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Do quality improvement (QI) programs actually improve diabetes care? If so, which QI programs are most effective? In a meta-analysis, investigators reviewed 142 randomized trials in which 11 predefined QI strategies targeting health systems, practitioners, or patients to improve outpatient management of type 2 diabetes were assessed.
During median follow-up of 12 months, QI strategies were associated with significantly lower levels of glycosylated hemoglobin (HbA1c; 0.37%), LDL cholesterol (3.9 mg/dL), and blood pressure (BP; 3.1 mm Hg systolic and 1.6 mm Hg diastolic) compared with usual care. QI strategies were associated with significantly more use of aspirin and antihypertensive drugs and screening for retinopathy, renal disease, and foo…