Best initiative to minimise inpatient stay
The DECIDE Study: Delivering Early Care in Diabetes Evaluation
by Cardiff University
This study investigated the impact of home or hospital management on biopsychosocial and economic outcomes of children with type 1 diabetes at the time of diagnosis. Children were randomised to receive treatment initiation at home or in hospital with a primary outcome of difference in HbA1c 24 months after commencing therapy, while personal outcomes such as anxiety and quality of life were also measured. The study found that hospital management of type 1 diabetes in clinically-well children at diagnosis significantly increases NHS costs, with no difference in glycaemic control or quality of life over the first 24 months when compared to home management.
"This entry was robust, well-designed and really excellent. The data matched the objectives and the evidence on use of the programme is clear. It answers important questions and offers a chance to create innovation. The team provided continued support and fulfilled their remit."