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. 2018 Jul 16;2018(7):CD001271. doi: 10.1002/14651858.CD001271.pub3

4. Process of care outcomes.

Study Provider care
Campbell 2014 Difficulty with (nurse triage vs GP triage, MD (95% CI):
Phone access: 6.49 (–1.26 to 14.25)a
Receiving prompt care: 6.63 (3.23 to 10.03)a
Seeing a doctor or nurse: 3.67 (–0.37 to 7.71)a
Getting medical help: 5.09 (2.69 to 7.50)a
Convenience of care 3.68 (1.13 to 6.24)a
Problem resolution: nurse triage vs GP triage: 0.41 (–1.86 to 2.67)a
Process indicators:
‐ Number of contacts per person: nurse vs GP triage: 1·04 (1·01 to 1·08)a
‐ 23% in the GP‐triage group and 12% in the nurse‐triage group had just 1 contact after their initial consultation requestb
Dierick‐van Daele 2009 Adherence to guidelines: nurse 79.8%, doctor 76.2%a,c
Houweling 2011 Process indicators:
‐ Patients with last retina control > 24 months ago (n = 64) referred to an ophthalmologist: nurse 24/34 (70.6) vs GP 11/30 (36.7), P = 0.007
‐ Patients with feet at‐risk (n = 109) for whom measures were taken: nurse 34/60 (56.7) vs GP 13/49 (26.5), P = 0.001
‐ Patients referred to an internist to start insulin therapy: nurse 10/102 (9.8) vs GP 2/104 (1.9), P = 0.015
‐ Patients with HbA1c ≥ 7 at baseline (n = 120), for whom glucose‐lowering therapy was intensified: nurse 53/64 (82.8) vs GP 28/56 (50.0), P = 0.001
‐ Patients with BP > 140/90 at baseline (n = 170) for whom blood pressure‐lowering therapy was intensified: nurse 42/85 (49.4) vs GP 24/85 (28.2), P = 0.005
‐ Patients not meeting target values for lipid profile at baseline (n = 55), for whom lipid‐lowering therapy was intensified: nurse 13/29 (44.8) vs GP 13/26 (50.0), P = 0.147
Moher 2001 Adequate assessment:
‐ Clinical assessment: nurse vs GP: 9% (95% CI ‐3 to 22), P = 0.13
‐ Blood pressure: no differencec
‐ Cholesterol: no differencec
‐ Smoking status: no differencec
Mundinger 2000 Documentation of provider behaviour diabetes care:
‐ Education (8 items): overall ‘any education’: nurse 84,9% vs medical doctor 42.4% (P < 0.001). With regard to specific items, nurse more education: 4 out of 7 topics: nutrition, weight, exercise, and medication (P < 0.01)
‐ History taken (5 items): no difference
‐ Monitoring (9 items): nurse ordered/carried out more laboratory tests, such as urinalysis (nurse 80.2%, medical doctor 55.9%, P < 0.01) and glycosylated haemoglobin (A1C value) (nurse 81.4, medical doctor 66.1, P < 0.05); nurse reported more frequently height of patients (nurse 91.9%, medical doctor 71.2%, P < 0.01). On other 6 items, no difference
‐ Referral (1 item): no differences
Ndosi 2013 Interventions:
‐ Giving patient education: nurse > doctor; RR (95% CI) 1.76 (1.15 to 2.69), P = 0.009
‐ Giving psychosocial support: nurse > doctor; RR (95% CI) 3.29 (2.55 to 4.24), P < 0.0001
Shum 2000 Provision of information:
‐ Self‐medication: nurse 22.2% vs GP 13.7%, P < 0.001
‐ Self‐management: nurse 81.7% vs GP 57.6%, P < 0.001
Spitzer 1973 Adequate treatment:
‐ Drug treatment: nurses 71%, doctors 75%a
‐ Management of episodes: nurses 69%, doctors 66%a
Voogdt‐Pruis 2010 Lifestyle and medical intervention nurse vs doctor:
‐ Smoking behaviour 8.2% vs 3.2%a
‐ Blood pressure 35.4% vs 26.6% (1.01 to 2.24; P = 0.04)
‐ Lipids 47.1 vs 22.3 (1.98 to 4.43; P < 0.01)
‐ Weight 36.9 vs 7.6 (4.26 to 12.52; P < 0.01)
‐ Exercise 19.4 vs 3.2a
‐ Food intake 14.6 vs 3.2a
‐ Medication 22.3 vs 14.7 (0.99 to 2.59; P = 0.05)
‐ None 22.8 vs 43.2 (1.69 to 3.86; P < 0.01)
Asked about the use of medication: nurse vs doctor
Group difference 2.12 (1.38 to 3.26; P < 0.01)
‐ Never 57.4 vs 75.4
‐ Sometimes 20.0 vs 14.4
‐ Often 22.1 vs 9.7
Venning 2000 Examinations: nurse vs GP: MD 0.19 (95% CI ‐0.03 to 0.71), P = 0.072

aNo P value reported.

bTrial authors reported only the direction of the outcome; it remains unknown whether the difference is statistically significant.

cTrial authors reported no effect size or reported effect sizes in graphs (no exact effect sizes extracted).

CI: confidence interval.

GP: general practitioner.

MD: mean difference.

RR: risk ratio.

*there may be additional data in the Campbell 2014 articles that have not been extracted