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. 2000 Oct 23;2000(4):CD001481. doi: 10.1002/14651858.CD001481

De Sonnaville 1997.

Methods CBA 
 Characteristics of studies using second site as control: NOT DONE 
 Follow up: 
 ‐ providers: NOT CLEAR 
 ‐ patients: NOT DONE 
 Blinded assessment: DONE for laboratory outcomes, NOT CLEAR for BMI, wellbeing, treatment satisfaction 
 Baseline: NOT DONE for fasting glucose, systolic blood pressure 
 DONE for HbA1c, 
 triglycerides, HDL cholesterol, 
 serum cholesterol, BMI, diastolic blood pressure 
 NOT CLEAR‐> wellbeing, treatment satisfaction 
 Reliable outcomes: DONE for HbA1c, fasting glucose, HDL cholesterol, 
 serum cholesterol, triglycerides 
 NOT CLEAR‐> BMI, wellbeing, treatment satisfaction 
 Protection against contamination: DONE
unit of analysis error
Participants 22 of 29 eligible GPs in the western part of Amsterdam (The Netherlands). 
 GPs were requested to enrol all their known and newly diagnosed NIDDM patients. Of the 570 eligible patient in the intervention group 167 did not participate. Two‐year follow‐up data were available of 350 of 459 patients. In the control group follow‐up data were available of 68 of 102 participants (Type 2 diabetes) 
 providers ‐ 22 physicians 
 patients ‐ 561 
 practices ‐ ?
Interventions Intervention group: 
 Organisational intervention (clinical multidisciplinary team + formal integration of services + arrangements for follow up + communication and case discussion between distant health professionals + changes to the setting /site of service delivery + changes in medical records systems) + patient education
(GP was supported by a laboratory with facilities to visit patients at home, a computerised patient register and recall system, a diabetes nurse educator and a podiatrist)
Control group: usual care
Length of intervention: 
 2 years
Outcomes PROCESS: NONE
PATIENT: 
 Fasting glucose 
 HbA1c 
 BMI 
 Blood glucose lowering therapy 
 Total cholesterol 
 HDL‐cholesterol 
 Triglycerides 
 Systolic blood pressure 
 Diastolic blood pressure
Notes National guidelines (Dutch GP Guidelines) based upon the guidelines of the European NIDDM Policy Group 
 ‐directed at monitoring and treatment 
 ‐targets: glycaemic control and cardiovascular risk factors
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used