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Abstract
Abstract
Chronic disease poses a major burden to patients and health care systems. This review considers how patient self-testing can contribute to the management of chronic disease. Self-testing can only confer benefit if it occurs in the context of an empowered patient who has the skills and training to translate test results into meaningful actions. The benefits may include improved clinical outcomes, greater patient convenience and improved psychological well-being; separately and together these may contribute to reduced costs of care. As self-testing may be expensive and burdensome to patients, it is important that its use in chronic disease is supported by a robust evidence base confirming its utility and efficacy. The design of studies to assess the impact of self-testing poses challenges for the researcher and the quality of evidence presented is often variable. Randomised controlled trials (RCTs) provide more robust evidence than observational studies; the intervention under study is not just self-testing but includes the educational support to allow patients to use results effectively. This review discusses the evidence base relating to patient self-testing in diabetes, anticoagulant monitoring and in renal transplant patients and in particular highlights the impact of new technology developments such as flash glucose monitoring in diabetes.
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Affiliation(s)
- Maurice J. O’Kane
- Clinical Chemistry Laboratory, Altnaglevin Hospital , Western Health and Social Care Trust , Londonderry , Northern Ireland , UK
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Hughes CF, Porter K, Moore K, Ward M, Cunningham C, McCarroll K, Tracey F, Molloy AM, Hoey L, Strain JJ, Casey MC, Laird E, O’Kane MJ, Pentieva K, McNulty H. 269B-Vitamin Biomarker Status - Predictors of Cognitive Function and Decline in Older Adults Over A 5-year Follow-up: The TUDA Study. Age Ageing 2018. [DOI: 10.1093/ageing/afy140.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Catherine F Hughes
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
| | - Kirsty Porter
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
| | - Katie Moore
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
| | - Mary Ward
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
| | - Conal Cunningham
- Mercer’s Institute for Research on Ageing, St James’s Hospital, Dublin, Ireland
| | - Kevin McCarroll
- Mercer’s Institute for Research on Ageing, St James’s Hospital, Dublin, Ireland
| | - Fergal Tracey
- Causeway Hospital, Northern Health and Social Care Trust, Coleraine, United Kingdom
| | - Anne M Molloy
- Institute of Molecular Medicine, School of Medicine, Trinity College Dublin, Dublin, Ireland
| | - Leane Hoey
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
| | - J J Strain
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
| | - Miriam C Casey
- Mercer’s Institute for Research on Ageing, St James’s Hospital, Dublin, Ireland
| | - Eamon Laird
- Causeway Hospital, Northern Health and Social Care Trust, Coleraine, United Kingdom
| | - Maurice J O’Kane
- Clinical Chemistry Laboratory, Altnagelvin Hospital, Western Health and Social Care Trust, Londonderry, United Kingdom
| | - Kristina Pentieva
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
| | - Helene McNulty
- Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine, United Kingdom
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McCann A, McNulty H, Rigby J, Hughes CF, Hoey L, Molloy AM, Cunningham CJ, Casey MC, Tracey F, O’Kane MJ, McCarroll K, Ward M, Moore K, Strain J, Moore A. Effect of Area‐Level Socioeconomic Deprivation on Risk of Cognitive Dysfunction in Older Adults. J Am Geriatr Soc 2018; 66:1269-1275. [DOI: 10.1111/jgs.15258] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Adrian McCann
- Nutrition Innovation Centre for Food and HealthUlster UniversityColeraineNorthern IrelandUnited Kingdom
| | - Helene McNulty
- Nutrition Innovation Centre for Food and HealthUlster UniversityColeraineNorthern IrelandUnited Kingdom
| | - Jan Rigby
- National Centre for GeoComputationMaynooth UniversityMaynoothIreland
| | - Catherine F. Hughes
- Nutrition Innovation Centre for Food and HealthUlster UniversityColeraineNorthern IrelandUnited Kingdom
| | - Leane Hoey
- Nutrition Innovation Centre for Food and HealthUlster UniversityColeraineNorthern IrelandUnited Kingdom
| | - Anne M. Molloy
- Institute of Molecular Medicine, School of Medicine, Trinity College DublinDublinIreland
| | | | - Miriam C. Casey
- Mercer's Institute for Research on Ageing, St James's HospitalDublinIreland
| | - Fergal Tracey
- Causeway Hospital, Northern Health and Social Care TrustColeraineNorthern IrelandUnited Kingdom
| | - Maurice J. O’Kane
- Clinical Chemistry LaboratoryAltnagelvin Hospital, Western Health and Social Care TrustLondonderryNorthern IrelandUnited Kingdom
| | - Kevin McCarroll
- Mercer's Institute for Research on Ageing, St James's HospitalDublinIreland
| | - Mary Ward
- Nutrition Innovation Centre for Food and HealthUlster UniversityColeraineNorthern IrelandUnited Kingdom
| | - Katie Moore
- Nutrition Innovation Centre for Food and HealthUlster UniversityColeraineNorthern IrelandUnited Kingdom
| | - J.J. Strain
- Nutrition Innovation Centre for Food and HealthUlster UniversityColeraineNorthern IrelandUnited Kingdom
| | - Adrian Moore
- School of Environmental SciencesUlster UniversityColeraineNorthern IrelandUnited Kingdom
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Affiliation(s)
- Maurice J O’Kane
- Clinical Chemistry Laboratory, Western Health and Social Care Trust, Altnagelvin Hospital, Londonderry, Northern Ireland
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Affiliation(s)
- Patrick L M Lynch
- Department of Clinical Chemistry, Altnagelvin Area Hospital, Glenshane Rd., Londonderry BT47 6SB, United Kingdom
| | - Maurice J O’Kane
- Department of Clinical Chemistry, Altnagelvin Area Hospital, Glenshane Rd., Londonderry BT47 6SB, United Kingdom
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Affiliation(s)
- Maurice J O’Kane
- Clinical Chemistry Laboratory, Altnagelvin Hospital, Glenshane Road, Londonderry,, N Ireland BT47 1SB
| | - Ellen C Allen
- Clinical Chemistry Laboratory, Altnagelvin Hospital, Glenshane Road, Londonderry,, N Ireland BT47 1SB
| | - Oliver Grant
- Clinical Chemistry Laboratory, Altnagelvin Hospital, Glenshane Road, Londonderry,, N Ireland BT47 1SB
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