Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2010

Open Access 01-12-2010 | Technical advance

From design to implementation - The Joint Asia Diabetes Evaluation (JADE) program: A descriptive report of an electronic web-based diabetes management program

Authors: Gary T Ko, Wing-Yee So, Peter C Tong, Francois Le Coguiec, Debborah Kerr, Greg Lyubomirsky, Beaver Tamesis, Troels Wolthers, Jennifer Nan, Juliana Chan

Published in: BMC Medical Informatics and Decision Making | Issue 1/2010

Login to get access

Abstract

Background

The Joint Asia Diabetes Evaluation (JADE) Program is a web-based program incorporating a comprehensive risk engine, care protocols, and clinical decision support to improve ambulatory diabetes care.

Methods

The JADE Program uses information technology to facilitate healthcare professionals to create a diabetes registry and to deliver an evidence-based care and education protocol tailored to patients' risk profiles. With written informed consent from participating patients and care providers, all data are anonymized and stored in a databank to establish an Asian Diabetes Database for research and publication purpose.

Results

The JADE electronic portal (e-portal: http://​www.​jade-adf.​org) is implemented as a Java application using the Apache web server, the mySQL database and the Cocoon framework. The JADE e-portal comprises a risk engine which predicts 5-year probability of major clinical events based on parameters collected during an annual comprehensive assessment. Based on this risk stratification, the JADE e-portal recommends a care protocol tailored to these risk levels with decision support triggered by various risk factors. Apart from establishing a registry for quality assurance and data tracking, the JADE e-portal also displays trends of risk factor control at each visit to promote doctor-patient dialogues and to empower both parties to make informed decisions.

Conclusions

The JADE Program is a prototype using information technology to facilitate implementation of a comprehensive care model, as recommended by the International Diabetes Federation. It also enables health care teams to record, manage, track and analyze the clinical course and outcomes of people with diabetes.
Appendix
Available only for authorised users
Literature
1.
go back to reference Chan JC, Malik V, Jia W, Kadowaki T, Yajnik CS, Yoon KH, Hu FB: Diabetes in Asia: epidemiology, risk factors, and pathophysiology. JAMA. 2009, 301 (20): 2129-2140. 10.1001/jama.2009.726.CrossRefPubMed Chan JC, Malik V, Jia W, Kadowaki T, Yajnik CS, Yoon KH, Hu FB: Diabetes in Asia: epidemiology, risk factors, and pathophysiology. JAMA. 2009, 301 (20): 2129-2140. 10.1001/jama.2009.726.CrossRefPubMed
2.
go back to reference Yoon KH, Lee JH, Kim JW, Cho JH, Choi YH, Ko SH, Zimmet P, Son HY: Epidemic obesity and type 2 diabetes in Asia. Lancet. 2006, 368 (9548): 1681-1688. 10.1016/S0140-6736(06)69703-1.CrossRefPubMed Yoon KH, Lee JH, Kim JW, Cho JH, Choi YH, Ko SH, Zimmet P, Son HY: Epidemic obesity and type 2 diabetes in Asia. Lancet. 2006, 368 (9548): 1681-1688. 10.1016/S0140-6736(06)69703-1.CrossRefPubMed
3.
go back to reference Roglic G, Unwin N, Bennett PH, Mathers C, Tuomilehto J, Nag S, Connolly V, King H: The burden of mortality attributable to diabetes: realistic estimates for the year 2000. Diabetes Care. 2005, 28 (9): 2130-2135. 10.2337/diacare.28.9.2130.CrossRefPubMed Roglic G, Unwin N, Bennett PH, Mathers C, Tuomilehto J, Nag S, Connolly V, King H: The burden of mortality attributable to diabetes: realistic estimates for the year 2000. Diabetes Care. 2005, 28 (9): 2130-2135. 10.2337/diacare.28.9.2130.CrossRefPubMed
4.
go back to reference Brenner BM, Cooper ME, de Zeeuw D, Keane WF, Mitch WE, Parving HH, Remuzzi G, Snapinn SM, Zhang Z, Shahinfar S: Effects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy. N Engl J Med. 2001, 345 (12): 861-869. 10.1056/NEJMoa011161.CrossRefPubMed Brenner BM, Cooper ME, de Zeeuw D, Keane WF, Mitch WE, Parving HH, Remuzzi G, Snapinn SM, Zhang Z, Shahinfar S: Effects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy. N Engl J Med. 2001, 345 (12): 861-869. 10.1056/NEJMoa011161.CrossRefPubMed
5.
go back to reference HPSCG: Heart Protection Study Collaborative Group (HPSCG). MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet. 2002, 360 (9326): 7-22. 10.1016/S0140-6736(02)09327-3.CrossRef HPSCG: Heart Protection Study Collaborative Group (HPSCG). MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet. 2002, 360 (9326): 7-22. 10.1016/S0140-6736(02)09327-3.CrossRef
6.
go back to reference Gaede P, Lund-Andersen H, Parving HH, Pedersen O: Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med. 2008, 358 (6): 580-591. 10.1056/NEJMoa0706245.CrossRefPubMed Gaede P, Lund-Andersen H, Parving HH, Pedersen O: Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med. 2008, 358 (6): 580-591. 10.1056/NEJMoa0706245.CrossRefPubMed
7.
go back to reference Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA: 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008, 359 (15): 1577-1589. 10.1056/NEJMoa0806470.CrossRefPubMed Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA: 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008, 359 (15): 1577-1589. 10.1056/NEJMoa0806470.CrossRefPubMed
8.
go back to reference So WY, Yang X, Ma RC, Kong AP, Lam CW, Ho CS, Cockram CS, Ko GT, Chow CC, Wong V: Risk factors in V-shaped risk associations with all-cause mortality in type 2 diabetes-The Hong Kong Diabetes Registry. Diabetes Metab Res Rev. 2008, 24 (3): 238-246. 10.1002/dmrr.792.CrossRefPubMed So WY, Yang X, Ma RC, Kong AP, Lam CW, Ho CS, Cockram CS, Ko GT, Chow CC, Wong V: Risk factors in V-shaped risk associations with all-cause mortality in type 2 diabetes-The Hong Kong Diabetes Registry. Diabetes Metab Res Rev. 2008, 24 (3): 238-246. 10.1002/dmrr.792.CrossRefPubMed
9.
go back to reference Yang X, So WY, Kong AP, Ho CS, Lam CW, Stevens RJ, Lyu RR, Yin DD, Cockram CS, Tong PC: Development and validation of stroke risk equation for Hong Kong Chinese patients with type 2 diabetes: the Hong Kong Diabetes Registry. Diabetes Care. 2007, 30 (1): 65-70. 10.2337/dc06-1273.CrossRefPubMed Yang X, So WY, Kong AP, Ho CS, Lam CW, Stevens RJ, Lyu RR, Yin DD, Cockram CS, Tong PC: Development and validation of stroke risk equation for Hong Kong Chinese patients with type 2 diabetes: the Hong Kong Diabetes Registry. Diabetes Care. 2007, 30 (1): 65-70. 10.2337/dc06-1273.CrossRefPubMed
10.
go back to reference Yang X, So WY, Kong AP, Ma RC, Ko GT, Ho CS, Lam CW, Cockram CS, Chan JC, Tong PC: Development and validation of a total coronary heart disease risk score in type 2 diabetes mellitus. Am J Cardiol. 2008, 101 (5): 596-601. 10.1016/j.amjcard.2007.10.019.CrossRefPubMed Yang X, So WY, Kong AP, Ma RC, Ko GT, Ho CS, Lam CW, Cockram CS, Chan JC, Tong PC: Development and validation of a total coronary heart disease risk score in type 2 diabetes mellitus. Am J Cardiol. 2008, 101 (5): 596-601. 10.1016/j.amjcard.2007.10.019.CrossRefPubMed
11.
go back to reference Yang XL, So WY, Kong AP, Ho CS, Lam CW, Ng MH, Lyu RR, Yin DD, Chow CC, Cockram CS: Modified end-stage renal disease risk score for Chinese type 2 diabetic patients--the Hong Kong Diabetes Registry. Diabetologia. 2007, 50 (6): 1348-1350. 10.1007/s00125-007-0639-7.CrossRefPubMed Yang XL, So WY, Kong AP, Ho CS, Lam CW, Ng MH, Lyu RR, Yin DD, Chow CC, Cockram CS: Modified end-stage renal disease risk score for Chinese type 2 diabetic patients--the Hong Kong Diabetes Registry. Diabetologia. 2007, 50 (6): 1348-1350. 10.1007/s00125-007-0639-7.CrossRefPubMed
12.
go back to reference Yang X, So WY, Tong PC, Ma RC, Kong AP, Lam CW, Ho CS, Cockram CS, Ko GT, Chow CC: Development and validation of an all-cause mortality risk score in type 2 diabetes. Arch Intern Med. 2008, 168 (5): 451-457. 10.1001/archinte.168.5.451.CrossRefPubMed Yang X, So WY, Tong PC, Ma RC, Kong AP, Lam CW, Ho CS, Cockram CS, Ko GT, Chow CC: Development and validation of an all-cause mortality risk score in type 2 diabetes. Arch Intern Med. 2008, 168 (5): 451-457. 10.1001/archinte.168.5.451.CrossRefPubMed
13.
go back to reference Yang X, Ko GT, So WY, Ma RC, Yu LW, Kong AP, Zhao H, Chow CC, Tong PC, Chan JC: Associations of hyperglycemia and insulin usage with the risk of cancer in type 2 diabetes: the Hong Kong diabetes registry. Diabetes. 2010, 59 (5): 1254-1260. 10.2337/db09-1371.CrossRefPubMedPubMedCentral Yang X, Ko GT, So WY, Ma RC, Yu LW, Kong AP, Zhao H, Chow CC, Tong PC, Chan JC: Associations of hyperglycemia and insulin usage with the risk of cancer in type 2 diabetes: the Hong Kong diabetes registry. Diabetes. 2010, 59 (5): 1254-1260. 10.2337/db09-1371.CrossRefPubMedPubMedCentral
14.
go back to reference Yang X, So WY, Ma RC, Ko GT, Kong AP, Zhao H, Luk AO, Lam CW, Ho CS, Tong PC: Low LDL cholesterol, albuminuria, and statins for the risk of cancer in type 2 diabetes: the Hong Kong diabetes registry. Diabetes Care. 2009, 32 (10): 1826-1832. 10.2337/dc09-0725.CrossRefPubMedPubMedCentral Yang X, So WY, Ma RC, Ko GT, Kong AP, Zhao H, Luk AO, Lam CW, Ho CS, Tong PC: Low LDL cholesterol, albuminuria, and statins for the risk of cancer in type 2 diabetes: the Hong Kong diabetes registry. Diabetes Care. 2009, 32 (10): 1826-1832. 10.2337/dc09-0725.CrossRefPubMedPubMedCentral
15.
go back to reference Chan JC, Cockram CS: Organization of diabetes care - Western Pacific Region (Hong Kong and China as example). International Textbook of Diabetes Mellitus. Edited by: DeFronzo A, Feranninni E, Keen H, Zimmet P. 2004, John, Wiley & Son, Third Chan JC, Cockram CS: Organization of diabetes care - Western Pacific Region (Hong Kong and China as example). International Textbook of Diabetes Mellitus. Edited by: DeFronzo A, Feranninni E, Keen H, Zimmet P. 2004, John, Wiley & Son, Third
16.
go back to reference Kong AP, Yang X, Ko GT, So WY, Chan WB, Ma RC, Ng VW, Chow CC, Cockram CS, Tong PC: Effects of treatment targets on subsequent cardiovascular events in Chinese patients with type 2 diabetes. Diabetes Care. 2007, 30 (4): 953-959. 10.2337/dc06-2443.CrossRefPubMed Kong AP, Yang X, Ko GT, So WY, Chan WB, Ma RC, Ng VW, Chow CC, Cockram CS, Tong PC: Effects of treatment targets on subsequent cardiovascular events in Chinese patients with type 2 diabetes. Diabetes Care. 2007, 30 (4): 953-959. 10.2337/dc06-2443.CrossRefPubMed
17.
go back to reference Leung WY, So WY, Tong PC, Chan NN, Chan JC: Effects of structured care by a pharmacist-diabetes specialist team in patients with type 2 diabetic nephropathy. Am J Med. 2005, 118 (12): 1414-10.1016/j.amjmed.2005.07.050.CrossRefPubMed Leung WY, So WY, Tong PC, Chan NN, Chan JC: Effects of structured care by a pharmacist-diabetes specialist team in patients with type 2 diabetic nephropathy. Am J Med. 2005, 118 (12): 1414-10.1016/j.amjmed.2005.07.050.CrossRefPubMed
18.
go back to reference So WY, Tong PC, Ko GT, Leung WY, Chow CC, Yeung VT, Chan WB, Critchley JA, Cockram CS, Chan JC: Effects of protocol-driven care versus usual outpatient clinic care on survival rates in patients with type 2 diabetes. Am J Manag Care. 2003, 9 (9): 606-615.PubMed So WY, Tong PC, Ko GT, Leung WY, Chow CC, Yeung VT, Chan WB, Critchley JA, Cockram CS, Chan JC: Effects of protocol-driven care versus usual outpatient clinic care on survival rates in patients with type 2 diabetes. Am J Manag Care. 2003, 9 (9): 606-615.PubMed
19.
go back to reference Wu JY, Leung WY, Chang S, Lee B, Zee B, Tong PC, Chan JC: Effectiveness of telephone counselling by a pharmacist in reducing mortality in patients receiving polypharmacy: randomised controlled trial. BMJ. 2006, 333 (7567): 522-10.1136/bmj.38905.447118.2F.CrossRefPubMedPubMedCentral Wu JY, Leung WY, Chang S, Lee B, Zee B, Tong PC, Chan JC: Effectiveness of telephone counselling by a pharmacist in reducing mortality in patients receiving polypharmacy: randomised controlled trial. BMJ. 2006, 333 (7567): 522-10.1136/bmj.38905.447118.2F.CrossRefPubMedPubMedCentral
20.
go back to reference So WY, Chan JC: The role of the multidisciplinary team. Textbook of Diabetes. Edited by: Goldstein DB. 2010, Cockram CS: Blackwell, So WY, Chan JC: The role of the multidisciplinary team. Textbook of Diabetes. Edited by: Goldstein DB. 2010, Cockram CS: Blackwell,
21.
go back to reference Baker AM, Lafata JE, Ward RE, Whitehouse F, Divine G: A Web-based diabetes care management support system. Jt Comm J Qual Improv. 2001, 27 (4): 179-190.PubMed Baker AM, Lafata JE, Ward RE, Whitehouse F, Divine G: A Web-based diabetes care management support system. Jt Comm J Qual Improv. 2001, 27 (4): 179-190.PubMed
22.
go back to reference Morris AD, Boyle DI, MacAlpine R, Emslie-Smith A, Jung RT, Newton RW, MacDonald TM: The diabetes audit and research in Tayside Scotland (DARTS) study: electronic record linkage to create a diabetes register. DARTS/MEMO Collaboration. BMJ. 1997, 315 (7107): 524-528.CrossRefPubMedPubMedCentral Morris AD, Boyle DI, MacAlpine R, Emslie-Smith A, Jung RT, Newton RW, MacDonald TM: The diabetes audit and research in Tayside Scotland (DARTS) study: electronic record linkage to create a diabetes register. DARTS/MEMO Collaboration. BMJ. 1997, 315 (7107): 524-528.CrossRefPubMedPubMedCentral
23.
go back to reference Selby JV, Karter AJ, Ackerson LM, Ferrara A, Liu J: Developing a prediction rule from automated clinical databases to identify high-risk patients in a large population with diabetes. Diabetes Care. 2001, 24 (9): 1547-1555. 10.2337/diacare.24.9.1547.CrossRefPubMed Selby JV, Karter AJ, Ackerson LM, Ferrara A, Liu J: Developing a prediction rule from automated clinical databases to identify high-risk patients in a large population with diabetes. Diabetes Care. 2001, 24 (9): 1547-1555. 10.2337/diacare.24.9.1547.CrossRefPubMed
24.
go back to reference Sonksen P, Williams C: Information technology in diabetes care 'Diabeta': 23 years of development and use of a computer-based record for diabetes care. Int J Biomed Comput. 1996, 42 (1-2): 67-77. 10.1016/0020-7101(96)81526-1.CrossRefPubMed Sonksen P, Williams C: Information technology in diabetes care 'Diabeta': 23 years of development and use of a computer-based record for diabetes care. Int J Biomed Comput. 1996, 42 (1-2): 67-77. 10.1016/0020-7101(96)81526-1.CrossRefPubMed
25.
go back to reference Weber V, Bloom F, Pierdon S, Wood C: Employing the electronic health record to improve diabetes care: a multifaceted intervention in an integrated delivery system. J Gen Intern Med. 2008, 23 (4): 379-382. 10.1007/s11606-007-0439-2.CrossRefPubMedPubMedCentral Weber V, Bloom F, Pierdon S, Wood C: Employing the electronic health record to improve diabetes care: a multifaceted intervention in an integrated delivery system. J Gen Intern Med. 2008, 23 (4): 379-382. 10.1007/s11606-007-0439-2.CrossRefPubMedPubMedCentral
26.
go back to reference Wells S, Furness S, Rafter N, Horn E, Whittaker R, Stewart A, Moodabe K, Roseman P, Selak V, Bramley D: Integrated electronic decision support increases cardiovascular disease risk assessment four fold in routine primary care practice. Eur J Cardiovasc Prev Rehabil. 2008, 15 (2): 173-178. 10.1097/HJR.0b013e3282f13af4.CrossRefPubMed Wells S, Furness S, Rafter N, Horn E, Whittaker R, Stewart A, Moodabe K, Roseman P, Selak V, Bramley D: Integrated electronic decision support increases cardiovascular disease risk assessment four fold in routine primary care practice. Eur J Cardiovasc Prev Rehabil. 2008, 15 (2): 173-178. 10.1097/HJR.0b013e3282f13af4.CrossRefPubMed
27.
go back to reference IDF: International Diabetes Federation (IDF) Clinical Guidelines Task Force. Global Guideline for Type 2 Diabetes: recommendations for standard, comprehensive, and minimal care. Diabet Med. 2006, 23 (6): 579-593. 10.1111/j.1464-5491.2006.01918.x.CrossRef IDF: International Diabetes Federation (IDF) Clinical Guidelines Task Force. Global Guideline for Type 2 Diabetes: recommendations for standard, comprehensive, and minimal care. Diabet Med. 2006, 23 (6): 579-593. 10.1111/j.1464-5491.2006.01918.x.CrossRef
28.
go back to reference Chan JC, So WY, Ko GT, Tong PC, Yang X, Ma RC, Kong AP, Wong R, Le Coguiec F, Tamesis B: The Joint Asia Diabetes Evaluation (JADE) Program: A Web-based Program To Translate Evidence To Clinical Practice in Type 2 Diabetes. Diabet Med. 2009, 26: 693-699. 10.1111/j.1464-5491.2009.02751.x.CrossRefPubMed Chan JC, So WY, Ko GT, Tong PC, Yang X, Ma RC, Kong AP, Wong R, Le Coguiec F, Tamesis B: The Joint Asia Diabetes Evaluation (JADE) Program: A Web-based Program To Translate Evidence To Clinical Practice in Type 2 Diabetes. Diabet Med. 2009, 26: 693-699. 10.1111/j.1464-5491.2009.02751.x.CrossRefPubMed
29.
go back to reference Parving HH, Lehnert H, Brochner-Mortensen J, Gomis R, Andersen S, Arner P: The effect of irbesartan on the development of diabetic nephropathy in patients with type 2 diabetes. N Engl J Med. 2001, 345 (12): 870-878. 10.1056/NEJMoa011489.CrossRefPubMed Parving HH, Lehnert H, Brochner-Mortensen J, Gomis R, Andersen S, Arner P: The effect of irbesartan on the development of diabetic nephropathy in patients with type 2 diabetes. N Engl J Med. 2001, 345 (12): 870-878. 10.1056/NEJMoa011489.CrossRefPubMed
30.
go back to reference UKPDS: Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998, 352 (9131): 837-853. 10.1016/S0140-6736(98)07019-6.CrossRef UKPDS: Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998, 352 (9131): 837-853. 10.1016/S0140-6736(98)07019-6.CrossRef
31.
go back to reference UKPDS: Efficacy of atenolol and captopril in reducing risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 39. UK Prospective Diabetes Study Group. BMJ. 1998, 317 (7160): 713-720.CrossRef UKPDS: Efficacy of atenolol and captopril in reducing risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 39. UK Prospective Diabetes Study Group. BMJ. 1998, 317 (7160): 713-720.CrossRef
32.
go back to reference Yusuf S, Sleight P, Pogue J, Bosch J, Davies R, Dagenais G: Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. The Heart Outcomes Prevention Evaluation Study Investigators. N Engl J Med. 2000, 342 (3): 145-153. 10.1056/NEJM200001203420301.CrossRefPubMed Yusuf S, Sleight P, Pogue J, Bosch J, Davies R, Dagenais G: Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. The Heart Outcomes Prevention Evaluation Study Investigators. N Engl J Med. 2000, 342 (3): 145-153. 10.1056/NEJM200001203420301.CrossRefPubMed
33.
go back to reference Chan JC, So WY, Yeung CY, Ko GT, Lau IT, Tsang MW, Lau KP, Siu SC, Li JK, Yeung VT: Effects of structured versus usual care on renal endpoint in type 2 diabetes: the SURE study: a randomized multicenter translational study. Diabetes Care. 2009, 32 (6): 977-982. 10.2337/dc08-1908.CrossRefPubMedPubMedCentral Chan JC, So WY, Yeung CY, Ko GT, Lau IT, Tsang MW, Lau KP, Siu SC, Li JK, Yeung VT: Effects of structured versus usual care on renal endpoint in type 2 diabetes: the SURE study: a randomized multicenter translational study. Diabetes Care. 2009, 32 (6): 977-982. 10.2337/dc08-1908.CrossRefPubMedPubMedCentral
34.
go back to reference Grol R, Grimshaw J: From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003, 362 (9391): 1225-1230. 10.1016/S0140-6736(03)14546-1.CrossRefPubMed Grol R, Grimshaw J: From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003, 362 (9391): 1225-1230. 10.1016/S0140-6736(03)14546-1.CrossRefPubMed
35.
go back to reference Narayan KM, Gregg EW, Engelgau MM, Moore B, Thompson TJ, Williamson DF, Vinicor F: Translation research for chronic disease: the case of diabetes. Diabetes Care. 2000, 23 (12): 1794-1798. 10.2337/diacare.23.12.1794.CrossRefPubMed Narayan KM, Gregg EW, Engelgau MM, Moore B, Thompson TJ, Williamson DF, Vinicor F: Translation research for chronic disease: the case of diabetes. Diabetes Care. 2000, 23 (12): 1794-1798. 10.2337/diacare.23.12.1794.CrossRefPubMed
36.
go back to reference Saaddine JB, Cadwell B, Gregg EW, Engelgau MM, Vinicor F, Imperatore G, Narayan KM: Improvements in diabetes processes of care and intermediate outcomes: United States, 1988-2002. Ann Intern Med. 2006, 144 (7): 465-474.CrossRefPubMed Saaddine JB, Cadwell B, Gregg EW, Engelgau MM, Vinicor F, Imperatore G, Narayan KM: Improvements in diabetes processes of care and intermediate outcomes: United States, 1988-2002. Ann Intern Med. 2006, 144 (7): 465-474.CrossRefPubMed
37.
go back to reference Saaddine JB, Engelgau MM, Beckles GL, Gregg EW, Thompson TJ, Narayan KM: A diabetes report card for the United States: quality of care in the 1990s. Ann Intern Med. 2002, 136 (8): 565-574.CrossRefPubMed Saaddine JB, Engelgau MM, Beckles GL, Gregg EW, Thompson TJ, Narayan KM: A diabetes report card for the United States: quality of care in the 1990s. Ann Intern Med. 2002, 136 (8): 565-574.CrossRefPubMed
38.
go back to reference Leung WY, So WY, Tong PC, Lo MK, Lee KF, Ko GT, Chan WB, Cockram CS, Brenner BM, Shahinfar S: The renoprotective effects of structured care in a clinical trial setting in type 2 diabetic patients with nephropathy. Nephrol Dial Transplant. 2004, 19 (10): 2519-2525. 10.1093/ndt/gfh408.CrossRefPubMed Leung WY, So WY, Tong PC, Lo MK, Lee KF, Ko GT, Chan WB, Cockram CS, Brenner BM, Shahinfar S: The renoprotective effects of structured care in a clinical trial setting in type 2 diabetic patients with nephropathy. Nephrol Dial Transplant. 2004, 19 (10): 2519-2525. 10.1093/ndt/gfh408.CrossRefPubMed
39.
go back to reference Chan JC, Gagliardino JJ, Baik SH, Chantelot JM, Ferreira SR, Hancu N, Ilkova H, Ramachandran A, Aschner P: Multifaceted determinants for achieving glycemic control: the International Diabetes Management Practice Study (IDMPS). Diabetes Care. 2009, 32 (2): 227-233. 10.2337/dc08-0435.CrossRefPubMedPubMedCentral Chan JC, Gagliardino JJ, Baik SH, Chantelot JM, Ferreira SR, Hancu N, Ilkova H, Ramachandran A, Aschner P: Multifaceted determinants for achieving glycemic control: the International Diabetes Management Practice Study (IDMPS). Diabetes Care. 2009, 32 (2): 227-233. 10.2337/dc08-0435.CrossRefPubMedPubMedCentral
40.
go back to reference Ma YC, Zuo L, Chen JH, Luo Q, Yu XQ, Li Y, Xu JS, Huang SM, Wang LN, Huang W: Modified glomerular filtration rate estimating equation for Chinese patients with chronic kidney disease. J Am Soc Nephrol. 2006, 17 (10): 2937-2944. 10.1681/ASN.2006040368.CrossRefPubMed Ma YC, Zuo L, Chen JH, Luo Q, Yu XQ, Li Y, Xu JS, Huang SM, Wang LN, Huang W: Modified glomerular filtration rate estimating equation for Chinese patients with chronic kidney disease. J Am Soc Nephrol. 2006, 17 (10): 2937-2944. 10.1681/ASN.2006040368.CrossRefPubMed
41.
go back to reference Piatt GA, Orchard TJ, Emerson S, Simmons D, Songer TJ, Brooks MM, Korytkowski M, Siminerio LM, Ahmad U, Zgibor JC: Translating the chronic care model into the community: results from a randomized controlled trial of a multifaceted diabetes care intervention. Diabetes Care. 2006, 29 (4): 811-817. 10.2337/diacare.29.04.06.dc05-1785.CrossRefPubMed Piatt GA, Orchard TJ, Emerson S, Simmons D, Songer TJ, Brooks MM, Korytkowski M, Siminerio LM, Ahmad U, Zgibor JC: Translating the chronic care model into the community: results from a randomized controlled trial of a multifaceted diabetes care intervention. Diabetes Care. 2006, 29 (4): 811-817. 10.2337/diacare.29.04.06.dc05-1785.CrossRefPubMed
42.
go back to reference Ko GT, So WY, Tong PC, Chan WB, Yang X, Ma RC, Kong AP, Ozaki R, Yeung CY, Chow CC: Effect of interactions between C peptide levels and insulin treatment on clinical outcomes among patients with type 2 diabetes mellitus. CMAJ. 2009, 180 (9): 919-926.CrossRefPubMedPubMedCentral Ko GT, So WY, Tong PC, Chan WB, Yang X, Ma RC, Kong AP, Ozaki R, Yeung CY, Chow CC: Effect of interactions between C peptide levels and insulin treatment on clinical outcomes among patients with type 2 diabetes mellitus. CMAJ. 2009, 180 (9): 919-926.CrossRefPubMedPubMedCentral
43.
go back to reference Luk AO, Yang X, Ma RC, Ng VW, Yu LW, Lau WW, Ozaki R, Chow FC, Kong AP, Tong PC: Association of statin use and development of renal dysfunction in type 2 diabetes-The Hong Kong Diabetes Registry. Diabetes Res Clin Pract. 2010, Luk AO, Yang X, Ma RC, Ng VW, Yu LW, Lau WW, Ozaki R, Chow FC, Kong AP, Tong PC: Association of statin use and development of renal dysfunction in type 2 diabetes-The Hong Kong Diabetes Registry. Diabetes Res Clin Pract. 2010,
44.
go back to reference Tong PC, Ko GT, So WY, Chiang SC, Yang X, Kong AP, Ozaki R, Ma RC, Cockram CS, Chow CC: Use of anti-diabetic drugs and glycaemic control in type 2 diabetes-tThe Hong Kong Diabetes Registry. Diabetes Res Clin Pract. 2008, 82 (3): 346-352. 10.1016/j.diabres.2008.09.006.CrossRefPubMed Tong PC, Ko GT, So WY, Chiang SC, Yang X, Kong AP, Ozaki R, Ma RC, Cockram CS, Chow CC: Use of anti-diabetic drugs and glycaemic control in type 2 diabetes-tThe Hong Kong Diabetes Registry. Diabetes Res Clin Pract. 2008, 82 (3): 346-352. 10.1016/j.diabres.2008.09.006.CrossRefPubMed
45.
go back to reference Bu D, Pan E, Walker J, Adler-Milstein J, Kendrick D, Hook JM, Cusack CM, Bates DW, Middleton B: Benefits of information technology-enabled diabetes management. Diabetes Care. 2007, 30 (5): 1137-1142. 10.2337/dc06-2101.CrossRefPubMed Bu D, Pan E, Walker J, Adler-Milstein J, Kendrick D, Hook JM, Cusack CM, Bates DW, Middleton B: Benefits of information technology-enabled diabetes management. Diabetes Care. 2007, 30 (5): 1137-1142. 10.2337/dc06-2101.CrossRefPubMed
46.
go back to reference Green CJ, Fortin P, Maclure M, Macgregor A, Robinson S: Information system support as a critical success factor for chronic disease management: Necessary but not sufficient. Int J Med Inform. 2006, 75 (12): 818-828. 10.1016/j.ijmedinf.2006.05.042.CrossRefPubMed Green CJ, Fortin P, Maclure M, Macgregor A, Robinson S: Information system support as a critical success factor for chronic disease management: Necessary but not sufficient. Int J Med Inform. 2006, 75 (12): 818-828. 10.1016/j.ijmedinf.2006.05.042.CrossRefPubMed
47.
go back to reference Yang X, Ma RC, So WY, Ko GT, Kong AP, Lam CW, Ho CS, Cockram CS, Wong VC, Tong PC: Impacts of chronic kidney disease and albuminuria on associations between coronary heart disease and its traditional risk factors in type 2 diabetic patients - the Hong Kong diabetes registry. Cardiovasc Diabetol. 2007, 6: 37-10.1186/1475-2840-6-37.CrossRefPubMedPubMedCentral Yang X, Ma RC, So WY, Ko GT, Kong AP, Lam CW, Ho CS, Cockram CS, Wong VC, Tong PC: Impacts of chronic kidney disease and albuminuria on associations between coronary heart disease and its traditional risk factors in type 2 diabetic patients - the Hong Kong diabetes registry. Cardiovasc Diabetol. 2007, 6: 37-10.1186/1475-2840-6-37.CrossRefPubMedPubMedCentral
48.
go back to reference Yang XL, So WY, Kong AP, Clarke P, Ho CS, Lam CW, Ng MH, Lyu RR, Yin DD, Chow CC: End-stage renal disease risk equations for Hong Kong Chinese patients with type 2 diabetes: Hong Kong Diabetes Registry. Diabetologia. 2006, 49 (10): 2299-2308. 10.1007/s00125-006-0376-3.CrossRefPubMed Yang XL, So WY, Kong AP, Clarke P, Ho CS, Lam CW, Ng MH, Lyu RR, Yin DD, Chow CC: End-stage renal disease risk equations for Hong Kong Chinese patients with type 2 diabetes: Hong Kong Diabetes Registry. Diabetologia. 2006, 49 (10): 2299-2308. 10.1007/s00125-006-0376-3.CrossRefPubMed
49.
go back to reference ADA: American Diabetes Association (ADA). Clinical practice recommendations 2007. Diabetes Care. 2007, 30 (Suppl 1): S1-S103. ADA: American Diabetes Association (ADA). Clinical practice recommendations 2007. Diabetes Care. 2007, 30 (Suppl 1): S1-S103.
50.
go back to reference APDPG: Asian-Pacific Type 2 Diabetes Policy Group (APDPG). Type 2 diabetes practical targets and Treatment. 2005, Singapore: International Diabetes Institute: Melbourne, and In vivo Communications (Asia) Pte Limited APDPG: Asian-Pacific Type 2 Diabetes Policy Group (APDPG). Type 2 diabetes practical targets and Treatment. 2005, Singapore: International Diabetes Institute: Melbourne, and In vivo Communications (Asia) Pte Limited
51.
go back to reference Holman RR, Paul SK, Bethel MA, Neil HA, Matthews DR: Long-term follow-up after tight control of blood pressure in type 2 diabetes. N Engl J Med. 2008, 359 (15): 1565-1576. 10.1056/NEJMoa0806359.CrossRefPubMed Holman RR, Paul SK, Bethel MA, Neil HA, Matthews DR: Long-term follow-up after tight control of blood pressure in type 2 diabetes. N Engl J Med. 2008, 359 (15): 1565-1576. 10.1056/NEJMoa0806359.CrossRefPubMed
52.
go back to reference Tang YH, Pang SM, Chan MF, Yeung GS, Yeung VT: Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. J Adv Nurs. 2008, 62 (1): 74-83. 10.1111/j.1365-2648.2007.04526.x.CrossRefPubMed Tang YH, Pang SM, Chan MF, Yeung GS, Yeung VT: Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. J Adv Nurs. 2008, 62 (1): 74-83. 10.1111/j.1365-2648.2007.04526.x.CrossRefPubMed
53.
go back to reference Wu SF, Courtney M, Edwards H, McDowell J, Shortridge-Baggett LM, Chang PJ: Self-efficacy, outcome expectations and self-care behaviour in people with type 2 diabetes in Taiwan. J Clin Nurs. 2007, 16 (11C): 250-257. 10.1111/j.1365-2702.2006.01930.x.CrossRefPubMed Wu SF, Courtney M, Edwards H, McDowell J, Shortridge-Baggett LM, Chang PJ: Self-efficacy, outcome expectations and self-care behaviour in people with type 2 diabetes in Taiwan. J Clin Nurs. 2007, 16 (11C): 250-257. 10.1111/j.1365-2702.2006.01930.x.CrossRefPubMed
Metadata
Title
From design to implementation - The Joint Asia Diabetes Evaluation (JADE) program: A descriptive report of an electronic web-based diabetes management program
Authors
Gary T Ko
Wing-Yee So
Peter C Tong
Francois Le Coguiec
Debborah Kerr
Greg Lyubomirsky
Beaver Tamesis
Troels Wolthers
Jennifer Nan
Juliana Chan
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2010
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-10-26

Other articles of this Issue 1/2010

BMC Medical Informatics and Decision Making 1/2010 Go to the issue