Keywords
Type 2 Diabetes Mellitus
Evidence brief for policy
Public health policies
Evidence brief for policy
Public health policies
How to Cite
Florença Cardoso, . B., Fraga Vitório, M., Fernandes Silva, N., Rodrigues Tesser, T., Ribeiro Silveira, T., Setsuko Toma, T., & Carla de Bortoli, M. . (2016). Policy options for controlling type 2 diabetes mellitus in the city of Franco da Rocha-SP. Boletim Do Instituto De Saúde - BIS, 17(1), 95–104. https://doi.org/10.52753/bis.v17i1.35376
Abstract
It is estimated that diabetes mellitus prevalence in Brazilian population is about 8%, and around 85 to 90% of all cases are type 2 diabetes mellitus (DM2). The disease arises insidiously having heredity, obesity, inadequate dietary habits, stress and sedentary lifestyle as predisposing factors. Economic and social burden of the disease are substantial due to acute and chronic complications, hospitalizations, disablements and premature deaths. Diabetes is considered as a sensitive condition to primary health care, being health teams in charge of improving patients’ compliance to treatment, including lifestyle changes. In Franco da Rocha, a city in São Paulo State, premature deaths regarding diabetes have increased in the last years, more frequently amongst men. A Policy Brief was elaborated with the aim to support the formulation of a public policy to control DM2 in that city. Following the proposed methodology of Evidence Informed Policy Network (EVIPNet) five options to manage DM2 were identified, from the search in the main scientific database for systematic reviews. These options, as well as their barriers to implement actions were discussed with the health team.
References
1. Angeles RN, Howard MI, Dolovich L. The effectiveness of web-based tools for improving blood glucose control in patients with diabetes mellitus: a
meta-analysis. Can J Diabetes. 2011;35(4):344-52.
2. Asante E. Interventions to promote treatment adherence in type 2 diabetes mellitus. Br J Community Nurs.2013;18(6):267-74.
3. Bolen SD, Chandar A, Falck-Ytter C, Tyler C, Perzynski AT, Gertz AM, et al. Effectiveness and safety of patient activation interventions for adults with
type 2 diabetes: systematicreview, meta-analysis, and meta-regression. J Gen Intern Med. 2014[acesso em 17 dez 2015];29(8):1166-76.
Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099447/pdf/11606_2014_Article_2855.pdf
4. Conselho Regional de Farmácia de Minas Gerais. A importância do farmacêutico no SUS: suas competências e atribuições nas ações de saúde
pública. Belo Horizonte: CRF/MG; 2011. 28p. [acesso em 17 dez 2015]. Disponível em: http://www.crfmg.org.br/externo/profissional_
empresa/downloads/2.pdf
5. Coster S, Gulliford MC, Seed PT, Powrie JK, Swaminathan R. Monitoring blood glucose control in diabetes mellitus: a systematic review. Health
Technol Assess. 2000[acesso em 17 dez 2015];4(12):i-iv, 1-93. Disponível em: http://www.journalslibrary.nihr.ac.uk/_ _data/assets/pdf_
file/0011/64919/FullReport-hta4120.pdf
6. Edelman D, Gierisch JM, McDuffie JR, Oddone E, Williams JW Jr. Shared medical appointments for patients with diabetes mellitus: a systematic
review. J Gen Intern Med.2015;30(1):99-106.
7. Guidoni CM, Olivera CMX, Freitas O de, Pereira LRL. Assistência ao diabetes no Sistema Único de Saúde: análise do modelo atual. Braz J Pharm Sci.
2009[acesso em 17 dez 2015]; 45(1): 37-48. Disponível em: http://www.scielo.br/pdf/bjps/v45n1/05.pdf
8. Lavis JN, Oxman AD, Lewin S, Fretheim A. Ferramentas SUPPORT para a elaboração de políticas de saúde baseadas em evidências (STP). [acesso em
18 dez 2015]. Disponível em: http://sintese.evipnet.net/livro/ferramentas-supportpara-a-elaboracao-de-politicas-de-saude-baseadas-emevidencias-
stp/
9. Li X, Mao M, Ping Q. Effect of pharmaceutical care programs on glycemic control in patients with diabetes mellitus: a meta-analysis of randomized
controlled trials. J Pharm Technol. 2010;26(5):255-63.
10. Lindenmeyer A, Hearnshaw H, Vermeire E, Van Royen P, Wens J, Biot Y. Interventions to improve adherence to medication in people with type 2
diabetes mellitus: a review of the literature on the role of pharmacists. J Clin Pharm Ther. 2006[acesso em 18 dez 2015];31(5):409-
19. Disponível em: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2710.2006.00759.x/epdf
11. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Estratégias para o cuidado da pessoa com doença crônica:
diabetes mellitus. Brasília (DF); 2013. 160 p.: il. (Cadernos de Atenção Básica, 36). [acesso em 18 dez 2015]. Disponível em:
http://189.28.128.100/dab/docs/portaldab/publicacoes/caderno_36.pdf
12. Pillay J, Armstrong MJ, Butalia S, Donovan LE, Sigal RJ, Vandermeer B, et al.Behavioral Programs for Type 2 Diabetes Mellitus: a systematic review
and network meta-analysis. Ann Intern Med. 2015[acesso em 18 dez 2015];163(11):848-60. Disponível em: http://annals.org/
article.aspx?articleid=2446188
13. Porth CM, Kunert MP. Fisiopatologia. 6.ed. Mundim FD, tradutor. Rio de Janeiro: Guanabara Koogan; 2004.Cap.14.
14. Prado M, Alunos do Programa de Aprimoramento Profissional em Saúde Coletiva – Turma 2014. Análise de situação de saúde: município de Franco
da Rocha (SP). São Paulo: Instituto de Saúde; 2015. 117p.
15. Renders CM, Valk GD, Griffin SJ, Wagner E, van Eijk JT, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary
care, outpatient and community settings. Cochrane Database of Systematic Reviews 2000, Issue 4. Art. No.: CD001481. DOI: 10.1002/14651858.
CD001481.
16. Santos ECB, Teixeira CRS, Zanetti ML, Santos MA, Pereira MCA. Políticas públicas e direitos dos usuários do Sistema Único de Saúde com diabetes
mellitus. Rev. Bras. Enferm. 2011[acesso em 18 dez 2015];64(5):952-957. Disponível em: http://www.scielo.br/pdf/reben/v64n5/a23v64n5.pdf
17. Shea BJ, Grimshaw JM, Wells GA, Boers M, Andersson N, Hamel C, et al. Development of AMSTAR: a measurement tool to assess the
methodological quality of systematic reviews. BMC Med Res Methodol. 2007[acesso em 18 dez2015].;7:10. Disponível em:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1810543/pdf/1471-2288-7-10.pdf
18. Shojania KG, Ranji SR, Shaw LK, Charo LN, Lai JC, Rushakoff RJ, et al. Diabetes Mellitus Care. Vol. 2 of: Shojania KG, McDonald KM, Wachter RM,
Owens DK. Closing The Quality Gap: A Critical Analysis of Quality Improvement Strategies. Technical Review 9 (AHRQ Publication , 04-0051-2).
Rockville, MD: Agency for Health Care Research and Quality; 2004. [acesso em 18 dez 2015]. Disponível em:
http://www.ahrq.gov/downloads/pub/evidence/pdf/ qualgap2/qualgap2.pdf
19. Steinsbekk A, Rygg LØ, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for
people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012[acesso em 18 dez 2015].;12:213.
Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3418213/pdf/1472-6963-12-213.pdf
20. Toma T, Athanasiou T, Harling L, Darzi A, Ashrafian H. Online social networking services in the management of patients with diabetes mellitus:
systematic review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2014;106(2):200-11.
21. Worswick J, Wayne SC, Bennett R, Fiander M, Mayhew A, Weir MC, et al. Improving quality of care for persons with diabetes: an overview of
systematic reviews - what does the evidence tell us? Syst Rev. 2013[acesso em 20 dez 2015];2:26. . Disponível em: http://www.ncbi.nlm.nih.gov/
pmc/articles/PMC3667096/pdf/2046-4053-2-26.pdf
22. Wubben D, Vivian E. Effects of pharmacist outpatient interventions on adults with diabetes mellitus: A systematic review. Pharmacotherapy.
2008;28(4):421-36.
meta-analysis. Can J Diabetes. 2011;35(4):344-52.
2. Asante E. Interventions to promote treatment adherence in type 2 diabetes mellitus. Br J Community Nurs.2013;18(6):267-74.
3. Bolen SD, Chandar A, Falck-Ytter C, Tyler C, Perzynski AT, Gertz AM, et al. Effectiveness and safety of patient activation interventions for adults with
type 2 diabetes: systematicreview, meta-analysis, and meta-regression. J Gen Intern Med. 2014[acesso em 17 dez 2015];29(8):1166-76.
Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099447/pdf/11606_2014_Article_2855.pdf
4. Conselho Regional de Farmácia de Minas Gerais. A importância do farmacêutico no SUS: suas competências e atribuições nas ações de saúde
pública. Belo Horizonte: CRF/MG; 2011. 28p. [acesso em 17 dez 2015]. Disponível em: http://www.crfmg.org.br/externo/profissional_
empresa/downloads/2.pdf
5. Coster S, Gulliford MC, Seed PT, Powrie JK, Swaminathan R. Monitoring blood glucose control in diabetes mellitus: a systematic review. Health
Technol Assess. 2000[acesso em 17 dez 2015];4(12):i-iv, 1-93. Disponível em: http://www.journalslibrary.nihr.ac.uk/_ _data/assets/pdf_
file/0011/64919/FullReport-hta4120.pdf
6. Edelman D, Gierisch JM, McDuffie JR, Oddone E, Williams JW Jr. Shared medical appointments for patients with diabetes mellitus: a systematic
review. J Gen Intern Med.2015;30(1):99-106.
7. Guidoni CM, Olivera CMX, Freitas O de, Pereira LRL. Assistência ao diabetes no Sistema Único de Saúde: análise do modelo atual. Braz J Pharm Sci.
2009[acesso em 17 dez 2015]; 45(1): 37-48. Disponível em: http://www.scielo.br/pdf/bjps/v45n1/05.pdf
8. Lavis JN, Oxman AD, Lewin S, Fretheim A. Ferramentas SUPPORT para a elaboração de políticas de saúde baseadas em evidências (STP). [acesso em
18 dez 2015]. Disponível em: http://sintese.evipnet.net/livro/ferramentas-supportpara-a-elaboracao-de-politicas-de-saude-baseadas-emevidencias-
stp/
9. Li X, Mao M, Ping Q. Effect of pharmaceutical care programs on glycemic control in patients with diabetes mellitus: a meta-analysis of randomized
controlled trials. J Pharm Technol. 2010;26(5):255-63.
10. Lindenmeyer A, Hearnshaw H, Vermeire E, Van Royen P, Wens J, Biot Y. Interventions to improve adherence to medication in people with type 2
diabetes mellitus: a review of the literature on the role of pharmacists. J Clin Pharm Ther. 2006[acesso em 18 dez 2015];31(5):409-
19. Disponível em: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2710.2006.00759.x/epdf
11. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Estratégias para o cuidado da pessoa com doença crônica:
diabetes mellitus. Brasília (DF); 2013. 160 p.: il. (Cadernos de Atenção Básica, 36). [acesso em 18 dez 2015]. Disponível em:
http://189.28.128.100/dab/docs/portaldab/publicacoes/caderno_36.pdf
12. Pillay J, Armstrong MJ, Butalia S, Donovan LE, Sigal RJ, Vandermeer B, et al.Behavioral Programs for Type 2 Diabetes Mellitus: a systematic review
and network meta-analysis. Ann Intern Med. 2015[acesso em 18 dez 2015];163(11):848-60. Disponível em: http://annals.org/
article.aspx?articleid=2446188
13. Porth CM, Kunert MP. Fisiopatologia. 6.ed. Mundim FD, tradutor. Rio de Janeiro: Guanabara Koogan; 2004.Cap.14.
14. Prado M, Alunos do Programa de Aprimoramento Profissional em Saúde Coletiva – Turma 2014. Análise de situação de saúde: município de Franco
da Rocha (SP). São Paulo: Instituto de Saúde; 2015. 117p.
15. Renders CM, Valk GD, Griffin SJ, Wagner E, van Eijk JT, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary
care, outpatient and community settings. Cochrane Database of Systematic Reviews 2000, Issue 4. Art. No.: CD001481. DOI: 10.1002/14651858.
CD001481.
16. Santos ECB, Teixeira CRS, Zanetti ML, Santos MA, Pereira MCA. Políticas públicas e direitos dos usuários do Sistema Único de Saúde com diabetes
mellitus. Rev. Bras. Enferm. 2011[acesso em 18 dez 2015];64(5):952-957. Disponível em: http://www.scielo.br/pdf/reben/v64n5/a23v64n5.pdf
17. Shea BJ, Grimshaw JM, Wells GA, Boers M, Andersson N, Hamel C, et al. Development of AMSTAR: a measurement tool to assess the
methodological quality of systematic reviews. BMC Med Res Methodol. 2007[acesso em 18 dez2015].;7:10. Disponível em:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1810543/pdf/1471-2288-7-10.pdf
18. Shojania KG, Ranji SR, Shaw LK, Charo LN, Lai JC, Rushakoff RJ, et al. Diabetes Mellitus Care. Vol. 2 of: Shojania KG, McDonald KM, Wachter RM,
Owens DK. Closing The Quality Gap: A Critical Analysis of Quality Improvement Strategies. Technical Review 9 (AHRQ Publication , 04-0051-2).
Rockville, MD: Agency for Health Care Research and Quality; 2004. [acesso em 18 dez 2015]. Disponível em:
http://www.ahrq.gov/downloads/pub/evidence/pdf/ qualgap2/qualgap2.pdf
19. Steinsbekk A, Rygg LØ, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for
people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012[acesso em 18 dez 2015].;12:213.
Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3418213/pdf/1472-6963-12-213.pdf
20. Toma T, Athanasiou T, Harling L, Darzi A, Ashrafian H. Online social networking services in the management of patients with diabetes mellitus:
systematic review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2014;106(2):200-11.
21. Worswick J, Wayne SC, Bennett R, Fiander M, Mayhew A, Weir MC, et al. Improving quality of care for persons with diabetes: an overview of
systematic reviews - what does the evidence tell us? Syst Rev. 2013[acesso em 20 dez 2015];2:26. . Disponível em: http://www.ncbi.nlm.nih.gov/
pmc/articles/PMC3667096/pdf/2046-4053-2-26.pdf
22. Wubben D, Vivian E. Effects of pharmacist outpatient interventions on adults with diabetes mellitus: A systematic review. Pharmacotherapy.
2008;28(4):421-36.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2016 Bruna Florença Cardoso, Magna Fraga Vitório, Naiana Fernandes Silva, Taís Rodrigues Tesser, Tatiane Ribeiro Silveira, Tereza Setsuko Toma, Maritsa Carla de Bortoli
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...