Type 2 & other diabetes

A pragmatic digital health informatics based approach for aiding clinical prioritisation and reducing backlog of care: A study in cohort of 4022 people with diabetes

Diabetes Res Clin PractPublished Diagnostic accuracy study

Authors' conclusion

A pragmatic data-driven method identifies people with diabetes at highest need for clinical prioritisation within restricted resources. Health informatics systems such as our can enhance care and improve operational efficiency and better healthcare delivery for people with diabetes.

Study context

Population
People with diabetes attending a large university hospital in London; 52% male, 30% non-Caucasian450 sampled for validation
Participants
4,022 people
Comparison
Informatics prioritisation tool vs clinical prioritisation
Outcome
Identification of high- and lower-risk patients vs clinical prioritisation
Methodological detailsdevelopment and validation of an informatics tool, electronic health care records, single university hospital, London, 3-month operational pilot
  • Development and validation of an informatics tool
  • Electronic health care records
  • Single university hospital, London
  • 3-month operational pilot

Performance

As reported in the abstract

Test or modelSensitivitySpecificity
Informatics tool83%81%

Informatics tool

Sensitivity83%
Specificity81%
People with one or more risk events/factors
549 (13.6%)

Further findings

Characteristics of people with risk

People with risk were more likely to be non-Caucasian and had greater socio-economic deprivation

Operational pilot pathway: received interventions/care optimisation · 3 months

High risk people receiving interventions/care optimisation (of 101)
40%

Original publication

A pragmatic digital health informatics based approach for aiding clinical prioritisation and reducing backlog of care: A study in cohort of 4022 people with diabetes. Diabetes Res Clin Pract. Published 20 July 2023. doi:10.1016/j.diabres.2023.110834

Composed by AI from the published abstract and checked against it. How Briefs are made →

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