Autor según el artículo: Jordi Salas-Salvado; Bernardo Costa; Joan J Cabré; Ramon Sagarra; Oriol Solà-Morales; Francisco Barrio; Josep L Piñol; Xavier Cos; Bonaventura Bolíbar; Conxa Castell; Katarzyna Kissimova-Skarbek; Jaakko Tuomilehto; The DE-PLAN-CAT/PREDICE Research Group; Monica Bullo
Departamento: Bioquímica i Biotecnologia
Autor/es de la URV: SALAS SALVADÓ, JORGE; Bernardo Costa; Joan J Cabré; Ramon Sagarra; Oriol Solà-Morales; Francisco Barrio; Josep L Piñol; Xavier Cos; Bonaventura Bolíbar; Conxa Castell; Katarzyna Kissimova-Skarbek; Jaakko Tuomilehto; The DE-PLAN-CAT/PREDICE Research Group; BULLÓ BONET, MÒNICA
Palabras clave: PREDICE project Type-2 diabetes primary care setting
Resumen: BACKGROUND:
Type 2 diabetes is an important preventable disease and a growing public health problem. Based on information provided by clinical trials, we know that Type 2 diabetes can be prevented or delayed by lifestyle intervention. In view of translating the findings of diabetes prevention research into real-life it is necessary to carry out community-based evaluations so as to learn about the feasibility and effectiveness of locally designed and implemented programmes. The aim of this project was to assess the effectiveness of an active real-life primary care strategy in high-risk individuals for developing diabetes, and then evaluate its efficiency.
METHODS/DESIGN:
Cost-Effectiveness analysis of the DE-PLAN (Diabetes in Europe - Prevention using Lifestyle, physical Activity and Nutritional intervention) project when applied to a Mediterranean population in Catalonia (DE-PLAN-CAT). Multicenter, longitudinal cohort assessment (4 years) conducted in 18 primary health-care centres (Catalan Health Institute). Individuals without diabetes aged 45-75 years were screened using the Finnish Diabetes Risk Score - FINDRISC - questionnaire and a 2-h oral glucose tolerance test. All high risk tested individuals were invited to participate in either a usual care intervention (information on diet and cardiovascular health without individualized programme), or the intensive DE-PLAN educational program (individualized or group) periodically reinforced. Oral glucose tolerance test was repeated yearly to determine diabetes incidence. Besides measuring the accumulated incidence of diabetes, information was collected on economic impact of the interventions in both cohorts (using direct and indirect cost questionnaires) and information on utility measures (Quality Adjusted Life Years). A cost-utility and a cost-effectiveness analysis will be performed and data will be modelled to predict long-term cost-effectiveness.
DISCUSSION:
The project was intended to evidence that a substantial reduction in Type 2 diabetes incidence can be obtained at a reasonable cost-effectiveness ratio in real-life primary health care setting by an intensive lifestyle intervention. As far as we know, the DE-PLAN-CAT/PREDICE project represents the first assessment of long-term effectiveness and cost-effectiveness of a public healthcare strategy to prevent diabetes within a European primary care setting.
Grupo de investigación: Alimentació, Nutrició, Creixement i Salut Mental
Áreas temáticas: Bioquímica i biotecnologia Bioquímica y tecnología Biochemistry and technology
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 1471-2458
Identificador del autor: ; ; ; ; ; ; ; ; ; ; ; ; ;
Fecha de alta del registro: 2016-06-14
Página final: 630
Volumen de revista: 11
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2011
Página inicial: 623
Tipo de publicación: Article Artículo Article
Repositori URV