PMID- 26807158 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160125 LR - 20220408 IS - 1758-5996 (Print) IS - 1758-5996 (Electronic) IS - 1758-5996 (Linking) VI - 8 DP - 2016 TI - The chronic care model for type 2 diabetes: a systematic review. PG - 7 LID - 10.1186/s13098-015-0119-z [doi] LID - 7 AB - The chronic care model (CCM) uses a systematic approach to restructure health care systems. The aim of this systematic review was to examine studies that evaluated different elements of the CCM in patients with type 2 diabetes mellitus (T2DM) and to assess the influence of the CCM on different clinical outcomes. There view was performed in the Medline and Cochrane Library electronic databases. The search was limited to randomized controlled trials conducted with T2DM patients. Studies were eligible for inclusion if they compared usual care with interventions that use done or more elements of the CCM and assessed the impact on clinical outcomes. After applying the eligibility criteria, 12 studies were included for data extraction. Of these, six showed evidence of effectiveness of the CCM for T2DM management in primary care as well as significant improvements in clinical outcomes. In the other six studies, no improvements regarding clinical outcomes were observed when comparing the intervention and control groups. Some limitations, such as a short follow-up period and a low number of patients, were observed. Some studies showed that the reorganization of health systems can improveT2DM care. However, it is possible that greater benefits could be obtained through combing all 6 elements of CCM. FAU - Baptista, Deise Regina AU - Baptista DR AD - Universidade Federal do Parana, Curitiba, Parana Brazil. FAU - Wiens, Astrid AU - Wiens A AD - Universidade Federal do Parana, Curitiba, Parana Brazil. FAU - Pontarolo, Roberto AU - Pontarolo R AD - Universidade Federal do Parana, Curitiba, Parana Brazil. FAU - Regis, Lara AU - Regis L AD - Universidade Federal do Parana, Curitiba, Parana Brazil. FAU - Reis, Walleri Christine Torelli AU - Reis WC AD - Universidade Federal do Parana, Curitiba, Parana Brazil. FAU - Correr, Cassiano Januario AU - Correr CJ AD - Universidade Federal do Parana, Curitiba, Parana Brazil. LA - eng PT - Journal Article PT - Review DEP - 20160122 PL - England TA - Diabetol Metab Syndr JT - Diabetology & metabolic syndrome JID - 101488958 PMC - PMC4722715 OTO - NOTNLM OT - Chronic care model OT - Chronic illness OT - Type 2 diabetes mellitus EDAT- 2016/01/26 06:00 MHDA- 2016/01/26 06:01 PMCR- 2016/01/22 CRDT- 2016/01/26 06:00 PHST- 2015/09/11 00:00 [received] PHST- 2015/12/23 00:00 [accepted] PHST- 2016/01/26 06:00 [entrez] PHST- 2016/01/26 06:00 [pubmed] PHST- 2016/01/26 06:01 [medline] PHST- 2016/01/22 00:00 [pmc-release] AID - 119 [pii] AID - 10.1186/s13098-015-0119-z [doi] PST - epublish SO - Diabetol Metab Syndr. 2016 Jan 22;8:7. doi: 10.1186/s13098-015-0119-z. eCollection 2016.