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Pharmacy diabetes care program: Analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy


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Krass, I, Taylor, S, Wilkinson, J, Armour, C, Mitchell, B, Clarke, P, Brillant, M, Dienaar, R, Hughes, J, Lau, P, Peterson, GM and Stewart, K 2007 , 'Pharmacy diabetes care program: Analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy' , Diabetes Research and Clinical Practice, vol. 75, no. 3 , pp. 339-347 , doi: 10.1016/j.diabres.2006.06.022.

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To compare the efficacy and cost-effectiveness of two methods of screening for undiagnosed type 2 diabetes in Australian community pharmacy.

A random sample of 30 pharmacies were allocated into two groups: (i) tick test only (TTO); or (ii) sequential screening (SS) method. Both methods used the same initial risk assessment for type 2 diabetes. Subjects with one or more risk factors in the TTO group were offered a referral to their general practitioner (GP). Under the SS method, patients with risk factors were offered a capillary blood glucose test and those identified as being at risk referred to a GP. The effectiveness and cost-effectiveness of these approaches was assessed.

A total of 1286 people were screened over a period of 3 months. The rate of diagnosis of diabetes was significantly higher for SS compared with the TTO method (1.7% versus 0.2%; p=0.008). The SS method resulted in fewer referrals to the GP and a higher uptake of referrals than the TTO method and so was the more cost-effective screening method.

SS is the superior method from a cost and efficacy perspective. It should be considered as the preferred option for screening by community based pharmacists in Australia.

Item Type: Article
Authors/Creators:Krass, I and Taylor, S and Wilkinson, J and Armour, C and Mitchell, B and Clarke, P and Brillant, M and Dienaar, R and Hughes, J and Lau, P and Peterson, GM and Stewart, K
Keywords: Near patient testing, Case detection, Type 2 diabetes, Community pharmacy, Cost-effectiveness
Journal or Publication Title: Diabetes Research and Clinical Practice
Publisher: Elsevier
ISSN: 0168-8227
DOI / ID Number: 10.1016/j.diabres.2006.06.022
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