Type 2 & other diabetes

Pharmacy diabetes screening trial (PDST): Outcomes of a national clustered RCT comparing three screening methods for undiagnosed type 2 diabetes (T2DM) in community pharmacy

Diabetes Res Clin PractPublished Cluster randomised controlled trial

Primary result · T2D diagnoses, total screened populationResult — go to the resultOdds of detection 1.8 CI 1.0–3.0

Authors' conclusion

In community pharmacy, the most effective method to uncover undiagnosed T2DM was a stepwise approach; initial risk assessment; and if appropriate an HbA1C POC test and referral.

Study context

Population
People screened for undiagnosed T2D in community pharmacies, Australia; 339 pharmacies339 pharmacies
Participants
14,093 people
Comparison
Three pharmacy-based T2D screening methods: AUSDRISK alone vs AUSDRISK + HbA1c point-of-care test vs AUSDRISK + capillary blood glucose test
Primary endpoint
Rate of T2D diagnoses (confirmed by a GP, pathology laboratory or national diabetes register) in the total screened population
Methodological detailsnational, nationally representative sample of Australian pharmacies
  • National
  • Nationally representative sample of Australian pharmacies

Primary result

T2D diagnoses, total screened population

Odds of detection

1.8

CI 1.0–3.0

By group

Group A

< 0.8%

Group B

1.5%

Group C

< 0.6%

As reported in the abstract

Further findings

Met group-specific GP referral criteria

Met group-specific GP referral criteria — Total meeting referral criteria
3059

Original publication

Pharmacy diabetes screening trial (PDST): Outcomes of a national clustered RCT comparing three screening methods for undiagnosed type 2 diabetes (T2DM) in community pharmacy. Diabetes Res Clin Pract. Published 3 February 2023. doi:10.1016/j.diabres.2023.110566

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