publication . Article . Other literature type . 2017

Efficacy and effectiveness of screen and treat policies in prevention of type 2 diabetes: systematic review and meta-analysis of screening tests and interventions

Greenhalgh, T; Barry, EVK; Roberts, S; Oke, JL; Vijayaraghavan, S; Normansell, R;
English
  • Published: 04 Jan 2017 Journal: BMJ, volume 356 (issn: 0959-8138, eissn: 1756-1833, Copyright policy)
  • Country: United Kingdom
Abstract
OBJECTIVES:  To assess diagnostic accuracy of screening tests for pre-diabetes and efficacy of interventions (lifestyle or metformin) in preventing onset of type 2 diabetes in people with pre-diabetes. <br> DESIGN:  Systematic review and meta-analysis. <br> DATA SOURCES AND METHOD:  Medline, PreMedline, and Embase. Study protocols and seminal papers were citation-tracked in Google Scholar to identify definitive trials and additional publications. Data on study design, methods, and findings were extracted onto Excel spreadsheets; a 20% sample was checked by a second researcher. Data extracted for screening tests included diagnostic accuracy and population prevale...
Subjects
free text keywords: Meta-analysis, Pathology, medicine.medical_specialty, medicine, Relative risk, business.industry, business, Confidence interval, Metformin, medicine.drug, Diabetes mellitus, medicine.disease, Population, education.field_of_study, education, Psychological intervention, Type 2 diabetes, Internal medicine
309 references, page 1 of 21

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d x i 7

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u a e 1 World Health Organisation. Diabetes Fact Sheet No 312. http://

www.who.int/mediacentre/factsheets/fs312/en/. WHO; 2016. 2 Diabetes UK. Diabetes: Facts and Stats. https://www.diabetes.org.uk/

Documents/About%20Us/Statistics/Diabetes-key-stats-guidelines-

April2014.pdf. 2015 3 Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic:

2011;378:804-14. doi:10.1016/S0140-6736(11)60813-1. 4 Saaristo T, Moilanen L, Korpi-Hyövälti E, et al. Lifestyle intervention for

prevention of type 2 diabetes in primary health care: one-year

(FIN-D2D). Diabetes Care 2010;33:2146-51. doi:10.2337/dc10-0410. 5 England NHS. NHS Five Year Forward View. October 2014. https://

www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf on

21.7.16. London 2014. 6 England NHS. NHS Diabetes Prevention Programme (NHS DPP).

prevention/. London 2015. 7 Diabetes Australia. Information on prevention programmes. https://

309 references, page 1 of 21
Abstract
OBJECTIVES:  To assess diagnostic accuracy of screening tests for pre-diabetes and efficacy of interventions (lifestyle or metformin) in preventing onset of type 2 diabetes in people with pre-diabetes. <br> DESIGN:  Systematic review and meta-analysis. <br> DATA SOURCES AND METHOD:  Medline, PreMedline, and Embase. Study protocols and seminal papers were citation-tracked in Google Scholar to identify definitive trials and additional publications. Data on study design, methods, and findings were extracted onto Excel spreadsheets; a 20% sample was checked by a second researcher. Data extracted for screening tests included diagnostic accuracy and population prevale...
Subjects
free text keywords: Meta-analysis, Pathology, medicine.medical_specialty, medicine, Relative risk, business.industry, business, Confidence interval, Metformin, medicine.drug, Diabetes mellitus, medicine.disease, Population, education.field_of_study, education, Psychological intervention, Type 2 diabetes, Internal medicine
309 references, page 1 of 21

w iend csep .7 .8 .6 .6 .7 .6 .6 .9 .6 .9 .8 .5 .8 .6 .9 .7 .6 .8 .8 .3 .6 .8 .8 .8 .9 .8 .7 .8 .9 .4 .8 .8 .9 .9

e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0

d x i 7

e e s 3 5 2 9 4 5 6 6 1 4 0 6 4 6 5 6 3 4 0 1 6 8 3 7 1 9 2 2 2 2 3 1

lud ind sen .50 .30 .70 .40 .60 .40 .60 .30 .70 .10 .40 .60 .20 .60 .20 .70 .40 .60 .70 .80 .70 .20 .20 .40 .20 .30 .60 .40 .60 .90 .90 .80 .80 .30 .60

u a e 1 World Health Organisation. Diabetes Fact Sheet No 312. http://

www.who.int/mediacentre/factsheets/fs312/en/. WHO; 2016. 2 Diabetes UK. Diabetes: Facts and Stats. https://www.diabetes.org.uk/

Documents/About%20Us/Statistics/Diabetes-key-stats-guidelines-

April2014.pdf. 2015 3 Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic:

2011;378:804-14. doi:10.1016/S0140-6736(11)60813-1. 4 Saaristo T, Moilanen L, Korpi-Hyövälti E, et al. Lifestyle intervention for

prevention of type 2 diabetes in primary health care: one-year

(FIN-D2D). Diabetes Care 2010;33:2146-51. doi:10.2337/dc10-0410. 5 England NHS. NHS Five Year Forward View. October 2014. https://

www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf on

21.7.16. London 2014. 6 England NHS. NHS Diabetes Prevention Programme (NHS DPP).

prevention/. London 2015. 7 Diabetes Australia. Information on prevention programmes. https://

309 references, page 1 of 21
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