• Timothy W Levengood, Yinan Peng, Ka Zang Xiong, Ziwei Song, Randy Elder, Mohammed K Ali, Marshall H Chin, Pamela Allweiss, Christine M Hunter, Alberta Becenti, and Community Preventive Services Task Force.
• Community Guide Branch, Division of Public Health Information Dissemination, Atlanta, Georgia.
• Am J Prev Med. 2019 Jul 1; 57 (1): e17-e26.

ContextTeam-based care has been increasingly used to deliver care for patients with chronic conditions, but its effectiveness for managing diabetes has not been systematically assessed.Evidence AcquisitionRCTs were identified from two sources: a high-quality, broader review comparing 11 quality improvement strategies for diabetes management (database inception to July 2010), and an updated search using the same search strategy (July 2010-October 2015).Evidence SynthesisThirty-five studies were included in the current review; a majority focused on patients with Type 2 diabetes. Teams included patients, their primary care providers, and one or two additional healthcare professionals (most often nurses or pharmacists). Random effect meta-analysis showed that, compared with controls, team-based care was associated with greater reductions in blood glucose levels (-0.5% in HbA1c, 95% CI= -0.7, -0.3) and greater improvements in blood pressure and lipid levels. Interventions also increased the proportion of patients who reached target blood glucose, blood pressure, and lipid levels, based on American Diabetes Association guidelines available at the time. Data analysis was completed in 2016.ConclusionsFor patients with Type 2 diabetes, team-based care improves blood glucose, blood pressure, and lipid levels.Published by Elsevier Inc.

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