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J Health Care Poor Underserved ; 22(4): 1253-63, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22080707

RESUMO

BACKGROUND: Recruitment of hard-to-reach ethnic minorities such as Korean Americans (KAs) requires substantial time, cost, and strategic effort. A point-of-care (POC) A1c test could facilitate the recruitment of such populations for diabetes research in community settings. METHODS: A two-step approach for participant screening was employed: Potential participants were first screened using the POC A1c test at a community location. Only those with POC A1c levels ≥7.5% were referred for a confirmatory lab test within two weeks. RESULTS: In total, 237 KAs were screened using the POC A1c test; 92 were referred for confirmatory testing and 83 who got the laboratory A1c measurement were confirmed eligible (A1c ≥7.5%). There was a strong positive correlation between the POC and reference laboratory measurements (ρ=0.83, p≤.001). CONCLUSION: Using a POC A1c method as a front-line screening test can facilitate the recruitment of KAs with type 2 diabetes, while saving cost, time, and effort.


Assuntos
Glicemia/análise , Diabetes Mellitus Tipo 2/sangue , Hemoglobinas Glicadas/análise , Seleção de Pacientes , Sistemas Automatizados de Assistência Junto ao Leito , Adulto , Idoso , Asiático , Técnicas de Laboratório Clínico , Pesquisa Participativa Baseada na Comunidade , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/etnologia , Feminino , Teste de Tolerância a Glucose , Humanos , Coreia (Geográfico)/etnologia , Masculino , Pessoa de Meia-Idade , Estados Unidos
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