Diabetes Systematic Review (of Therapy) Article Critique

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Total Length: 870 words ( 3 double-spaced pages)

Total Sources: 2

Page 1 of 3

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Can you apply this valid, important evidence from a systematic review in caring for your patient?

Do these results apply to our patient?

Is your patient so different from those in the study that its results cannot apply?

No, the majority of the patients who are diagnosed with Type II diabetes are indicative of the patient issues in the study. In fact, most fall well within the parameters of the study potential, which also validates the data set.

Is the treatment feasible in your setting?

Completely, 100%. Exercise and diet are relatively easy attributes to change, particularly with data showing how these changes can influence amounts of medication and quality of life.

What are your patient's potential benefits and harms from the therapy?

Method I: In the OR tables above, find the intersection of the closest odds ratio from the systematic review and your patient's expected event rate (PEER)

Because this is a natural intervention (exercise and diet); almost all the patient's will show some benefit from the introduction of more exercise and limited diet. PEER issues depend on the severity of the symptoms for individual patients.

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Most likely scenario based on the data: 42-49

Method II: To calculate the NNT from any OR and PEER:

-2 risk ratio; very little risk in using diet and exercise to mitigate diabetes conditions. (see: http://www.cebm.net/index.aspx?o=1044)

Are your patient's values and preferences satisfied by the regimen and its consequences?

Do you and you patient have a clear assessment of their values and preferences?

Yes, it is clear that increasing moderate levels of aerobic exercise, parituclarly walking, jogging, swimming or biking; coupled with a healthier diet (more fresh vegetables, low glycemic fruits, low refined sugars and processed flours, etc.) will have a positive effect on type II diabetes measurement.

Are they met by this regimen and its consequences?

Yes, the only potentially negative consequences are ignoring the program or stopping it prematurely.

Should you believe apparent qualitative differences in the efficacy of therapy in some subgroups of patients? -- Only if you can say 'yes' to all of the following:

Do they really make biologic and clincal sense?

Yes, for two reasons: 1) allowing a more natural approach to mitigating Type II diabetes is less shocking to the system, allows for a more natural control, and 2) this approach allows the patient to take the necessary responsibility for their.....

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Latest APA Format (6th edition)

Copy Reference
"Diabetes Systematic Review Of Therapy " (2011, September 28) Retrieved May 14, 2025, from
https://www.aceyourpaper.com/essays/diabetes-systematic-review-therapy-45843

Latest MLA Format (8th edition)

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"Diabetes Systematic Review Of Therapy " 28 September 2011. Web.14 May. 2025. <
https://www.aceyourpaper.com/essays/diabetes-systematic-review-therapy-45843>

Latest Chicago Format (16th edition)

Copy Reference
"Diabetes Systematic Review Of Therapy ", 28 September 2011, Accessed.14 May. 2025,
https://www.aceyourpaper.com/essays/diabetes-systematic-review-therapy-45843
   

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