Impact of hospital-community diabetes management intervention in Central Region, Ghana: A retrospective study
Authors' conclusion
The intervention achieved significant reduction in blood glucose levels. Patients with diabetes benefit from the hospital-community link diabetes management intervention regarding glycaemic control.
Study context
- Population
- Patients with diabetes in the Ghana-Netherlands for Health Foundation diabetes programme, Central Region, Ghana
- Participants
- 251 clinical records
- Exposure
- Hospital-community link diabetes management intervention: baseline (2017) vs endpoint (2022)
- Outcome
- Glycaemic control (blood glucose levels)
- Follow-up
- 2017 to 2022
Methodological detailssecondary data from the Ghana-Netherlands for Health Foundation diabetes programme, baseline (2017) vs endpoint (2022) comparison
- Secondary data from the Ghana-Netherlands for Health Foundation diabetes programme
- Baseline (2017) vs endpoint (2022) comparison
Main finding
As reported in the abstract
Blood glucose
P = 0.001
- Increase in patients attaining glycaemic control in 2022 (p = 0.001)
- 43 %
- Friedman test: significant reduction in glucose levels across six years (χ2 = 319.2, p = 0.001)
- Kendall effect size 0.25
Observational data: associations, not effects.
Further findings
| Outcome | aOR (95 % CI) | P value | |
|---|---|---|---|
| Glycaemic control by treatment (multivariable logistic regression)Metformin + glibenclamidevs Metformin monotherapyMore likely to achieve glycaemic control with combination | 7.30 (2.31–23.01) | P = 0.001 | |
| 0.050.21520Adjusted odds ratio (log scale) |
Original publication
Impact of hospital-community diabetes management intervention in Central Region, Ghana: A retrospective study. Diabetes Res Clin Pract. Published 28 June 2024. doi:10. 1016/ j. diabres. 2024. 111762
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