{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T23:24:23Z","timestamp":1749857063875},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,4,2]],"date-time":"2015-04-02T00:00:00Z","timestamp":1427932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Physicians\u2019 Services Incorporated Foundation of Ontario"},{"name":"Chronic Diseases Division of the Ontario Ministry of Health and Long-Term Care"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale, aims and objectives<\/jats:title><jats:p>The efficacy of diabetes self\u2010management education on glycaemic control, self\u2010care behaviour and knowledge has been established by short\u2010term studies in experimental settings. The objective of this study was to assess its effectiveness to improve quality of care and reduce the risk of long\u2010term diabetes complications in unselected older patients with recently diagnosed diabetes in routine clinical care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using population\u2010level health care administrative databases and registries, all patients aged \u226566 years in <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>ntario, <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>anada with diabetes for &lt;5 years were identified. Self\u2010management education programme attendees (<jats:styled-content style=\"fixed-case\"><jats:italic>n<\/jats:italic><\/jats:styled-content>\u2009=\u20098485) in 2006 were matched with non\u2010attendees using high\u2010dimensional propensity scores, creating extremely well\u2010balanced study arms. Quality of care measures and the long\u2010term risk of diabetes complications were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Self\u2010management programme attendees were more likely than non\u2010attendees to achieve process measures of quality of care such as retinal screening examinations (75.3% versus 70.3%, adjusted relative risk 1.05, 99% confidence interval 1.03\u20131.08), and \u22652 glycated haemoglobin tests (57.5% versus 53.3%, adjusted relative risk 1.08, 99% confidence interval 1.05\u20131.11). However, with a median follow\u2010up of 5.3 years, diabetes complications and mortality were not different between arms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In real\u2010world clinical care, self\u2010management education for older patients with recently diagnosed diabetes was associated with modest improvements in quality of care, but no reductions in long\u2010term clinical events.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12360","type":"journal-article","created":{"date-parts":[[2015,4,2]],"date-time":"2015-04-02T22:19:18Z","timestamp":1428013158000},"page":"656-661","source":"Crossref","is-referenced-by-count":9,"title":["Diabetes self\u2010management education is not associated with a reduction in long\u2010term diabetes complications: an effectiveness study in an elderly population"],"prefix":"10.1111","volume":"21","author":[{"given":"Baiju R.","family":"Shah","sequence":"first","affiliation":[{"name":"Institute for Clinical Evaluative Sciences  Toronto Ontario Canada"},{"name":"University of Toronto  Toronto Ontario Canada"},{"name":"Department of Medicine Sunnybrook Health Sciences Centre  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremiah","family":"Hwee","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Cauch\u2010Dudek","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Ng","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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