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dc.contributor.authorMotamarri, B
dc.contributor.authorYen, W
dc.contributor.authorThuzar, M
dc.contributor.authorSiskind, D
dc.contributor.authorRussell, A
dc.date.accessioned2021-06-14T22:59:00Z
dc.date.available2021-06-14T22:59:00Z
dc.date.issued2021
dc.identifier.issn0004-8674
dc.identifier.urihttp://hdl.handle.net/10072/405124
dc.description.abstractBackground: Metabolic syndrome is highly prevalent among people with schizophrenia. It is often underdiagnosed and undertreated. Significant gaps in appropriate testing for metabolic syndrome among people with schizophrenia and the provision of evidence-based treatments where metabolic syndrome is detected have been identified with challenges in integrating specialist metabolic and psychiatric services. Objectives: The aim of this study is to assess the impact on metabolic health outcomes for people with schizophrenia by an integrated metabolic clinic embedded within a community mental health service. Methods: Metabolic data were collected retrospectively through electronic records from 48 consecutive patients with schizophrenia reviewed in the integrated metabolic clinic over a 12-month period. Data from baseline, first follow-up and last follow-up within 12 months from the initial visit were analysed. Attendance rates between the integrated clinic and those at the general endocrine clinics of similar mental health patient populations were also compared. Findings: Average weight, body mass index, waist circumference, blood pressure and glycated haemoglobin did not change significantly. Compared with baseline, there was significant improvement in mean ± standard error of the mean in total cholesterol (5.54 ± 0.32, 5.47 ± 0.26 and 4.93 ± 0.27 mmol/L, p = 0.003) and triglyceride (2.95 ± 0.26, 3.11 ± 0.29 and 2.20 ± 0.18 mmol/L, p = 0.001). Attendance rate was significantly better in the integrated clinic compared to that in general endocrine clinics for both initial consult (80.0% versus (vs.) 51.2%, p < 0.001) and review appointment (64.3% vs. 47.6%, p < 0.001). Conclusions: The integration of a specialist metabolic clinic within a mental health service resulted in better patient engagement and improvements in metabolic health in people with schizophrenia.
dc.languageEnglish
dc.publisherSage Publications Ltd
dc.publisher.urihttps://journals.sagepub.com/doi/full/10.1177/00048674211004750
dc.relation.ispartofconferencenameRANZCP 2021 Congress
dc.relation.ispartofconferencetitleAustralian & New Zealand Journal of Psychiatry
dc.relation.ispartofdatefrom2021-05-16
dc.relation.ispartofdateto2021-05-20
dc.relation.ispartoflocationTasmania, Australia
dc.relation.ispartofpagefrom77
dc.relation.ispartofpageto77
dc.relation.ispartofissue1_suppl
dc.relation.ispartofvolume55
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode52
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPsychiatry
dc.titleOutcomes of an integrated approach for metabolic healthcare for people with schizophrenia
dc.typeConference output
dc.type.descriptionE3 - Conferences (Extract Paper)
dcterms.bibliographicCitationMotamarri, B; Yen, W; Thuzar, M; Siskind, D; Russell, A, Outcomes of an integrated approach for metabolic healthcare for people with schizophrenia, Australian & New Zealand Journal of Psychiatry, 2021, 55 (1_suppl), pp. 77-77
dc.date.updated2021-06-14T03:52:37Z
gro.hasfulltextNo Full Text
gro.griffith.authorMotamarri, Balaji
gro.griffith.authorKisely, Steve R.


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