Volume 28, Issue 151, Septemper 2024

The effect of collaborative care on the progression of diabetic complications in patients with Type II Diabetes Mellitus: A systematic review

Rabeel Khan^1♦, Sara Shahid¹, Ayesha Nadeem², Huzaima Shahzadi², Sumbal Rafique², Muhammad Sheraz², Laraib Abid², Zarqa Saqib², Gulzaib Bibi², Esha Khan², Ayesha Zulfiqar²

¹Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Lahore University of Biological & Applied Sciences, Lahore, Pakistan
²Research Student, Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Lahore University of Biological & Applied Sciences, Lahore, Pakistan

^♦Corresponding Author
Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Lahore University of Biological & Applied Sciences, Lahore, Pakistan

ABSTRACT

Background: Type II diabetes significantly affects people worldwide, considerably contributing to the global health burden due to factors such as lifestyle habits, dietary practices, physical inactivity, and genetic factors. Objective: The systematic review evaluates the effectiveness of collaborative care methods for the management of Type II Diabetes Mellitus as well as its associated comorbidities, highlighting the importance of multidisciplinary healthcare providers in improving the quality of life of patients. Methodology: The study investigators conducted a systematic review using various search engines to find research studies focused on interventions. An extensive search was conducted using one or more of the following online databases: Medline, Google Scholar, PubMed, Scopus, Embase, PsycINFO, and CINAHL. The study group conducted a systematic review following the established principles set forth by the PRISMA guidelines. Results: The review included recent studies conducted between 2003 and 2024. The current study included 20 research articles that met the predetermined criteria, selected from 16,852 studies. Collaborative interventions among healthcare professionals—such as physicians, pharmacists, nurses, and nutritionists—led to substantial reductions in HbA1C levels, decreased diastolic and systolic blood pressure, and improved lipid profiles. We used the ZEE tool to evaluate the quality and relevance of the research. Conclusion: The review shows the beneficial effects of the collaborative care framework and underlines the importance of bringing together multiple disciplines in providing patient education. Healthcare professionals, such as doctors, nurse practitioners, pharmacists, and nutritionists, have a vital role in offering individualized counselling tailored to each patient's specific needs. This customized approach enhances the treatment of Type II Diabetes Mellitus and decreases the likelihood of related complications

Keywords: Type II Diabetes Mellitus, complications of diabetes, retinopathy, nephropathy, neuropathy, collaborative care, multidisciplinary care

Medical Science, 2024, 28, e128ms3342

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DOI: https://doi.org/10.54905/disssi.v28i151.e128ms3342

Published: 29 September 2024