Binik YM, et al. Live and learn. J Nerv Ment Dis 1993; 181: 371–376.37 | n = 87 intervention; n = 92 standard education; n = 25 ‘not part of education’ | A randomised study on 204 patients with advanced CKD (not yet on renal replacement) | Enhanced or standard educational package predominantly nurse delivered. Education was directed towards preparation for dialysis, and involved an individually administered slide presentation and booklet | A rising creatinine of >350 µmol/l was required inclusion. The setting was nephrology clinics in Canada. Those that received the enhanced and standard packages started dialysis after 14.9 ± 12.4 and 10.3 ± 11.8 months respectively | Did not include blood pressure, so could not be included with the other quantitative analysis |
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Jaber LA, et al. Pharmaceutical care. Ann Pharmacother 1996; 30(3): 238–243.38 | n = 17 intervention; n = 22 control | A randomised controlled study in diabetes (n = 532, predominantly older black females with type 2 diabetes) | Patient and physician education by a pharmacist. Education was provided on diabetes, medications, diet, exercise, glucose monitoring, and self-adjustment of hypoglycaemic regimes | Improvements in glycated haemoglobin found. No improvement in blood pressure or renal function | No direct measures of renal function were available, mean creatinine was 88 µmol/l. No usable data (baseline and post-intervention blood pressure reported but no standard error) |
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Mazzuca SA, et al. Diabetes education study. Diabetes Care 1986; 9(1): 1–10.39 | n = 125, 134, and 138 for intervention groups; n = 135 control | Random allocation into a factorial design of control, patient, physician, or patient and physician intervention groups. Subjects predominantly black older females with type 2 diabetes | Intensive patient education, which was formalised and didactic, providing a systematic programme of diabetes education and delivered by a specialist multidisciplinary team; physician education from an expert; or both | Reduction in fasting glucose and glycated haemoglobin | No direct measures of renal function were available, mean creatinine 88 µmol/l. No usable data (baseline and post-intervention blood pressure reported but no standard error) |
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McGhee SM, et al. Coordinating and standardizing long-term care. Br J Gen Pract 1994; 44(387): 441–445.29 | n = 277 outpatient care; n = 277 shared care; n = 277 nurse practitioner care | Randomised controlled trial | Compares different types of care: either standard outpatient care or shared general practice-hospital care, whereby a hospital-based database generates an annual record on each enrolled patient for the GP and a patient-held record for the patient, including a prompt to attend for a review with the GP; overall responsibility for the patient's care lies with the GP, and the outcomes of the review are returned to the registry so further specialist recommendations can be made where appropriate | Process measures of review and wish to continue with care offered | Did not include blood pressure results or other indication that patients had CKD |
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New JP, et al. Measuring clinical performance. Diabetologia 2000; 43(7): 836–843.40 | n = 6544 patients with diabetes | Observational study | Before and after effect of introducing an information system | All categories of monitoring improved | Comparison of non-contemporaneous groups makes linking cause and effect difficult |