Open Access Repository

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


Downloads per month over past year

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.

[img] PDF
4027.pdf | Request a copy
Full text restricted


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
Additional Information:

The definitive version is available at

Item Statistics: View statistics for this item

Actions (login required)

Item Control Page Item Control Page