Most Read Articles
Roshini Claire Anthony, 5 days ago

Individuals with moderate-to-severe plaque psoriasis may reap better long-term improvements in the severity of their condition when treated with guselkumab over secukinumab, according to findings of the phase III ECLIPSE* trial presented at the recent Inflammatory Skin Disease Summit (ISDS 2018) held in Vienna, Austria.

Jairia Dela Cruz, 11 Jan 2019
Use of standard-dose aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) appears to confer protection against the risk of endometrial cancer in overweight and obese women, according to a meta-analysis.
4 days ago
Discontinuing the use of tyrosine kinase inhibitors (TKIs) in the treatment of patients with chronic myeloid leukaemia appears to be feasible in real-life clinical practice in the context of close molecular monitoring, a study reports.
5 days ago
There appears to be no clear link between pornography use, even at problematic levels, and erectile dysfunction, a recent US study has shown.

Peer support reduces hospitalizations in diabetics with comorbid depression

07 Nov 2018

Peer support reduces the utilization of acute care (AC) in type 2 diabetes patients with comorbid depression, reports a recent study.

Researchers randomly assigned 360 adults (mean age 60.2±12.1 years; 75.3 percent female) with type 2 diabetes to receive either peer support or usual care. Depressive symptoms were measured using the Patient Health Questionnaire (PHQ), while AC and hospital utilization was evaluated through self-reports.

At baseline, half of the participants had PHQ >5 and a fourth had PHQ >10. Mean glycated haemoglobin level was 7.9 percent, and the mean duration of diabetes was 13.3 years. There was no significant difference in baseline AC utilization between intervention and control groups.

At the 12-month follow-up, AC visits (incidence rate ratio [IRR], 0.699; 95 percent CI, 0.386–1.27; p=0.238), hospitalizations (IRR, 0.505; 0.21–1.21; p=0.128) and other visits were statistically comparable between those who received the peer support intervention and usual care control.

However, in the subset of participants with PHQ score >5, the intervention appeared to significantly reduce the rate of hospitalization by 74 percent at follow-up (IRR, 0.26; 0.08–0.84). The same was true for AC visits (IRR, 0.55; 0.28–1.07).

Moreover, the predicted number of hospitalizations in the intervention and control groups were 0.85 and 3.23 per 10 person-years, respectively. In absolute terms, this corresponds to one hospitalization prevented per year for every 4.2 participants enrolled in the intervention.

Researchers obtained similar results when they restricted the analysis to those with PHQ scores >10, but not to those with scores <5. The findings thus indicated that peer support holds value for diabetics with, but not without, depressive symptoms.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 5 days ago

Individuals with moderate-to-severe plaque psoriasis may reap better long-term improvements in the severity of their condition when treated with guselkumab over secukinumab, according to findings of the phase III ECLIPSE* trial presented at the recent Inflammatory Skin Disease Summit (ISDS 2018) held in Vienna, Austria.

Jairia Dela Cruz, 11 Jan 2019
Use of standard-dose aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) appears to confer protection against the risk of endometrial cancer in overweight and obese women, according to a meta-analysis.
4 days ago
Discontinuing the use of tyrosine kinase inhibitors (TKIs) in the treatment of patients with chronic myeloid leukaemia appears to be feasible in real-life clinical practice in the context of close molecular monitoring, a study reports.
5 days ago
There appears to be no clear link between pornography use, even at problematic levels, and erectile dysfunction, a recent US study has shown.