130 results on '"Colagiuri R"'
Search Results
2. Diabetes as a health promotion focus: a disease for all reasons. - editorial
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Colagiuri, R
- Published
- 2004
3. Development and validation of a diabetes knowledge questionnaire
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Eigenmann, CA, Skinner, T, and Colagiuri, R
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- 2011
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4. Diet and exercise in the prevention of diabetes
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Walker, K. Z., OʼDea, K., Gomez, M., Girgis, S., and Colagiuri, R.
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- 2010
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5. Cost-effectiveness and socioeconomic implications of prevention and management of chronic kidney disease in type 2 diabetes
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Chadban, S, Howell, M, Twigg, S, Thomas, M, Jerums, G, Cass, A, Campbell, D, Nicholls, K, Tong, A, Mangos, G, Stack, A, MacIsaac, R J, Girgis, S, Colagiuri, R, Colagiuri, S, and Craig, J
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- 2010
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6. Prevention and management of chronic kidney disease in type 2 diabetes
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Chadban, S, Howell, M, Twigg, S, Thomas, M, Jerums, G, Cass, A, Campbell, D, Nicholls, K, Tong, A, Mangos, G, Stack, A, MacIsaac, R J, Girgis, S, Colagiuri, R, Colagiuri, S, and Craig, J
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- 2010
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- View/download PDF
7. Assessment of kidney function in type 2 diabetes
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Chadban, S, Howell, M, Twigg, S, Thomas, M, Jerums, G, Cass, A, Campbell, D, Nicholls, K, Tong, A, Mangos, G, Stack, A, MacIsaac, R J, Girgis, S, Colagiuri, R, Colagiuri, S, and Craig, J
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- 2010
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8. A national consensus on outcomes and indicators for diabetes patient education
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Colagiuri, R. and Eigenmann, C. A.
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- 2009
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9. Are current psychometric tools suitable for measuring outcomes of diabetes education?
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Eigenmann, C. A., Colagiuri, R., Skinner, T. C., and Trevena, L.
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- 2009
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10. How prognostic are the UKPDS and DiaCard diabetes-specific risk engines for predicting 5-year risk of events in type 2 diabetic patients without prior cardiovascular disease? The Fremantle Diabetes Study: A691
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Colagiuri, R, Colagiuri, S, and Davis, T
- Published
- 2006
11. Can governments be influenced?: 664
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Colagiuri, R
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- 2006
12. An Australian consensus on outcomes and indicators for diabetes patient education: the patient contribution: A112
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Eigenmann, C and Colagiuri, R
- Published
- 2006
13. Building capacity to reduce diabetes complications in the Pacific: the Vanuatu experience so far
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Colagiuri, R
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- 2006
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14. Global Guideline for Type 2 Diabetes
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International Diabetes Federation Guideline Development Group, The, Aschner, P., Beck-Nielsen, H., Bennett, P., Boulton, A., Colagiuri, R., Colagiuri, S., Franz, M., Gadsby, R., Gagliardino, J.J., Home, P., McGill, M., Manley, S., Marshall, S., Mbanya, J.C., Neil, A., Ramachandran, A., Ramaiya, K., Roglic, G., Schaper, N., Siminerio, L., Sinclair, A., Snoek, F., van Crombrugge, P., Vespasiani, G., Viswanathan, V., Sim, K., Medical Psychology, Interne Geneeskunde, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - Redesigning Health Care, Medical psychology, and EMGO - Lifestyle, overweight and diabetes
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Gerontology ,medicine.medical_specialty ,CIENCIAS MÉDICAS Y DE LA SALUD ,Cost effectiveness ,Endocrinology, Diabetes and Metabolism ,Type 2 diabetes ,Medicina Clínica ,Guidelines ,MICROVASCULAR COMPLICATIONS ,Global Health ,COST-EFFECTIVENESS ,Endocrinology ,Diabetes mellitus ,Endocrinología y Metabolismo ,GLYCEMIC CONTROL ,Internal Medicine ,medicine ,Belgica ,CARDIOVASCULAR RISK-FACTORS ,Quality of Care ,Humans ,Guideline development ,CORONARY-HEART-DISEASE ,International diabetes federation ,Developing Countries ,Glycated Hemoglobin ,biology ,business.industry ,Developed Countries ,Diabetes ,SELF-MANAGEMENT EDUCATION ,Disease Management ,International Agencies ,INTENSIVE INSULIN THERAPY ,BLOOD-GLUCOSE ,General Medicine ,Guideline ,medicine.disease ,biology.organism_classification ,Coronary heart disease ,Diabetes Mellitus, Type 2 ,MYOCARDIAL-INFARCTION ,Cardiovascular Diseases ,Family medicine ,business ,PRIMARY PREVENTION - Abstract
There is now extensive evidence on the optimal management of diabetes, offering the opportunity of improving the immediate and long-term quality of life of those with diabetes. Unfortunately such optimal management is not reaching many, perhaps the majority, of the people who could benefi t. Reasons include the size and complexity of the evidencebase, and the complexity of diabetes care itself. One result is a lack of proven cost-effective resources for diabetes care. Another result is diversity of standards of clinical practice. Guidelines are one part of a process which seeks to address those problems. Many guidelines have appeared internationally, nationally, and more locally in recent years, but most of these have not used the rigorous new guideline methodologies for identifi cation and analysis of the evidence. Many countries around the world do not have the resources, either in expertise or fi nancially, that are needed to develop diabetes guidelines. Also such a repetitive approach would be enormously ineffi cient and costly. Published national guidelines come from relatively resource-rich countries, and may be of limited practical use in less well resourced countries. In 2005 the fi rst IDF Global Guideline for type 2 diabetes was developed. This presented a unique challenge as we tried to develop a guideline that is sensitive to resource and costeffectiveness issues. Many national guidelines address one group of people with diabetes in the context of one healthcare system, with one level of national and health-care resources. This is not true in the global context where, although every health-care system seems to be short of resources, the funding and expertise available for health-care vary widely between countries and even between localities. Despite the challenges, we feel that we found an approach which is at least partially successful in addressing this issue which we termed ‘Levels of care’ (see next page). This guideline represents an update of the fi rst guideline and extends the evidence base by including new studies and treatments which have emerged since the original guideline was produced in 2005. Funding is essential to an activity of this kind. IDF is grateful to a diversity of commercial partners for provision of unrestricted educational grants. Fil: Aschner, Pablo. International Diabetes Federation Guideline Development Group; Bélgica Fil: Beck Nielsen, Henning. International Diabetes Federation Guideline Development Group; Bélgica Fil: Bennet, Peter. International Diabetes Federation Guideline Development Group; Bélgica Fil: Boulton, Andrew. International Diabetes Federation Guideline Development Group; Bélgica Fil: Colagiuri, Ruth. International Diabetes Federation Guideline Development Group; Bélgica Fil: Colagiuri, Stephen. International Diabetes Federation Guideline Development Group; Bélgica Fil: Franz, Marion. International Diabetes Federation Guideline Development Group; Bélgica Fil: Gadsby, Roger. International Diabetes Federation Guideline Development Group; Bélgica Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina. Universidad Nacional de La Plata; Argentina. International Diabetes Federation Guideline Development Group; Bélgica Fil: Home, Philip. International Diabetes Federation Guideline Development Group; Bélgica Fil: McGill, Marg. International Diabetes Federation Guideline Development Group; Bélgica Fil: Manley, Susan. International Diabetes Federation Guideline Development Group; Bélgica Fil: Marshall, Sally. International Diabetes Federation Guideline Development Group; Bélgica Fil: Mbanya, Jean Claude. International Diabetes Federation Guideline Development Group; Bélgica Fil: Neil, Andrew. International Diabetes Federation Guideline Development Group; Bélgica Fil: Ramachandran, Ambady. International Diabetes Federation Guideline Development Group; Bélgica Fil: Ramaiya, Kaushik. International Diabetes Federation Guideline Development Group; Bélgica Fil: Roglic, Gojka. International Diabetes Federation Guideline Development Group; Bélgica Fil: Schaper, Nicolaas. International Diabetes Federation Guideline Development Group; Bélgica Fil: Siminerio, Linda. International Diabetes Federation Guideline Development Group; Bélgica Fil: Sinclair, Alan. International Diabetes Federation Guideline Development Group; Bélgica Fil: Snoek, Frank. International Diabetes Federation Guideline Development Group; Bélgica Fil: Van Crombrugge, Paul. International Diabetes Federation Guideline Development Group; Bélgica Fil: Vespasiani, Giacomo. International Diabetes Federation Guideline Development Group; Bélgica Fil: Viswanathan, Vijay . International Diabetes Federation Guideline Development Group; Bélgica
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- 2014
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15. Evidence-based medicine: is it a bridge too far?
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Ana Fernandez, Sturmberg J, Lukersmith S, Madden R, Torkfar G, Colagiuri R, and Salvador-Carulla L
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This paper aims to describe the contextual factors that gave rise to evidence-based medicine (EBM), as well as its controversies and limitations in the current health context. Our analysis utilizes two frameworks: (1) a complex adaptive view of health that sees both health and healthcare as non-linear phenomena emerging from their different components; and (2) the unified approach to the philosophy of science that provides a new background for understanding the differences between the phases of discovery, corroboration, and implementation in science.
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- 2015
16. Role of law at the non-communicable diseases–climate change interface: considerations for planetary and population health policy
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Boylan, S., Syrett, K., and Colagiuri, R.
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- 2013
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17. A profile of diabetes in Pacific Island countries and territories
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Win Tin, S., Lee, Crystal, Colagiuri, R., Win Tin, S., Lee, Crystal, and Colagiuri, R.
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Aim: To examine the available evidence about the epidemiology, health, social, and economic impact of diabetes in Pacific Island Countries and Territories (PICTs). Methods: We conducted a systematic review of the peer-reviewed literature published in English from January 1990 to January 2014, and relevant technical reports. Results: A total of 1548 articles were identified of which 35 studies of type 2 diabetes met the inclusion criteria. Eighteen technical reports were also included. We found no articles reporting on type 1 diabetes or gestational diabetes that met the inclusion criteria. The prevalence, risk factors and complications of diabetes were substantial. Diabetes prevalence rate of around 40% was common. Physical inactivity, overweight and obesity were leading risk factors. High rates of diabetes complications were reported e.g. up to 69% retinopathy. Poor clinical outcomes were also reported with over 70% not meeting glycaemic control targets and approximately 50% not meeting blood pressure and cholesterol targets. Conclusion: This review highlights the burden of diabetes in PICTs and the need for more intensive interventions to improve the quality and outcomes of diabetes care. Overall, further research is needed to monitor secular diabetes trends in PICTs using standardised criteria for diagnosing diabetes and its complications.
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- 2015
18. Recommendations of the 2007 Healthy Lifestyle Forum to Help Combat Childhood Obesity
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Baur, L, Bonfiglioli, C, Caterson, ID, Colagiuri, R, Cretikos, M, Leeder, S, Murray, K, Pearson, S, Sim, K, Torode, M, Wake, M, and Wittert, G
- Abstract
Senator Guy Barnett has held eight Healthy Lifestyle Forums to Help Combat Childhood Obesity since entering the Senate in 2002. The most recent forum, held on 20 June 2007 at Australian Parliament House Canberra, brought together approximately 60 concerned members of health care, academia, industry and public health to develop useful interventions and ideas for fighting childhood obesity. This report details the recommendations of the groups convened. They were asked to consider actions in the key areas of: clinical/health care system monitoring/benchmarking infant and early childhood schools and the wider community, and industry and private sector solutions.
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- 2007
19. The cost of diabetes in adults in Australia
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Lee, Crystal, Colagiuri, R., Magliano, D., Cameron, A., Shaw, J., Zimmet, P., Colagiuri, S., Lee, Crystal, Colagiuri, R., Magliano, D., Cameron, A., Shaw, J., Zimmet, P., and Colagiuri, S.
- Abstract
Aims: To assess and compare costs associated with diabetes and lesser degrees of glucose intolerance in Australia. Methods: The Australian Diabetes, Obesity and Lifestyle study collected data on the use of health services and health related expenditure in 2004-2005. Complications data were collected through physical examination and biochemical tests or questionnaire. Data were available on 6101 participants. Age- and sex-adjusted direct healthcare costs, direct non-healthcare costs and government subsidies were estimated according to glucose tolerance status. Results: Annual direct per person costs were A$1898 for those with normal glucose tolerance to A$4390 for those with known diabetes. Costs were substantially higher in people with diabetes and both micro- and macrovascular complications. The total annual cost of diabetes in 2005 for Australians aged =30 years was A$10.6 billion (A$4.4 billion in direct costs; A$6.2 billion in government subsidies) which equates to A$14.6 billion in 2010 dollars. Total annual excess cost associated with diabetes in 2005 was A$4.5 billion (A$2.2 billion in direct costs; A$2.3 billion in government subsidies). Conclusion: The excess cost of diabetes to individuals and government is substantial and is greater in those with complications. Costs could potentially be reduced by preventing the development of diabetes or its complications.
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- 2013
20. Cost-effectiveness and socioeconomic implications of prevention and management of chronic kidney disease in type 2 diabetes
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Chadban, S., Howell, M., Twigg, S., Thomas, M., Jerums, G., Cass, Alan, Campbell, D., Nicholls, K., Tong, A., Mangos, G., Stack, A., MacIsaac, Richard J., Girgis, S., Colagiuri, R., Colagiuri, S., Craig, J., Chadban, S., Howell, M., Twigg, S., Thomas, M., Jerums, G., Cass, Alan, Campbell, D., Nicholls, K., Tong, A., Mangos, G., Stack, A., MacIsaac, Richard J., Girgis, S., Colagiuri, R., Colagiuri, S., and Craig, J.
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- 2010
21. Assessment of kidney function in type 2 diabetes
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Chadban, S., Howell, M., Twigg, S., Thomas, M., Jerums, G., Cass, Alan, Campbell, D., Nicholls, K., Tong, A., Mangos, G., Stack, A., MacIsaac, R., Girgis, S., Colagiuri, R., Colagiuri, S., Craig, J., Chadban, S., Howell, M., Twigg, S., Thomas, M., Jerums, G., Cass, Alan, Campbell, D., Nicholls, K., Tong, A., Mangos, G., Stack, A., MacIsaac, R., Girgis, S., Colagiuri, R., Colagiuri, S., and Craig, J.
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- 2010
22. PDB16: COST OF TYPE 2 DIABETES CARE IN AUSTRALIA—THE DIABCOST STUDY
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Colagiuri, S, primary, Conway, B, additional, Grainger, D, additional, Davey, P, additional, Colagiuri, R, additional, Graham-Clarke, P, additional, FitzGerald, P, additional, Le Reun, C, additional, and Price, N, additional
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- 2003
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23. Can patients set their own educational priorities?
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Colagiuri, R., primary, Colagiuri, S., additional, and Naidu, V., additional
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- 1995
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24. Exercise in Older People with Type II Diabetes Maintains Bone Density Despite Weight Loss
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Caplan, G.A., primary, Colagiuri, R., additional, Lord, S.R., additional, Colagiuri, S., additional, and Ward, J.A., additional
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- 1995
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25. Quality Assurance of Individual Diabetes Patient Education
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Colagiuri, R., primary, Colagiuri, S., additional, de Blieck, C., additional, and Naidu, V., additional
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- 1994
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26. Do educators influence patients' diabetes knowledge equally?
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Colagiuri, R., primary, Colagiuri, S., additional, and deBlieck, G., additional
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- 1994
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27. Sensori‐motor Function in Older Persons with Diabetes
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Lord, S.R., primary, Caplan, G.A., additional, Colagiuri, R., additional, Colagiuri, S., additional, and Ward, J.A., additional
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- 1993
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28. The Effects of Exercise on Bone Density in Elderly People with Bom Insulin Dependent Diabetes
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Caplan, G., primary, Colagiuri, R, additional, Lord, S, additional, Colagiuri, S, additional, and Ward, J., additional
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- 1993
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29. An introductory diet kit
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Pirie, E, primary, Colagiuri, R, additional, Colagiuri, S, additional, and Taylor, L, additional
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- 1992
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30. Diabetes: a pandemic, a development issue or both?
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Colagiuri R
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- 2010
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31. Framing health matters. The answer to diabetes prevention: science, surgery, service delivery, or social policy?
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Colagiuri R, Colagiuri S, Yach D, and Pramming S
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The diabetes and obesity epidemics are closely intertwined. International randomized controlled trials demonstrate that, in high-risk individuals, type 2 diabetes can be prevented or at least delayed through lifestyle modification and, to a lesser degree, medication. We explored the relative roles of science, surgery, service delivery, and social policy in preventing diabetes. Although it is clear that there is a role for all, diabetes is a complex problem that demands commitment across a range of government and nongovernment agencies to be effectively controlled. Accordingly, we argue that social policy is the key to achieving and sustaining social and physical environments required to achieve widespread reductions in both the incidence and prevalence of diabetes. [ABSTRACT FROM AUTHOR]
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- 2006
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32. The Quality of Self-monitoring of Blood Glucose
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Colagiuri, R., primary, Colagiuri, S., additional, Jones, S., additional, and Moses, R.G., additional
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- 1990
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33. 35th Annual Meeting of the European Association for the Study of Diabetes
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Melander, A., Olsson, J., Lindberg, G., Salzman, A., Howard, T., Stang, P., Lydick, E., Emslie-Smith, A., Boyle, D. I. R., Evans, J. M. M., Macdonald, T. M., Bain, J., Sullivan, F., Juhl, C., Pørksen, N., Sturis, J., Hollingdal, M., Pincus, S., Veldhuis, J., Dejgaard, A., Schmitz, O., Kristensen, J. S., Frandsen, K. B., Bayer, Th., Müller, P., Dunning, B. E., Paladini, S., Gutierrez, C., Deacon, R., Valentin, M., Grunberger, G., Weston, W. M., Patwardhan, R., Rappaport, E. B., Sargeant, L. A., Wareham, N. J., Khaw, K. T., Zethelius, Björn, Lithell, Hans, Hales, C. Nicholas, Berne, Christian, Lakka, H.-M., Oksanen, L., Tuomainen, T.-P., Kontula, K., Salonen, J. T., Dekker, J. M., de Boks, P., de Vegt, F., Stehouwer, C. D. A., Nijpels, G., Bouter, L. M., Heine, R. J., Bruno, G., Cavallo-Perin, P., Bargero, G., D’Errico, N., Borra, M., Macchia, G., Pagano, G., Newton, R. W., Ruta, D. A., New, J. P., Wallace, C., Roxburgh, M. A., Young, R. J., Vaughan, N. J. A., Elliott, P., Brennan, G., Devers, M., MacAlpine, R., Steinke, D., Lawson, D. H., Decallonne, B., Casteels, K., Gysemans, C., Bouillon, R., Mathieu, C., Linn, Thomas, Strate, Christine, Schneider, Kerstin, Funda, D. P., Jirsa, M., Kozáková, H., Kaas, A., Kofronová, O., Tlaskalová-Hogenová, H., Buschard, K., Wanka, H., Hartmann, A., Kuttler, B., Rasmussen, S. B., Sørensen, T. S., Markholst, H., Petersen, J. S., Karounos, D., Dyrberg, T., Mabley, J. G., Haskó, G., Szabó, C., Seissler, J., Nguyen, T. B. T., Steinbrenner, H., Scherbaum, W. A., Cipriani, R., Gabriele, A., Sensi, M., Guidobaldi, L., Pantellini, F., Cerrito, M. G., Scarpa, S., Di Mario, U., Morano, S., Ceolotto, G., Iori, E., Baritono, E., Del Prato, S., Semplicini, A., Trevisan, R., Zerbini, G., Meregalli, G., Asnaghi, V., Tentori, F., Maestroni, A., Mangili, R., Marescotti, C., Vedovato, M., Tiengo, A., Tadjieva, J., Mankovsky, B. N., Van Aken, S., Raes, A., Vande Walle, J., Matthys, D., Craen, M., Hansen, H. P., Lund, S. S., Rossing, P., Jensen, T., Parving, H.-H., Andersen, S., Tarnow, L., Hansen, B. V., Trautner, C., Haastert, B., Ennenbach, N., Willich, S., Tabák, Á. Gy., Orchard, T. J., Spranger, J., Preissner, K. T., Schatz, H., Pfeiffer, A., Cantón, A., Burgos, R., Hernández, C., Lecube, A., Mesa, J., Segura, R. M., Mateo, C., Simó, R., Fathallah, L., Greene, D. A., Obrosova, I., Gilbert, R. E., Kelly, D. J., Cox, A. J., Berka-Wilkinson, J. L., Taylor, H. R., Panagiotopoulos, S., Lee, V., Jerums, G., Cooper, M. E., Hitman, G. A., Aganna, E., Ogunkolade, W. B., Rema, M., Deepa, R., Shanthi-Rani, C. S., Barakat, K., Kumarajeewa, T. R., Cassell, P. G., McDermott, M. F., Mohan, V., Ways, K., Bursell, S., Devries, T., Woodworth, J., Alatorre, C., King, G., Aiello, L. P., Karisen, A. E., Pavlovic, D., Nielsen, K., Jensen, J., Andersen, H. U., Pociot, F., Mandrup-Poulsen, T., Eizirik, D. L., Nerup, J., Lortz, S., Tiedge, M., Lenzen, S., Lally, F. J., Bone, A. J., Darville, M. I., Ho, Y.-S., Sternesjö, J., Sandler, S., Chen, M.-C., Schuit, F., Pipeleers, D. G., Merezak, S., Hardikar, A., Hoet, J. J., Remacle, C., Reusens, B., Bréant, B., Garofano, A., Czernichow, P., Kubota, N., Terauchi, Y., Miki, H., Tamemoto, H., Yamauchi, T., Nakano, R., Komeda, K., Eto, K., Tobe, K., Kimura, S., Kadowaki, T., Ide, T., Murakami, K., Tsunoda, M., Mochizuki, T., Ozanne, S. E., Nave, B. T., Wang, C. L., Dorling, M. W., Petry, C. J., Koopmans, S. J., van der Bent, C., Que, I., Radder, J. K., Sebokova, E., Sana, A. K., Klimes, I., Ruderman, N., Morviducci, L., Pastore, L., Morelli, S., Sagratella, E., Zorretta, D., Buongiomo, A., Tamburrano, G., Giaccari, A., Martinenghi, Sabina, De Angelis, Gabriella Cusella, Ravasi, Flavio, Bifari, Francesco, Bordignon, Claudio, Falqui, Luca, Kessler, A., Dransfeld, O., Sasson, S., Tomas, E., Zorzano, A., Eckel, J., Thorsby, P., Rosenfalck, A. M., Kjems, L., Hanssen, K. F., Madsbad, S., Birkeland, K. I., Hamilton-Wessler, M., Markussen, J., Bergman, R. N., Melki, V., Hanaire-Broutin, H., Bessières-Lacombe, S., Tauber, J.-P., Home, P. D., Lindholm, A., Riis, A., Rosenstock, J., Schwartz, S., Clark, C., Edwards, M., Donley, D., Swift, P., Mortensen, H. B., Lynggaard, H., Hougaard, P., Cull, C. A., Neil, H. A. W., Frighi, V., Manley, S. E., Holman, R. R., Turner, R. C., Steiner, G., Davis, W. A., Weeraratna, T., Bruce, D. G., Davis, T. M. E., Vergès, B., Duvillard, L., Pont, F., Florentin, E., Gambert, Ph., Benko, B., Ljubić, S., Turk, Z., Granić, M., März, W., Wollschläger, H., Klein, G., Neiss, A., Wehling, M., Huxtable, S. J., Saker, P. J., Walker, M., Frayling, T. M., Levy, J. C., O’Rahilly, S., Hattersley, A. T., McCarthy, M. I., Orecchio, A., Giacchini, A., Dominici, R., Canettieri, G., Trinti, B., Zani, M., Andreoli, M., Sciacchitano, S., de Silva, A. M., Whitecross, K., Pasco, J., Kotowicz, M., Nicholson, G., Zimmet, P., Boyko, E. J., Collier, G. R., Frittitta, L., Pizzuti, A., Argiolas, A., Graci, S., Goldfine, I. D., Bozzali, M., Ercolino, T., Costanzo, B., Iacoviello, L., Tassi, V., Trischitta, V., Wauters, M., Rankinen, T., Mertens, I., Chagnon, M., Bouchard, C., Van Gaal, L., Sivenius, K., Valve, R., Hakkarainen, V., Niskanen, L., Laakso, M., Uusitupa, M., Beridze, N., Japaridze, M., Kurashvili, R., Dundua, M., Kebuladze, G., Kazakhashvili, N., Offley-Shore, B., Thomas, B., Ghebremeskel, K., Crawford, M., Lowy, C., Eriksson, Ulf J., Martin Simán, C., Wisse, Bert, Gittenberger-de Groot, Adriana C., Wentzel, P., Eriksson, U. J., Wender-Ożegowska, E., Drews, K., Biczysko, R., Bronisz, A., Rość, D., Graczykowska-Koczorowska, A., Kotschy, M., Sokup, A., Kohnert, K. D., Besch, W., Strese, J., Frick, U., Zander, E., Kemer, W., Škrha, J., Kvasnička, J., Kalvodová, B., Hilgertová, J., Schatteman, K., Goossens, F., Scharpé, S., De Leeuw, I., Hendriks, D., Legakis, I. N., Panayiotou, D., Mountokalakis, Th. D., Enderle, M. D., Beckmann, P., Balletshofer, B., Rittig, K., Maerker, E., Volk, A., Meisner, C., Jacob, S., Matthaei, S., Häring, H. U., Rett, K., Ueda, K., Nakagawa, T., Shimajiri, Y., Kokawa, M., Matsumoto, E., Sasaki, H., Sanke, T., Nanjo, K., McKinnon, Caroline M., Macfarlane, Wendy M., Docherty, Kevin, Furukawa, N., Shirotani, T., Kishikawa, H., Kaneko, K., Araki, E., Shichiri, M., Prentki, M., Roduit, R., Susini, S., Buteau, J., Ejrnæs, A. M., Andersen, N. Aa., Osterhoff, M., Möhlig, M., Ortmann, J., Bikashaghi, F., Mayer, C., Bikashagi, F., Ackermans, M. T., Pereira Arias, A. M., Bisschop, P. H. L. T., Endert, E., Sauerwein, H. P., Romijn, J. A., Gastaldelli, A., Baldi, S., Pettiti, M., Natali, A., Frascerra, S., Camastra, S., Toschi, E., Ferrannini, E., Stingl, H., Krssak, M., Bischof, M. G., Krebs, M., Fürnsinn, C., Nowotny, P., Waldhäusl, W., Roden, M., Neeft, M., Meijer, A. 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- 1999
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34. Framing of scientific knowledge as a new category of health care research
- Author
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Salvador-Carulla L, Ana Fernandez, Madden R, Lukersmith S, Colagiuri R, Torkfar G, and Sturmberg J
- Subjects
epistemology, evidence-based medicine, framing, practical reasoning, typology of scientific studies - Abstract
The new area of health system research requires a revision of the taxonomy of scientific knowledge that may facilitate a better understanding and representation of complex health phenomena in research discovery, corroboration and implementation.
35. Health care frames - from Virchow to Obama and beyond: the changing frames in health care and their implications for patient care
- Author
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Jp, Sturmberg, O'Halloran D, Colagiuri R, Ana Fernandez, Lukersmith S, Torkfar G, and Salvador-Carulla L
- Subjects
frames, health care vortex, health economics, health systems, health systems reform, person-centred care, social determinants of health, somato-psycho-socio-semiotic model of health - Abstract
Framing allows us to highlight some aspects of an issue, thereby bringing them to the forefront of our thinking, talking and acting. As a consequence, framing also distracts our attention away from other issues. Over time, health care has used various frames to explain its activities. This paper traces the emergence of various health care frames since the 1850s to better understand how we reached current ways of thinking and practicing.
36. 35th Annual Meeting of the European Association for the Study of Diabetes : Brussels, Belgium, 28 September-2 October 1999
- Author
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Melander, A., Olsson, J., Lindberg, G., Salzman, A., Howard, T., Stang, P., Lydick, E., Emslie-Smith, A., Boyle, D. I. R., Evans, J. M. M., Macdonald, T. M., Bain, J., Sullivan, F., Ad Darts Memo, Morris For The Collaboration, Juhl, C., Porksen, N., Sturis, J., Hollingdal, M., Pincus, S., Veldhuis, J., Dejgaard, A., Schmitz, O., Kristensen, J. S., Frandsen, K. B., Bayer, Th, Muller, P., Dunning, B. E., Paladini, S., Gutierrez, C., Deacon, R., Valentin, M., Grunberger, G., Weston, W. M., Patwardhan, R., Rappaport, E. B., Sargeant, L. A., Wareham, N. J., Khaw, K. T., Zethelius, Bjorn, Lithell, Hans, Hales, C. Nicholas, Berne, Christian, Lakka, H-M, Oksanen, L., Tuomainen, T-P, Kontula, K., Salonen, J. T., Dekker, J. M., Boks, P., Vegt, F., Stehouwer, C. D. A., Nijpels, G., Bouter, L. M., Heine, R. J., Bruno, G., Cavallo-Perin, P., Bargero, G., D Errico, N., Borra, M., Macchia, G., Pagano, G., Newton, R. W., Ruta, D. A., New, J. P., Wallace, C., Roxburgh, M. A., Young, R. J., Vaughan, N. J. A., Elliott, P., Brennan, G., Devers, M., Macalpine, R., Steinke, D., Lawson, D. H., Decallonne, B., Casteels, K., Gysemans, C., Bouillon, R., Mathieu, C., Linn, Thomas, Strate, Christine, Schneider, Kerstin, Funda, D. P., Jirsa, M. Jr, Kozakova, H., Kaas, A., Kofronova, O., Tlaskalova-Hogenova, H., Buschard, K., Wanka, H., Hartmann, A., Kuttler, B., Rasmussen, S. B., Sorensen, T. S., Markholst, H., Petersen, J. S., Karounos, D., Dyrberg, T., Mabley, J. G., Hasko, G., Szabo, C., Seissler, J., Nguyen, T. B. T., Steinbrenner, H., Scherbaum, W. A., Cipriani, R., Gabriele, A., Sensi, M., Guidobaldi, L., Pantellini, F., Cerrito, M. G., Scarpa, S., Di Mario, U., Morano, S., Ceolotto, G., Iori, E., Baritono, E., Del Prato, S., Semplicini, A., Trevisan, R., Zerbini, G., Meregalli, G., Asnaghi, V., Tentori, F., Maestroni, A., Mangili, R., Marescotti, C., Vedovato, M., Tiengo, A., Tadjieva, J., Mankovsky, B. N., Aken, S., Raes, A., Vande Walle, J., Matthys, D., Craen, M., Hansen, H. 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37. Diabetes simulation: An effective method for teaching diabetes to medical students.
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Colagiuri, S. and Colagiuri, R.
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- *
DIABETES , *TRAINING of medical students , *HIGHER education - Abstract
Presents a report from `The Diabetes Educator' on the use of diabetes simulation for instruction of medical students. Typical diabetes regimen; Maintenance tests.
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- 1994
38. Diet and exercise in the prevention of diabetes
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Walker, K, O'Dea, Kerin, Gomez, M, Girgis, S, and Colagiuri, R
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exercise ,diabetes mellitus ,diet - Abstract
Background: Individuals with impaired fasting glucose or impaired glucose tolerance are at high risk of progression to type 2 diabetes. Lifestyle modification through change to diet and exercise habit has considerable potential to prevent or delay the onset of this disease.Methods: A systematic literature search was undertaken of Medline, EMBASE,the Cochrane library and the Cumulative Index to Nursing and Allied Health Literature for journal articles relevant to the question of whether type 2 diabetes can be prevented by lifestyle change. Results: Four cohort studies in a total of 4864 high risk individuals followed for a period of 2.5–6 years were identified. These showed that lifestyle change may reduce the incidence of type 2 diabetes by 28–59%. Moreover, follow-up studies also indicate that diabetes incidence rates continue to be depressed many years after the discontinuation of a lifestyle intervention. Evidence from a meta-analysis confirms this evidence and suggests that it would be necessary to treat 6.4 (95% confidence interval 5.0–8.4) individuals to prevent or delay one case of diabetes through lifestyle intervention. An examination of weight loss diets (low fat, high protein or Mediterranean) suggests each may be effective but each has limitations requiring care in food selection. Evidence also suggests that the maintenance of weight loss also requires regular exercise with an additional expenditure of approximately 8.4 MJ week)1 (2000 kcal week)1).Conclusions: Diabetes can be prevented by lifestyle change. The challenge is to develop public health approaches to support individuals with respect to incorporating the lifestyle changes needed to reduce the risk of diabetes into their everyday life. Refereed/Peer-reviewed
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- 2010
39. One world, one health: beyond the Millennium Development Goals.
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Marais B, Crawford J, Iredell J, Ward M, Simpson S, Gilbert L, Griffiths P, Kamradt-Scott A, Colagiuri R, Jones C, and Sorrell T
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- 2012
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40. Including health impacts in environmental impact assessments for three Australian coal-mining projects: a documentary analysis.
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Riley E, Sainsbury P, McManus P, Colagiuri R, Viliani F, Dawson A, Duncan E, Stone Y, Pham T, and Harris P
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- Environment, Humans, New South Wales, Coal Mining, Health Equity, Health Impact Assessment methods
- Abstract
Notwithstanding the historical benefits of coal in aiding human and economic development, the negative health and environmental impacts of coal extraction and processing are of increasing concern. Environmental impact assessments (EIAs) are a regulated policy mechanism that can be used to predict and consider the health impacts of mining projects to determine if consent is given. The ways in which health is considered within EIA is unclear. This research investigated 'How and to what extent are health, well-being and equity issues considered in Environmental Impact Assessments (EIAs) of major coal mining projects in New South Wales, Australia'. To this end we developed and applied a comprehensive coding framework designed to interrogate the publicly available environmental impact statements (EISs) of three mines in New South Wales (NSW), Australia, for their inclusion of health, well-being and equity issues. Analysis of the three EISs demonstrates that: the possible impacts of each mine on health and well-being were narrowly and inadequately considered; when health and well-being were considered there was a failure to assess the possible impacts specific to the particular mine and the communities potentially affected; the cumulative impacts on human health of multiple mines in the same geographical area were almost completely ignored; the discussions of intragenerational and intergenerational equity did not demonstrate a sound understanding of equity and, it is essential that governments' requirements for the EIA include detailed analysis of the health, well-being, equity and cumulative impacts specific to the proposed mine and relevant communities., (© The Author(s) 2019. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
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- 2020
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41. Comparing metabolic control and complications in type 2 diabetes in two Pacific Islands at baseline and following diabetes care intervention.
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Win Tin ST, Laesango N, Gadabu E, and Colagiuri R
- Abstract
Aim: To compare metabolic control and complications in people with type 2 diabetes in Nauru and the Solomon Islands before and after a project intervention., Methods: This follow-up study compared metabolic control and complications in a cohort of 216 people with diabetes (81 from Nauru and 135 from the Solomon Islands) at baseline and 15 months following a project intervention (upgrading and equipping the existing diabetes centres, and providing training and clinical support systems) aimed at improving the quality of clinical diabetes care. Subjects were screened using a standardised protocol which gathered information on demographics, treatment, physical and biochemical parameters and their outcomes., Results: At follow-up, glycaemic control had improved and mean HbA1c had decreased in study participants in both Nauru (mean difference (MD) = -0.9 ± 2.3%) and the Solomon Islands (MD = -0.6 ± 1.4%), P < 0.001. Mean blood pressure was reduced in the Solomon Islands (systolic MD = -11.6 ± 19.2 mmHg and diastolic MD = -5.4 ± 10.5 mmHg), P < 0.001. There were no significant changes in mean blood lipids or albumin-creatinine ratio. Overall the percentage of subjects achieving recommended clinical targets increased. However these percentages remained low, e.g. 23.5% of participants in Nauru and 20.7% in the Solomon Islands achieved an HbA1c target <7% (53 mmol/mol). A trend towards lower complications rates of foot problems was observed but there were no significant changes in the prevalence of other diabetes complications., Conclusions: This study indicates improved metabolic control but little change in diabetes complications 15 months after intervention. Efforts to improve and evaluate the ongoing quality and accessibility of diabetes care in Pacific Island settings need to be further strengthened.
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- 2016
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42. Counting the Cost of Diabetes in the Solomon Islands and Nauru.
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Tin ST, Iro G, Gadabu E, and Colagiuri R
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- Adult, Aged, Cross-Sectional Studies, Diabetes Complications drug therapy, Diabetes Mellitus, Type 2 drug therapy, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Young Adult, Delivery of Health Care economics, Diabetes Complications economics, Diabetes Mellitus, Type 2 economics, Drug Prescriptions economics, Quality of Life
- Abstract
Aim: To determine the costs associated with diabetes to governments, people with diabetes and their carers, and its impact on quality of life in two Pacific Island countries--the Solomon Islands and Nauru., Materials and Methods: This cross-sectional cost of illness study was conducted on 330 people with type 2 diabetes (197 from the Solomon Islands and 133 from Nauru) using a structured cost of illness survey questionnaire adapted from the Australian DiabCo$t study. Quality of life was measured by the EQ-5D Visual Analogue Scale., Results: There were 330 respondents (50% female; mean duration of diabetes 10.9 years; mean age 52.6 years). The estimated annual national cost of diabetes incurred by the Solomon Islands government was AUD 12.8 million (AUD 281 per person/year) and by Nauru government was AUD 1.2 million (AUD 747 per person/year). The major contribution to the government costs was inpatient services cost (71% in the Solomon Islands and 83% in Nauru). Annual expenditure for diabetes was approximately 20% of the governments' annual health care expenditure. Considerable absenteeism and retirement from work due to diabetes was found., Conclusions: This study found substantial public and personal costs associated with diabetes. The findings provide objective data on which health policy, funding and planning decisions about the prevention and control of diabetes in the Solomon Islands and Nauru can be reliably based and subsequently evaluated.
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- 2015
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43. Evidence-based medicine: is it a bridge too far?
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Fernandez A, Sturmberg J, Lukersmith S, Madden R, Torkfar G, Colagiuri R, and Salvador-Carulla L
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- Humans, Delivery of Health Care, Evidence-Based Medicine, Knowledge, Translational Research, Biomedical
- Abstract
Aims: This paper aims to describe the contextual factors that gave rise to evidence-based medicine (EBM), as well as its controversies and limitations in the current health context. Our analysis utilizes two frameworks: (1) a complex adaptive view of health that sees both health and healthcare as non-linear phenomena emerging from their different components; and (2) the unified approach to the philosophy of science that provides a new background for understanding the differences between the phases of discovery, corroboration, and implementation in science., Results: The need for standardization, the development of clinical epidemiology, concerns about the economic sustainability of health systems and increasing numbers of clinical trials, together with the increase in the computer's ability to handle large amounts of data, have paved the way for the development of the EBM movement. It was quickly adopted on the basis of authoritative knowledge rather than evidence of its own capacity to improve the efficiency and equity of health systems. The main problem with the EBM approach is the restricted and simplistic approach to scientific knowledge, which prioritizes internal validity as the major quality of the studies to be included in clinical guidelines. As a corollary, the preferred method for generating evidence is the explanatory randomized controlled trial. This method can be useful in the phase of discovery but is inadequate in the field of implementation, which needs to incorporate additional information including expert knowledge, patients' values and the context., Conclusion: EBM needs to move forward and perceive health and healthcare as a complex interaction, i.e. an interconnected, non-linear phenomenon that may be better analysed using a variety of complexity science techniques.
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- 2015
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44. Research Priorities for NCD Prevention and Climate Change: An International Delphi Survey.
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Colagiuri R, Boylan S, and Morrice E
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- Disease, Humans, Surveys and Questionnaires, Universities, Climate Change, Preventive Health Services, Public Health Practice, Research
- Abstract
Climate change and non-communicable diseases (NCDs) are arguably the greatest global challenges of the 21st Century. However, the confluence between them remains under-examined and there is little evidence of a comprehensive, systematic approach to identifying research priorities to mitigate their joint impact. Consequently, we: (i) convened a workshop of academics (n = 25) from the Worldwide Universities Network to identify priority areas at the interface between NCDs and climate change; (ii) conducted a Delphi survey of international opinion leaders in public health and relevant other disciplines; and (iii) convened an expert panel to review and advise on final priorities. Three research areas (water security; transport; conceptualising NCD harms to support policy formation) were listed among the top 10 priorities by >90% of Delphi respondents, and ranked among the top 12 priorities by >60% of respondents who ranked the order of priority. A fourth area (reducing the carbon footprint of cities) was ranked highest by the same >60% of respondents. Our results are consistent with existing frameworks on health and climate change, and extends them by focusing specifically on NCDs. Researching these priorities could progress understanding of climate change and NCDs, and inform global and national policy decisions for mitigating associated harms.
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- 2015
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45. A profile of diabetes in Pacific Island Countries and Territories.
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Tin ST, Lee CM, and Colagiuri R
- Subjects
- Adult, Aged, Aged, 80 and over, Blood Glucose metabolism, Diabetes Complications blood, Diabetes Mellitus, Type 2 blood, Female, Humans, Male, Middle Aged, Obesity complications, Obesity epidemiology, Overweight complications, Overweight epidemiology, Pacific Islands epidemiology, Prevalence, Quality of Life, Risk Factors, Cost of Illness, Diabetes Complications economics, Diabetes Complications epidemiology, Diabetes Mellitus, Type 2 economics, Diabetes Mellitus, Type 2 epidemiology
- Abstract
Aim: To examine the available evidence about the epidemiology, health, social, and economic impact of diabetes in Pacific Island Countries and Territories (PICTs)., Methods: We conducted a systematic review of the peer-reviewed literature published in English from January 1990 to January 2014, and relevant technical reports., Results: A total of 1548 articles were identified of which 35 studies of type 2 diabetes met the inclusion criteria. Eighteen technical reports were also included. We found no articles reporting on type 1 diabetes or gestational diabetes that met the inclusion criteria. The prevalence, risk factors and complications of diabetes were substantial. Diabetes prevalence rate of around 40% was common. Physical inactivity, overweight and obesity were leading risk factors. High rates of diabetes complications were reported e.g. up to 69% retinopathy. Poor clinical outcomes were also reported with over 70% not meeting glycaemic control targets and approximately 50% not meeting blood pressure and cholesterol targets., Conclusion: This review highlights the burden of diabetes in PICTs and the need for more intensive interventions to improve the quality and outcomes of diabetes care. Overall, further research is needed to monitor secular diabetes trends in PICTs using standardised criteria for diagnosing diabetes and its complications., (Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2015
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46. Framing of scientific knowledge as a new category of health care research.
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Salvador-Carulla L, Fernandez A, Madden R, Lukersmith S, Colagiuri R, Torkfar G, and Sturmberg J
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- Female, Humans, Interdisciplinary Communication, Male, Quality Control, Science, Delivery of Health Care standards, Evidence-Based Medicine standards, Health Services Research organization & administration, Knowledge
- Abstract
Rationale: The new area of health system research requires a revision of the taxonomy of scientific knowledge that may facilitate a better understanding and representation of complex health phenomena in research discovery, corroboration and implementation., Method: A position paper by an expert group following and iterative approach., Results: 'Scientific evidence' should be differentiated from 'elicited knowledge' of experts and users, and this latter typology should be described beyond the traditional qualitative framework. Within this context 'framing of scientific knowledge' (FSK) is defined as a group of studies of prior expert knowledge specifically aimed at generating formal scientific frames. To be distinguished from other unstructured frames, FSK must be explicit, standardized, based on the available evidence, agreed by a group of experts and subdued to the principles of commensurability, transparency for corroboration and transferability that characterize scientific research. A preliminary typology of scientific framing studies is presented. This typology includes, among others, health declarations, position papers, expert-based clinical guides, conceptual maps, classifications, expert-driven health atlases and expert-driven studies of costs and burden of illness., Conclusions: This grouping of expert-based studies constitutes a different kind of scientific knowledge and should be clearly differentiated from 'evidence' gathered from experimental and observational studies in health system research., (© 2014 John Wiley & Sons, Ltd.)
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- 2014
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47. Health care frames - from Virchow to Obama and beyond: the changing frames in health care and their implications for patient care.
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Sturmberg JP, O'Halloran D, Colagiuri R, Fernandez A, Lukersmith S, Torkfar G, and Salvador-Carulla L
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- Female, Health Care Reform legislation & jurisprudence, Health Policy legislation & jurisprudence, Humans, Male, Patient Care trends, Patient-Centered Care trends, Policy Making, Quality Improvement trends, Delivery of Health Care trends, Health Care Reform trends, Health Policy trends, Patient Protection and Affordable Care Act trends, Quality Assurance, Health Care trends, Systems Theory
- Abstract
Rationale, Aims, Objectives and Methods: Framing allows us to highlight some aspects of an issue, thereby bringing them to the forefront of our thinking, talking and acting. As a consequence, framing also distracts our attention away from other issues. Over time, health care has used various frames to explain its activities. This paper traces the emergence of various health care frames since the 1850s to better understand how we reached current ways of thinking and practicing., Results and Conclusions: The succession of the most prominent frames can be summarized as: medicine as a social science; the germ theory of disease; health care as a battleground (or the war metaphor); managing health care resources (or the market metaphor); Health for All (the social justice model); evidence-based medicine; and Obama Care. The focus of these frames is causal, instrumental, political/economic or social in nature. All remain relevant; however, recycling individual past frames in response to current problems will not achieve the outcomes we seek. Placing the individual and his/her needs at the centre (the attractor for the health system) of our thinking, as emphasized by the World Health Organization's International Classification of Function framework and the European Society of Person Centered Health Care, may provide the frame to refocus health and health care as interdependent experiences across individual, community and societal domains. Shifting beyond the entrenched instrumental and economic thinking will be challenging but necessary for the sake of patients, health professionals, society and the economy., (© 2014 John Wiley & Sons, Ltd.)
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- 2014
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48. The global response to diabetes: action or apathy?
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Colagiuri R, Dain K, and Moylan J
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- Apathy, Australia, Comorbidity, Cost of Illness, Humans, Diabetes Mellitus economics, Diabetes Mellitus epidemiology, Global Health, Health Policy, Health Priorities, United Nations
- Abstract
Diabetes and related non-communicable diseases (NCDs) account for over 60% of the world's annual deaths, untold personal suffering, and an economically crippling burden of lost productivity. Despite the body of evidence and various calls to action, historically, the global response has bordered on apathy. Although diabetes and related NCDs remain disproportionately underfunded, the United Nations now recognises them as a major challenge to human and economic development, resulting in an action-oriented policy, frameworks and monitoring requirements that are being driven by the UN and the World Health Organization. Australia is at the forefront of many of these initiatives and is currently developing a new national diabetes strategy.
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- 2014
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49. The prevalence of diabetes complications and associated risk factors in Pacific Islands countries.
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Win Tin ST, Kenilorea G, Gadabu E, Tasserei J, and Colagiuri R
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- Adult, Albuminuria diagnosis, Albuminuria etiology, Blood Glucose analysis, Cross-Sectional Studies, Diabetes Complications etiology, Diabetic Retinopathy complications, Diabetic Retinopathy epidemiology, Female, Humans, Hypertension complications, Hypertension epidemiology, Male, Middle Aged, Obesity complications, Obesity epidemiology, Pacific Islands epidemiology, Prevalence, Risk Factors, Diabetes Complications epidemiology, Diabetes Mellitus, Type 2 epidemiology
- Abstract
Aim: To determine the prevalence of diabetes complications and associated risk factors among people with type 2 diabetes in three Pacific Island countries, Nauru, Solomon Islands and Vanuatu., Methods: This cross-sectional study was carried out on a sample of 459 people with diabetes. Subjects were screened for complications using a standardised protocol which gathered information on demographics, physical and biochemical parameters., Results: Of the 459 subjects, 47% were female, mean age was 54 years and mean duration of diabetes was eight years. The prevalence of diabetes complications was significantly higher in Nauru compared with the Solomon Islands and Vanuatu - microalbuminuria 71%, 36% and 51% respectively (P<0.001), retinopathy 69%, 40% and 42% respectively (P<0.001), and abnormal foot sensation 30%, 23% and 19% respectively (P=0.036). The prevalences of hypertension, overweight/obesity and poor glycaemic control were high. The percentages of subjects achieving recommended clinical targets were low. Microalbuminuria was significantly associated with duration of diabetes, hypertension and glycaemic control. Diabetic retinopathy was significantly associated with duration of diabetes whereas abnormal foot sensation was significantly associated with duration of diabetes and glycaemic control., Conclusions: This study found a high prevalence of diabetes complications and associated risk factors, which indicate the need to improve diabetes care and strengthen preventive efforts to reduce complications., (Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.)
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- 2014
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50. Diabetes related amputations in Pacific Islands countries: a root cause analysis of precipitating events.
- Author
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Win Tin ST, Gadabu E, Iro G, Tasserei J, and Colagiuri R
- Subjects
- Diabetes Mellitus epidemiology, Humans, Melanesia epidemiology, Micronesia epidemiology, Pacific Islands, Risk Factors, Vanuatu epidemiology, Amputation, Surgical statistics & numerical data
- Abstract
Aim: To identify precipitating events and factors preceding diabetes related amputations in Pacific Islands countries (PICs)., Methods: Using a root cause analysis approach, a questionnaire seeking information on events leading up to amputation was administered to a convenience sample of 85 people with diabetes in three PICs (Solomon Islands, Nauru and Vanuatu) who had a lower limb amputation in the previous five years., Results: There were 85 participants (36% females) with a mean age of 54.1 years and a mean diabetes duration of 10.5 years prior to amputation. The first event was trauma and an infected wound in 55% and a blister in another 41%. Half (51%) did take any action soon after the initial trigger event. The major reasons leading to the amputation included delaying treatment (42%), use of traditional treatments (18%) and insufficient knowledge about foot care (11%). 36% of participants had not received foot care information prior to the amputation and 19% did not attend anywhere for regular treatment., Conclusions: This study identified key precipitating events and underlying factors which contribute to diabetes related amputations and which, if addressed successfully, have the potential to reduce amputations rates., (Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2013
- Full Text
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