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Pharmacy diabetes care program: Analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy


Krass, I and Mitchell, B and Clarke, P and Brillant, M and Dienaar, R and Hughes, J and Lau, P and Peterson, GM and Stewart, K and Taylor, S and Wilkinson, J and Armour, C, Pharmacy diabetes care program: Analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy, Diabetes Research and Clinical Practice, 75, (3) pp. 339-347. ISSN 0168-8227 (2007) [Refereed Article]

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DOI: doi:10.1016/j.diabres.2006.06.022


Objective: To compare the efficacy and cost-effectiveness of two methods of screening for undiagnosed type 2 diabetes in Australian community pharmacy.

Methods: A random sample of 30 pharmacies were allocated into two groups: (i) tick test only (TTO); or (ii) sequential screening (SS) method. Both methods used the same initial risk assessment for type 2 diabetes. Subjects with one or more risk factors in the TTO group were offered a referral to their general practitioner (GP). Under the SS method, patients with risk factors were offered a capillary blood glucose test and those identified as being at risk referred to a GP. The effectiveness and cost-effectiveness of these approaches was assessed.

Results: A total of 1286 people were screened over a period of 3 months. The rate of diagnosis of diabetes was significantly higher for SS compared with the TTO method (1.7% versus 0.2%; p = 0.008). The SS method resulted in fewer referrals to the GP and a higher uptake of referrals than the TTO method and so was the more cost-effective screening method.

Conclusions: SS is the superior method from a cost and efficacy perspective. It should be considered as the preferred option for screening by community based pharmacists in Australia.

Item Details

Item Type:Refereed Article
Keywords:near patient testing, case detection, Type 2 diabetes, community pharmacy, cost-effectiveness
Research Division:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Pharmaceutical sciences
Objective Division:Health
Objective Group:Other health
Objective Field:Other health not elsewhere classified
UTAS Author:Dienaar, R (Mrs Rachel Dienaar)
UTAS Author:Peterson, GM (Professor Gregory Peterson)
ID Code:43190
Year Published:2007
Web of Science® Times Cited:42
Deposited By:Pharmacy
Deposited On:2007-08-01
Last Modified:2012-12-13
Downloads:4 View Download Statistics

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