Improving health outcomes of people with diabetes: target setting for the WHO Global Diabetes Compact

The Global Diabetes Compact is a WHO-driven initiative uniting stakeholders around goals of reducing diabetes risk and ensuring that people with diabetes have equitable access to comprehensive, affordable care and prevention. In this report we describe the development and scientific basis for key he...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:The Lancet (British edition) Ročník 401; číslo 10384; s. 1302 - 1312
Hlavní autoři: Gregg, Edward W, Buckley, James, Ali, Mohammed K, Davies, Justine, Flood, David, Mehta, Roopa, Griffiths, Ben, Lim, Lee-Ling, Manne-Goehler, Jennifer, Pearson-Stuttard, Jonathan, Tandon, Nikhil, Roglic, Gojka, Slama, Slim, Shaw, Jonathan E, Agoudavi, Kokou, Aryal, Krishna K., Atun, Rifat, Bahendeka, Silver, Bicaba, Brice Wilfried, Bovet, Pascal, Brian, Garry, Damasceno, Albertino, Davies, Justine I., Dorobantu, Maria, Farzadfar, Farshad, Geldsetzer, Pascal, Gurung, Mongal Singh, Guwatudde, David, Houehanou, Corine, Houinato, Dismand, Hwalla, Nahla, Jaacks, Lindsay, Karki, Bahadur Khem, Labadarios, Demetre, Lunet, Nuno, Marcus, Maja E., Martins, Joao, Mayige, Theodory Mary, Norov, Bolormaa, Saeedi Moghaddam, Sahar, Quesnel-Crooks, Sarah, Sibai, Abla M., Sturua, Lela, Theilmann, Michaela, Tsabedze, Lindiwe, Vollmer, Sebastian, Zhumadilov, Zhaxybay
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Elsevier Ltd 15.04.2023
Elsevier Limited
Elsevier
Témata:
Biomarkers
Blood pressure
Diabetes
Diabetes mellitus (insulin dependent)
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - therapy
Disease prevention
End-stage renal disease
Glycated Hemoglobin
Health risks
Health Services Accessibility
Hemoglobin
Humans
Industrialized nations
Kidney diseases
Life Sciences
Measuring instruments
Morbidity
Outcome Assessment, Health Care
Public health
Risk
Risk factors
Santé publique et épidémiologie
Statins
Surveillance
Surveillance systems
World Health Organization
ISSN:0140-6736, 1474-547X, 1474-547X
On-line přístup:Získat plný text
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Popis
Shrnutí:The Global Diabetes Compact is a WHO-driven initiative uniting stakeholders around goals of reducing diabetes risk and ensuring that people with diabetes have equitable access to comprehensive, affordable care and prevention. In this report we describe the development and scientific basis for key health metrics, coverage, and treatment targets accompanying the Compact. We considered metrics across four domains: factors at a structural, system, or policy level; processes of care; behaviours and biomarkers such as glycated haemoglobin (HbA1c); and health events and outcomes; and three risk tiers (diagnosed diabetes, high risk, or whole population), and reviewed and prioritised them according to their health importance, modifiability, data availability, and global inequality. We reviewed the global distribution of each metric to set targets for future attainment. This process led to five core national metrics and target levels for UN member states: (1) of all people with diabetes, at least 80% have been clinically diagnosed; and, for people with diagnosed diabetes, (2) 80% have HbA1c concentrations below 8·0% (63·9 mmol/mol); (3) 80% have blood pressure lower than 140/90 mm Hg; (4) at least 60% of people 40 years or older are receiving therapy with statins; and (5) each person with type 1 diabetes has continuous access to insulin, blood glucose meters, and test strips. We also propose several complementary metrics that currently have limited global coverage, but warrant scale-up in population-based surveillance systems. These include estimation of cause-specific mortality, and incidence of end-stage kidney disease, lower-extremity amputations, and incidence of diabetes. Primary prevention of diabetes and integrated care to prevent long-term complications remain important areas for the development of new metrics and targets. These metrics and targets are intended to drive multisectoral action applied to individuals, health systems, policies, and national health-care access to achieve the goals of the Global Diabetes Compact. Although ambitious, their achievement can result in broad health benefits for people with diabetes.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:0140-6736
1474-547X
1474-547X
DOI:10.1016/S0140-6736(23)00001-6