Evaluation of the clinical and cost effectiveness of intermediate care clinics for diabetes (ICCD): a multicentre cluster randomised controlled trial

A. Wilson; J.P. O’Hare; A. Hardy; N. Raymond; Ala Szczepura; R. Crossman; Darrin Baines; K. Khunti; S. Kumar; P. Saravanan; ICCD trial group

doi:10.1371/journal.pone.0093964

Evaluation of the clinical and cost effectiveness of intermediate care clinics for diabetes (ICCD): a multicentre cluster randomised controlled trial

A. Wilson, J.P. O’Hare, A. Hardy, N. Raymond, Ala Szczepura, R. Crossman, Darrin Baines, K. Khunti, S. Kumar, P. Saravanan, ICCD trial group

Research output: Contribution to journal › Article › peer-review

22 Citations (Scopus)

28 Downloads (Pure)

Abstract

Background: Configuring high quality care for the rapidly increasing number of people with type 2 diabetes (T2D) is a major challenge worldwide for both providers and commissioners. In the UK, about two thirds of people with T2D are managed entirely in primary care, with wide variation in management strategies and achievement of targets. Pay for performance, introduced in 2004, initially resulted in improvements but disparities exist in ethnic minorities and the improvements are levelling off. Community based, intermediate care clinics for diabetes (ICCDs) were considered one solution and are functioning across the UK. However, there is no randomised trial evidence for the effectiveness of such clinics. Trial Design, Methods and Findings: This is a cluster-randomised trial, involving 3 primary care trusts, with 49 general practices randomised to usual care (n = 25) or intervention (ICCDs; n = 24). All eligible adult patients with T2D were invited; 1997 were recruited and 1280 followed-up after 18-months intervention. Primary outcome: achievement of all three of the NICE targets [(HbA1c≤7.0%/53 mmol/mol; Blood Pressure

Original language	English
Article number	e93964
Journal	PLoS ONE
Volume	9
Issue number	4
DOIs	https://doi.org/10.1371/journal.pone.0093964
Publication status	Published - 15 Apr 2014
Externally published	Yes

Bibliographical note

ClinicalTrials.gov NCT00945204; National Research Register (NRR) M0014178167. : The study is funded by National Institute for Health Research (NIHR) - Health Services and Delivery Research (HS&DR) stream (previously known as NIHR SDO). This is a UK government funding (publicly funded) body. Project number: SDO/110/2005; Initial service for support costs was provided by Department of health.NHS Leicester City, Thames Valley Diabetes Research Network (TVDRN), West Midlands South Comprehensive Local Research Network (CLRN), Primary Care Research Network (PCRN) and DIERT charity provided additional support for the successful completion of the study. Please note Coventry author Dr Baines was working at the University of Warwick at the time of publication.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, http://creativecommons.org/licenses/by/4.0/ which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Keywords

diabetes
intermediate care clinics
cost-effectiveness
clinical effectiveness

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1371/journal.pone.0093964Licence: CC BY

JournalFinal published version, 620 KBLicence: CC BY

http://curve.coventry.ac.uk/open/items/2cc07ab3-0689-4df1-b84a-87c713ce0f6f/1/

1 Finished

Evaluation of Intermediate Care Clinics for Diabetes (ICCD). [FUNDER: Service Delivery & Organisation (SDO) Programme].
Wlson, A., Szczepura, A., Khunti, K., Baker, R. H., Raymond , N., Kumar , S., Gumber, A. K., Dale, J. & Davies, M. J.
1/01/07 → 31/12/12
Project: Project at former HEI

22 Citations
1 Article

A cluster randomized controlled trial of the effectiveness and cost-effectiveness of Intermediate Care Clinics for Diabetes (ICCD): study protocol for a randomized controlled trial
Armstrong, N., Baines, D., Baker, R., Crossman, R., Davies, M., Hardy, A., Khunti, K., Kumar, S., O’Hare, J. P., Raymond, N., Saravanan, P., Stallard, N., Szczepura, A., Wilson, A. & ICCD Study Group , 12 Sept 2012, In: Trials. 13, 164.
Research output: Contribution to journal › Article › peer-review

Open Access
File
6 Citations (Scopus)

31 Downloads (Pure)

Ala Szczepura
- Centre for Healthcare and Communities - Professor of Health Technology Assessment
Person: Teaching and Research

Cite this

Wilson, A., O’Hare, J. P., Hardy, A., Raymond, N., Szczepura, A., Crossman, R., Baines, D., Khunti, K., Kumar, S., Saravanan, P., & ICCD trial group (2014). Evaluation of the clinical and cost effectiveness of intermediate care clinics for diabetes (ICCD): a multicentre cluster randomised controlled trial. PLoS ONE, 9(4), Article e93964. https://doi.org/10.1371/journal.pone.0093964

Wilson, A, O’Hare, JP, Hardy, A, Raymond, N, Szczepura, A, Crossman, R, Baines, D, Khunti, K, Kumar, S, Saravanan, P & ICCD trial group 2014, 'Evaluation of the clinical and cost effectiveness of intermediate care clinics for diabetes (ICCD): a multicentre cluster randomised controlled trial', PLoS ONE, vol. 9, no. 4, e93964. https://doi.org/10.1371/journal.pone.0093964

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Evaluation of the clinical and cost effectiveness of intermediate care clinics for diabetes (ICCD): a multicentre cluster randomised controlled trial

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Fingerprint

Projects

Evaluation of Intermediate Care Clinics for Diabetes (ICCD). [FUNDER: Service Delivery & Organisation (SDO) Programme].

Research output

A cluster randomized controlled trial of the effectiveness and cost-effectiveness of Intermediate Care Clinics for Diabetes (ICCD): study protocol for a randomized controlled trial

Profiles

Ala Szczepura

Cite this