Long-term effectiveness of a community-based model of care in Māori and Pacific patients with type 2 diabetes and chronic kidney disease: A 4-year follow-up of the DElay Future End Stage Nephropathy due to Diabetes (DEFEND) study
posted by WM Admin on 20 April 2015
Year of Publication
Internal Medicine Journal, 14 April [Epub before print]
Journal article (peer reviewed)
In the DEFEND randomized controlled trial, a community-based model of care was compared with usual care for Māori and Pacific patients with advanced diabetic nephropathy. The intervention group achieved lower BP, proteinuria and less end-organ damage. They reverted to usual care after the intervention and this study investigated the sustainability of the intervention (median post-trial follow-up was 49 months).The authors conclude from the results that "short-term intensive BP control followed by usual care, did not translate into reduction in long-term mortality or ESRD rates, but associated with reduced hospitalisations".
Type of Study
Randomised controlled trial
How to Access
To read the full abstract, and for information on how to access the full text, go to: http://dx.doi.org/10.1111/imj.12788 or contact your DHB library, or organisational or local library for assistance.