This Context Taking Question & Answer Guide (With Explanation)

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How to Approach This Question

Start by identifying the main issue, then apply relevant academic frameworks.

Key Explanation

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Original Question

In this context, taking the missing economic data into account did not modify the conclusion that EDUC@DOM is either cost effective or a dominant strategy. Besides glycaemic control (i.e. the A1c level), which has been retained as the primary outcome for assessing the efficacy of the EDUC@DOM program, we must acknowledge that lifestyle intervention may have led to an improvement in the control of cardiovascular risk factors, mainly blood pressure and the lipid profile, which contributes greatly to preventing diabetes-related complications. Unfortunately, since the study design did not include standardized monitoring of these parameters, we were not able to reliably assess the multifactorial impact of the EDUC@DOM program. Another limitation is related to the short time horizon used to assess the 1-year intervention. The incremental Hb1Ac between controls and the TMG seemed to be less important over the second year, and it can be hypothesized that it would have continued to decrease in the third year, followed by a reduced cost-saving effect. This consideration further supports the need to use telemonitoring innovation with a long-term perspective.

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