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  • Owolabi, Mayowa O.Univ Ibadan, Ibadan, Nigeria. (author)

Gaps in Guidelines for the Management of Diabetes in Low- and Middle-Income Versus High-Income Countries : A Systematic Review

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-04-12
  • AMER DIABETES ASSOC,2018
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-357324
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-357324URI
  • https://doi.org/10.2337/dc17-1795DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:138099380URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • OBJECTIVE The extent to which diabetes (DM) practice guidelines, often based on evidence from high-income countries (HIC), can be implemented to improve outcomes in low-and middle-income countries (LMIC) is a critical challenge. We carried out a systematic review to compare type 2 DM guidelines in individual LMIC versus HIC over the past decade to identify aspects that could be improved to facilitate implementation. RESEARCH DESIGN AND METHODS Eligible guidelines were sought from online databases and websites of diabetes associations and ministries of health. Type 2 DM guidelines published between 2006 and 2016 with accessible full publications were included. Each of the 54 eligible guidelines was assessed for compliance with the Institute of Medicine (IOM) standards, coverage of the cardiovascular quadrangle (epidemiologic surveillance, prevention, acute care, and rehabilitation), translatability, and its target audiences. RESULTS Most LMIC guidelines were inadequate in terms of applicability, clarity, and dissemination plan as well as socioeconomic and ethical-legal contextualization. LMIC guidelines targeted mainly health care providers, with only a few including patients (7%), payers (11%), and policy makers (18%) as their target audiences. Compared with HIC guidelines, the spectrum of DM clinical care addressed by LMIC guidelines was narrow. Most guidelines from the LMIC complied with less than half of the IOM standards, with 12% of the LMIC guidelines satisfying at least four IOM criteria as opposed to 60% of the HIC guidelines (P < 0.001). CONCLUSIONS A new approach to the contextualization, content development, and delivery of LMIC guidelines is needed to improve outcomes.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Yaria, Joseph O.Univ Coll Hosp, Ibadan, Nigeria. (author)
  • Daivadanam, MeenaKarolinska Institutet,Uppsala universitet,Institutionen för kostvetenskap,Karolinska Inst, Dept Publ Hlth Sci, Solna, Sweden.(Swepub:uu)meeda402 (author)
  • Makanjuola, Akintomiwa I.Univ Coll Hosp, Ibadan, Nigeria. (author)
  • Parker, GaryUCL, London, England. (author)
  • Oldenburg, BrianUniv Melbourne, Melbourne, Vic, Australia. (author)
  • Vedanthan, RajeshIcahn Sch Med Mt Sinai, New York, NY 10029 USA. (author)
  • Norris, ShaneUniv Witwatersrand, Johannesburg, South Africa. (author)
  • Oguntoye, Ayodele R.Univ Coll Hosp, Ibadan, Nigeria. (author)
  • Osundina, Morenike A.Univ Coll Hosp, Ibadan, Nigeria. (author)
  • Herasme, OmarysIcahn Sch Med Mt Sinai, New York, NY 10029 USA. (author)
  • Lakoh, SulaimanUniv Coll Hosp, Ibadan, Nigeria. (author)
  • Ogunjimi, Luqman O.Univ Coll Hosp, Ibadan, Nigeria. (author)
  • Abraham, Sarah E.Univ Coll Hosp, Ibadan, Nigeria. (author)
  • Olowoyo, PaulFed Teaching Hosp, Ido Ekiti, Nigeria. (author)
  • Jenkins, CarolynMed Univ South Carolina, Charleston, SC USA. (author)
  • Feng, WuweiMed Univ South Carolina, Charleston, SC USA. (author)
  • Bayona, HernanUniv Andes, Fdn Santa Fe Bogota Hosp, Bogota, Colombia. (author)
  • Mohan, SaileshPubl Hlth Fdn India, New Delhi, India. (author)
  • Joshi, RohinaUniv New South Wales, George Inst Global Hlth, Sydney, NSW, Australia. (author)
  • Webster, RuthUniv New South Wales, George Inst Global Hlth, Sydney, NSW, Australia. (author)
  • Kengne, Andre P.South African Med Res Council, Cape Town, South Africa. (author)
  • Trofor, AntigonaGrigore T Popa Univ Med & Pharm, Iasi, Romania. (author)
  • Lotrean, Lucia MariaIuliu Hatieganu Univ Med & Pharm, Cluj Napoca, Romania. (author)
  • Praveen, DevarsettyGeorge Inst Global Hlth, New Delhi, India. (author)
  • Zafra-Tanaka, Jessica H.Univ Peruana Cayetano Heredia, Lima, Peru. (author)
  • Lazo-Porras, MariaUniv Peruana Cayetano Heredia, Lima, Peru. (author)
  • Bobrow, KirstenUniv Cape Town, Cape Town, South Africa. (author)
  • Riddell, Michaela A.Monash Univ, Melbourne, Vic, Australia. (author)
  • Makrilakis, KonstantinosUniv Athens, Athens, Greece. (author)
  • Manios, YannisHarokopio Univ, Athens, Greece. (author)
  • Ovbiagele, BruceMed Univ South Carolina, Charleston, SC USA. (author)
  • Univ Ibadan, Ibadan, Nigeria.Univ Coll Hosp, Ibadan, Nigeria. (creator_code:org_t)

Related titles

  • In:Diabetes Care: AMER DIABETES ASSOC41:5, s. 1097-11050149-59921935-5548

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