for adults with type 1 or type 2 diabetes.
- Consensus-driven modified Delphi panel, comprising academics, health professionals, and people with diabetes.
- Validation via external feedback from people with diabetes and health professionals.
- Funding: Imperial College London Diabetes Centre, Abu Dhabi; JDRF, United States.
- Clinical outcome measure domains:
- Diabetes control, including BP, lipid profile, BMI, and HbA1c.
- Acute events: diabetic ketoacidosis, hyperosmolar hyperglycemic syndrome, hypoglycemia.
- Chronic complications: long-term neuropathic, cardiovascular, peripheral arterial, visual, periodontal, erectile.
- Health services: hospitalizations/emergency visits per year, discharge diagnoses in major diabetes-related categories.
- Survival: diabetes-related deaths.
- Patient-reported outcome measures (PROMs): assessed with 5-item WHO Well-Being Index, Patient Health Questionnaire-9 to measure depression, and Problem Areas in Diabetes scale.
- No feedback from people with diabetes in lower-income countries.
- Outcome relevance may differ by diabetes type.
- PROMs may not be uniformly assessed.