A systematic review of two-way referral criteria for diabetes
10.3760/cma.j.cn114798-20240517-00465
- VernacularTitle:糖尿病双向转诊标准的系统评价
- Author:
Min XU
1
;
Xiaoxu GE
;
Rui LI
;
Liling XU
;
Shan HUANG
;
Lingmei QIAN
;
Jun MA
;
Juan DU
Author Information
1. 上海交通大学医学院附属同仁医院内分泌科，上海 200336
- Keywords:
Diabetes;
Two-way referral;
Rreferral criteria;
Systematic review
- From:
Chinese Journal of General Practitioners
2024;23(12):1299-1306
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the criteria for two-way referral of diabetes in China through systematic review.Methods:According to inclusion and exclusion criteria, articles on two-way referral criteria for diabetes in China were retrieved from databases of PubMed, Embase, Cochrane Library, CNKI and Wanfang from inception to July 15, 2023. The data were extracted, by author′s name, publish year, criteria for rupwards and downwards referral, sample size, study region, study type and main conclusions.Results:A total of 702 relavent articles were retrieved, and 15 of which were included in the analysis. Blood glucose levels were the basic criteria for two-way referral, The criteria for upward referral included fasting blood glucose, 2-h postpradial blood glucose, glycosylated hemoglobin and random blood glucose, but there were variations in measuement values. The criteria for downward referral included fasting blood glucose, 2-h postpradial blood glucose, glycosylated hemoglobin, with the variation in fasting blood glucose. Lipids and blood pressure were also included in the referral criteria in later literature, with the variation of blood pressure values. There was consensus on the upward referral criteria for patients with special types of diabetes and with newly diagnosed diabetes. In contrast, the referral criteria for diabetic complications were relatively vague, especially with the lack of severity classification for chronic complications.Conclusion:The two-way referral criteria for diabetes mellitus have been constantly developing, while the criteria for downwards referral to the community need to be further improved.
