A multidisciplinary, shared care clinic using personalized medicine and coordinated care in patients with concomitant type 2 diabetes and cardiovascular disease: Protocol and baseline characteristics

Julie Rye Noer Pontoppidan*, Emil Eik Nielsen, Michael Hecht Olsen, Michael Kriegbaum Skjødt, Jesper Olund Christensen, Ilan Esra Raymond, Sara Hedlund Møller, Anne Merete Boas Soja, Peter Haulund Gæde

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background: Concomitant type 2 diabetes (T2DM) and cardiovascular disease (CVD) is frequent with a poor prognosis with high risk of comorbidities. Strict risk factor control reduces the risk for complications – yet many people do not achieve treatment targets. The complexity and fragmentation of the healthcare system may, together with the vulnerability of these patients, be a reason. Objective: The purpose of this paper is to describe the protocol of a non-randomized interventional pilot study testing the feasibility and effect of a multidisciplinary, shared care clinic using personalized medicine and coordinated care in people living with concomitant T2D and CVD. Methods: Participants were included from the Holbaek area in Denmark. People suffered from T2DM and CVD and were dysregulated regarding to HbA1c, cholesterol, micro/macroalbuminuaria or blood pressure. Participants went through a thorough evaluation to identify their needs and resources and received consultations every three months for one year. Results: A total of 63 participants with T2DM and CVD were enrolled in the clinic. The participants had a mean age of 69 years and a BMI of 30.9 kg/m2. Almost 50 % had heart failure, 95 % dyslipidemia and 91 % hypertension. Around 54 % received GLP-1 agonists and 39 % received SGLT-2-inhibitors. Perspectives: To our knowledge, a similar study with a multidisciplinary, shared care, outpatient clinic treating people living with concomitant T2DM and CVD, has not been performed previously. This study will provide information about the feasibility and efficacy of a multidisciplinary clinic based on changes in cardiovascular risk factors and medication.

Original languageEnglish
Article number102594
JournalPreventive Medicine Reports
Volume38
ISSN2211-3355
DOIs
Publication statusPublished - Feb 2024

Bibliographical note

Publisher Copyright:
© 2024 The Authors

Keywords

  • Cardiovascular Diseases
  • Comorbidity
  • Diabetes Mellitus
  • Pilot Projects
  • Prospective Studies
  • Risk Factors
  • Type 2
  • Vulnerable Patients

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