PMID- 35613850 OWN - NLM STAT- MEDLINE DCOM- 20220527 LR - 20221207 IS - 1753-0407 (Electronic) IS - 1753-0393 (Print) IS - 1753-0407 (Linking) VI - 14 IP - 5 DP - 2022 May TI - Follow-up frequency and clinical outcomes in patients with type 2 diabetes: A prospective analysis based on multicenter real-world data. PG - 306-314 LID - 10.1111/1753-0407.13271 [doi] AB - BACKGROUND: To determine whether the follow-up frequency for type 2 diabetes mellitus (T2DM) patients in the National Metabolic Management Centers (MMCs) leads to different clinical outcomes. METHODS: A total of 19 908 T2DM patients with at least 6 months of facility-based follow-up were recruited in MMCs between June 2017 and April 2021 and divided into lower-frequency and higher-frequency follow-up (LFF and HFF) groups according to the median follow-up frequency of 2.0 (interquartile range 1.2) times per year. Metabolic parameters at baseline and at the last follow-up visit were analyzed. Multivariable linear regression models were performed to assess the relationship between follow-up frequency and between-group percentage changes, adjusting for the major covariables. Additional stratified analyses were conducted to evaluate the metabolic outcomes in the subgroups. RESULTS: The characteristics of the participants in the LFF and HFF groups were significantly different at baseline. Participants had significant improvements in multiple metabolic parameters after follow-up. Patients with HFF showed significantly greater decrease in percentage changes of fasting blood glucose (-4.95% +/- 37.96% vs -2.21% +/- 43.08%, P < .0001) and glycosylated hemoglobin (HbA1c) (-12.14% +/- 19.78% vs -9.67% +/- 20.29%, P < .0001) after adjustments compared to those with LFF. Furthermore, stratification analyses showed that significant between-group percentage changes of HbA1c were observed in those with younger age (<55 years) and higher HbA1c (>9%) at baseline (P for interaction <.001). CONCLUSIONS: HFF is associated with better metabolic outcomes. Participants, especially with younger age or worse HbA1c at baseline in the HFF group achieved better glycemic control than those in the LFF group. CI - (c) 2022 The Authors. Journal of Diabetes published by Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Zhao, Qiubo AU - Zhao Q AD - Department of Endocrinology and Metabolism, Hebi Coal (group) Ltd, General Hospital, Hebi, China. FAU - Li, Hongwei AU - Li H AD - Department of Endocrinology and Metabolism, Hebi Coal (group) Ltd, General Hospital, Hebi, China. FAU - Ni, Qicheng AU - Ni Q AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. AD - Shanghai National Clinical Research Center for metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Dai, Yuancheng AU - Dai Y AD - Department of Internal Medicine of Traditional Chinese Medicine, Sheyang Diabetes Hospital, Yancheng, China. FAU - Zheng, Qidong AU - Zheng Q AD - Department of Internal Medicine, The Second People's Hospital of Yuhuan, Yuhuan, China. FAU - Wang, Yufan AU - Wang Y AD - Department of Endocrinology and Metabolism, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Ke, Tingyu AU - Ke T AD - Department of Endocrinology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Li, Li AU - Li L AD - Department of Endocrinology, Ningbo First Hospital, China. FAU - Zhao, Dong AU - Zhao D AUID- ORCID: 0000-0002-9847-5439 AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing, China. FAU - Dong, Qijuan AU - Dong Q AD - Department of Endocrinology and Metabolism, People's Hospital of Zhengzhou Affiliated Henan University of Chinese Medicine, Zhengzhou, China. FAU - Ji, Bangqun AU - Ji B AD - Department of Endocrinology, Xingyi People's Hospital, Xingyi, China. FAU - Shi, Juan AU - Shi J AUID- ORCID: 0000-0003-2652-8084 AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. AD - Shanghai National Clinical Research Center for metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Peng, Ying AU - Peng Y AUID- ORCID: 0000-0003-1069-7000 AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. AD - Shanghai National Clinical Research Center for metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Zhang, Yifei AU - Zhang Y AUID- ORCID: 0000-0003-0272-0602 AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. AD - Shanghai National Clinical Research Center for metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Xu, Fengmei AU - Xu F AD - Department of Endocrinology and Metabolism, Hebi Coal (group) Ltd, General Hospital, Hebi, China. FAU - Wang, Weiqing AU - Wang W AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. AD - Shanghai National Clinical Research Center for metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. LA - eng GR - No. Z155080000004/Capacity building for multidisciplinary cooperation in diagnosis and treatment of major metabolic diseases/ GR - 2019-XZ-42/Chinese Academy of Engineering/ GR - 2016YFC0901200/National Key Research and Development Program of China/ GR - 2018YFC1311800/National Key Research and Development Program of China/ GR - 82100835/National Natural Science Foundation of China/ GR - 2019LJ07/Program for Shanghai Outstanding Medical Academic Leader/ GR - DMRFP_II_01/Shanghai Medical and Health Development Foundation/ GR - 21YF1426900/Shanghai Sailing Program/ PT - Journal Article PT - Multicenter Study PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) SB - IM MH - Blood Glucose/metabolism MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Follow-Up Studies MH - Glycated Hemoglobin/metabolism MH - Glycemic Control MH - Humans MH - Middle Aged PMC - PMC9366569 OTO - NOTNLM OT - 2型糖尿病 OT - cost-effectiveness OT - follow-up frequency OT - glycemic control OT - type 2 diabetes mellitus OT - 成本效益 OT - 血糖控制 OT - 随访频率 EDAT- 2022/05/26 06:00 MHDA- 2022/05/28 06:00 PMCR- 2022/05/25 CRDT- 2022/05/25 21:12 PHST- 2022/04/12 00:00 [revised] PHST- 2021/12/05 00:00 [received] PHST- 2022/04/21 00:00 [accepted] PHST- 2022/05/25 21:12 [entrez] PHST- 2022/05/26 06:00 [pubmed] PHST- 2022/05/28 06:00 [medline] PHST- 2022/05/25 00:00 [pmc-release] AID - JDB13271 [pii] AID - 10.1111/1753-0407.13271 [doi] PST - ppublish SO - J Diabetes. 2022 May;14(5):306-314. doi: 10.1111/1753-0407.13271.