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Taïeb A, Gaëlle L, Roxane D, Perrine W, Marion A, Fleur B, Zoé L, Aurélie L, Solen D, Patricia D, Véronique A. Efficiency of a multidisciplinary team care approach through a short hospitalization of patients with poorly controlled diabetes mellitus: a 12 months prospective monocentric study. Pan Afr Med J 2022; 41:192. [PMID: 35685103 PMCID: PMC9146601 DOI: 10.11604/pamj.2022.41.192.23965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 02/03/2022] [Indexed: 11/23/2022] Open
Abstract
A multidisciplinary team is composed of various healthcare professionals that ensure a multifaceted approach on a group of patients. Standards for diabetes medical care note the importance of multidisciplinary diabetes care teams. We applied our model of multidisciplinary approach by structuring it in a determined five days hospitalization. The aim of this study was to determine if the interdisciplinary approach applied on a short hospitalization is of benefit in patients with poorly controlled diabetes mellitus. Sixty-seven patients were included and ensured a short hospitalization in which they received a multiple educational advice and a treatment adaptation. Sixty-one patients out of 67 (91%) were retained for evaluation with sufficient data at one year, i.e. 9% of patients with poor compliance. Evolution in glycosylated haemoglobin (HbA1c), weight and treatments was analyzed. After a 12 months follow-up, we observed significant improvement in HbA1c (-1.73%; p < 103) without weight loss (BMI=-0.42 kg/m2), p=0.28). HbA1c mean levels correlated negatively to body mass index (BMI) during the regular follow-up (r=-0.22, p=0.05). More than 90% of patients with poorly controlled diabetes mellitus responded to the multi-disciplinary approach with a decrease in HbA1c.
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Affiliation(s)
- Ach Taïeb
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
- University of Sousse, Faculty of Medicine of Sousse, 4000, Sousse, Tunisia
- University Hospital Farhat Hached, Sousse, Tunisia
| | - Lemdjo Gaëlle
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
| | - Ducloux Roxane
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Wojewoda Perrine
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Albentosa Marion
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Bougeniere Fleur
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Leriche Zoé
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Leveque Aurélie
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Dennetiere Solen
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Dutrieux Patricia
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
| | - Averous Véronique
- Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France
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