International guideline comparison of lifestyle management for acute coronary syndrome and type 2 diabetes mellitus: A rapid review

Bridie J Kemp, David R Thompson, Vivien Coates, Sarah Bond, Chantal F Ski, Monica Monaghan, Karen McGuigan

Research output: Contribution to journalArticlepeer-review

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Abstract

Acute coronary syndrome (ACS) is a life-threatening condition, with ACS-associated morbidity and mortality causing substantial human and economic challenges to the individual and health services. Due to shared disease determinants, those with ACS have a high risk of comorbid Type 2 diabetes mellitus (T2DM). Despite this, the two conditions are managed separately, duplicating workload for staff and increasing the number of appointments and complexity of patient management plans. This rapid review compared current ACS and T2DM guidelines across Australia, Canada, Europe, Ireland, New Zealand, the UK, and the USA. Results highlighted service overlap, repetition, and opportunities for integrated practice for ACS-T2DM lifestyle management across diet and nutrition, physical activity, weight management, clinical and psychological health. Recommendations are made for potential integration of ACS-T2DM service provision to streamline care and reduce siloed care in the context of the health services for ACS-T2DM and similar comorbid conditions. [Abstract copyright: Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.]
Original languageEnglish
Article number105116
Pages (from-to)1-9
Number of pages9
JournalHealth policy (Amsterdam, Netherlands)
Volume146
Early online date20 Jun 2024
DOIs
Publication statusPublished (in print/issue) - 31 Aug 2024

Bibliographical note

Publisher Copyright:
© 2024 The Author(s)

Keywords

  • Type 2 Diabetes Mellitus
  • Integrated Care
  • Acute Coronary Syndrome
  • Lifestyle
  • Management

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