Clinical Pharmacy and Practice

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http://dspace.alquds.edu:4000/handle/20.500.12213/140

Overview

Use of HbA1c to diagnose type 2 diabetes Mellitus. Gestational diabetes and adverse pregnancy outcome is under investigation. Type 2 diabetes in children will be investigated in schools. A platform will be developed to follow up risk factors like obesity, lack of exercise, unhealty food and genetics. The program will highlight the risk factors for each students to be used by parents, Ministry of Education, Ministry of Health and School administration to overcome these risk factors and to treat those who developed diabetes.

Our Team

    • Maher Khdour

    Ph.D.

    • Ahmad Amro

    Ph.D.

    Hussein Hallak

    Ph.D.

    Rania Ghanem

    Ph.D.

    Browse

    Browsing Clinical Pharmacy and Practice by Author "Elnay, James C."

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      Cost-utility analysis of a pharmacy-led self-management programme for patients with COPD
      (Springer Science+Business Media B.V. 2011, 2011-06-04) Khdour, Maher R.; Agus, Ashley M.; Kidney, Joseph C.; Smyth, Bronagh M.; Elnay, James C.; Crealey, Grainne E.
      Objective: To undertake a cost-utility analysis (CUA) of a pharmacy-led self-management programme for Chronic Obstructive Pulmonary Disease (COPD). Setting: A single outpatient COPD clinic at the Mater Hospital, Belfast, Northern Ireland between. Method: CUA alongside a randomised control trial. The economic analysis used data from 127 COPD patients aged over 45 years, with an FEV1 of 30–80% of the predicted normal value. Participants received either a pharmacy-led education and selfmanagement programme, or usual care. One year costs were estimated from the perspective of the National Health Service and Personal Social Services and quality-adjusted life years (QALYs) were calculated based on responses to the EQ-5D at baseline, 6 and 12 months. Main outcome measure: Cost per QALY gained. Results: The mean differences in costs and effects between the self-management and education programme and usual care were -£671.59 (95 CI%: -£1,584.73 to -£68.14) and 0.065 (95% CI; 0.000–0.128). Thus the intervention was the dominant strategy as it was both less costly and more effective than usual care. The probability of the intervention being costeffective was 95% at a threshold of £20,000/QALY gained. Sensitivity analyses indicated that conclusions were robust to variations in most of the key parameters. Conclusion: The self-management and education programme was found to be highly cost-effective compared to usual care. Further research is required to establish what aspects of self-management and education programmes have the greatest impact on cost-effectiveness.