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Bourdel-Marchasson I, Maggi S, Abdelhafiz A, Bellary S, Demurtas J, Forbes A, Ivory P, Rodríguez-Mañas L, Sieber C, Strandberg T, Tessier D, Vergara I, Veronese N, Zeyfang A, Christiaens A, Sinclair A. Essential steps in primary care management of older people with Type 2 diabetes: an executive summary on behalf of the European geriatric medicine society (EuGMS) and the European diabetes working party for older people (EDWPOP) collaboration. Aging Clin Exp Res 2023; 35:2279-2291. [PMID: 37665557 PMCID: PMC10628003 DOI: 10.1007/s40520-023-02519-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 07/26/2023] [Indexed: 09/05/2023]
Abstract
We present an executive summary of a guideline for management of type 2 diabetes mellitus in primary care written by the European Geriatric Medicine Society, the European Diabetes Working Party for Older People with contributions from primary care practitioners and participation of a patient's advocate. This consensus document relies where possible on evidence-based recommendations and expert opinions in the fields where evidences are lacking. The full text includes 4 parts: a general strategy based on comprehensive assessment to enhance quality and individualised care plan, treatments decision guidance, management of complications, and care in case of special conditions. Screening for frailty and cognitive impairment is recommended as well as a comprehensive assessment all health conditions are concerned, including end of life situations. The full text is available online at the following address: essential_steps_inprimary_care_in_older_people_with_diabetes_-_EuGMS-EDWPOP___3_.pdf.
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Affiliation(s)
| | - Stefania Maggi
- National Research Council, Neuroscience Institute, Via Giustiniani 2, 35128, Padua, Italy
| | - Ahmed Abdelhafiz
- Department of Geriatric Medicine, Rotherham General Hospital, Rotherham, S60 2UD, UK
| | | | - Jacopo Demurtas
- Primary Care Department, Azienda USL Toscana Sud Est, Grosseto, Italy
| | - Angus Forbes
- Division of Care in Long Term Conditions, King's College London, London, UK
| | | | | | - Cornel Sieber
- Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nuremberg, Germany
- Department of Medicine, Kantonsspital Winterthur, Winterthur, Switzerland
| | - Timo Strandberg
- University of Helsinki, Clinicum, and Helsinki University Hospital, Helsinki, Finland
- University of Oulu, Center for Life Course Health Research, Oulu, Finland
| | - Daniel Tessier
- Research Centre on Aging, Affiliated with CIUSSS de L'Estrie-CHUS, 1036, Rue Belvédère Sud, Sherbrooke, QC, J1H 4C4, Canada
- Faculty of Medicine and Health Sciences, University of Sherbrooke, 2500, Boul. de L'Université, Sherbrooke, QC, J1K 2R1, Canada
| | - Itziar Vergara
- Biodonostia Health Research Institute, Paseo Dr. Begiristain S/N, 20014, Donostia, Basque Country, Spain
| | - Nicola Veronese
- Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy
| | - Andrej Zeyfang
- Department of Internal Medicine, Geriatric Medicine, Palliative Medicine and Diabetology, Medius Klinik Ostfildern-Ruit and Nürtingen, Nürtingen, Germany
| | - Antoine Christiaens
- Louvain Drug Research Institute, Université Catholique de Louvain, Brussels, Belgium
- Fund for Scientific Research, Brussels, Belgium
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Abstract
This article briefly discusses the epidemiology of heart failure and diabetes and summarizes the key findings from the recent cardiovascular outcome trials in patients with type 2 diabetes, with a focus on heart failure as an endpoint.
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Affiliation(s)
- Anders Jorsal
- Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark; Department of Clinical Medicine, Aarhus University, Incuba Skejby, Building 2, Palle Juul-Jensens Boulevard 82, 8200 Aarhus N, Denmark
| | - Henrik Wiggers
- Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark; Department of Clinical Medicine, Aarhus University, Incuba Skejby, Building 2, Palle Juul-Jensens Boulevard 82, 8200 Aarhus N, Denmark
| | - John J V McMurray
- BHF Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, 126 University Place, Glasgow G12 8TA, UK; Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF, UK.
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