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

doi:10.1016/j.healthpol.2024.105116

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 journal › Article › peer-review

29 Downloads (Pure)

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 language	English
Article number	105116
Pages (from-to)	1-9
Number of pages	9
Journal	Health policy (Amsterdam, Netherlands)
Volume	146
Early online date	20 Jun 2024
DOIs	https://doi.org/10.1016/j.healthpol.2024.105116
Publication status	Published (in print/issue) - 31 Aug 2024

Bibliographical note

Publisher Copyright:
© 2024 The Author(s)

Funding

This work was supported by Northern Ireland Chest Heart and Stroke (2021_H01) and sponsored by Queen's University Belfast. Neither the funder nor the sponsor were involved in the collection, analysis, and interpretation of data; in the writing of the report; nor the decision to submit the article for publication.

Funders	Funder number
Queens University Belfast
Northern Ireland Chest Heart and Stroke	2021_H01
Northern Ireland Chest Heart and Stroke

Keywords

Type 2 Diabetes Mellitus
Integrated Care
Acute Coronary Syndrome
Lifestyle
Management

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.healthpol.2024.105116

1-s2.0-S016885102400126X-mainFinal published version, 964 KBLicence: CC BY

Cite this

@article{451ec12d646145808e2eee1cc7f3b7a2,

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

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 {\textcopyright} 2024 The Author(s). Published by Elsevier B.V. All rights reserved.]",

keywords = "Type 2 Diabetes Mellitus, Integrated Care, Acute Coronary Syndrome, Lifestyle, Management",

author = "Kemp, \{Bridie J\} and Thompson, \{David R\} and Vivien Coates and Sarah Bond and Ski, \{Chantal F\} and Monica Monaghan and Karen McGuigan",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",

year = "2024",

month = aug,

day = "31",

doi = "10.1016/j.healthpol.2024.105116",

language = "English",

volume = "146",

pages = "1--9",

journal = "Health policy (Amsterdam, Netherlands)",

issn = "1872-6054",

}

TY - JOUR

T1 - International guideline comparison of lifestyle management for acute coronary syndrome and type 2 diabetes mellitus: A rapid review

AU - Kemp, Bridie J

AU - Thompson, David R

AU - Coates, Vivien

AU - Bond, Sarah

AU - Ski, Chantal F

AU - Monaghan, Monica

AU - McGuigan, Karen

PY - 2024/8/31

Y1 - 2024/8/31

N2 - 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.]

AB - 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.]

KW - Type 2 Diabetes Mellitus

KW - Integrated Care

KW - Acute Coronary Syndrome

KW - Lifestyle

KW - Management

UR - https://www.scopus.com/pages/publications/85197534685

U2 - 10.1016/j.healthpol.2024.105116

DO - 10.1016/j.healthpol.2024.105116

M3 - Article

C2 - 38943831

SN - 1872-6054

VL - 146

SP - 1

EP - 9

JO - Health policy (Amsterdam, Netherlands)

JF - Health policy (Amsterdam, Netherlands)

M1 - 105116

ER -

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

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this