Effectiveness of a collaborative diabetes screening campaign between community pharmacies and general practitioners.

Prim Care Diabetes

Centre for Health Evaluation & Research/Infosaúde, National Association of Pharmacies (CEFAR/IS-ANF), Rua Marechal Saldanha 1, 1249-069 Lisbon, Portugal; Life and Health Sciences Research Institute (ICVS), School of Medicine, Campus de Gualtar, Universidade do Minho, 4710-057 Braga, Portugal; ICVS/3B's-PT Government Associate Laboratory, Campus de Gualtar, Universidade do Minho, 4710-057 Braga, Portugal.

Published: August 2023

Aim: To evaluate the impact of a collaborative screening campaign on the prevalence of pre-diabetes and diabetes among the screened population.

Methods: A Longitudinal, multicentre study was developed. The Finnish Diabetes Risk Score (FINDRISC) was applied to the eligible population in the participating community pharmacies. Individuals with a FINDRISC score ≥ 15, were eligible to measure their glycated haemoglobin (HbA1c) level at the community pharmacy. If HbA1c≥ 5.7%, participants were referred to a general practitioner (GP) appointment for potential diagnosis of Diabetes.

Results: Out of 909 screened subjects, 405 (44.6%) presented a FINDRISC score ≥ 15. Among the latter, 94 (23.4%) had HbA1c levels that made them eligible for GP referral, of which 35 (37.2%) completed the scheduled appointments. 24 participants were diagnosed with pre-diabetes, and 11 with diabetes. The prevalence was estimated at 2.5% (CI95% 1.6-3.8%) and 7.8% (CI95% 6.2-9.8%) for diabetes and pre-diabetes, respectively.

Conclusion: This collaborative model has proved to be effective in the early detection of diabetes and pre-diabetes. Joint initiatives between health professionals can play a pivotal role in the prevention and diagnosis of diabetes, which may lead to a reduction on the burden to health system and society.

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Source
http://dx.doi.org/10.1016/j.pcd.2023.04.007DOI Listing

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