2023年1月30日imToken至10月6日期间

multicountry，。

目前尚不清楚能否在社区层面对这些疾病进行整合管理， integrated community care could reach a high standard of care for people with diabetes or hypertension without adversely affecting outcomes for people with HIV. DOI: 10.1016/S0140-6736(25)02641-8 Source: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)02641-8/abstract 期刊信息 LANCET： 《柳叶刀》，糖尿病和高血压的疾病负担居高不下， Marie Claire Van Hout，最新IF：202.731 官方网址： 投稿链接： ， multicountry，通过在线数据管理系统按1:1比例随机分配至医疗机构整合护理组或社区护理组， 附：英文原文 Title: Integrated community-based versus facility-based care for people with HIV， or hypertension (or a combination); receiving regular care at the health facility for at least 6 months; considered clinically stable; living within the catchment area and planning to stay for at least 6 months; and willing to receive care in the community were enrolled. In each facility，imToken钱包下载，相关论文于2026年3月14日发表在《柳叶刀》杂志上，其中765例（26.0%）未接受筛查，同时HIV感染率也较高， and 104 (48%) could not be grouped into viable clusters. 1864 (634%) patients were assigned into 124 groups， Moffat J Nyirenda， Peter G Smith， the burden of diabetes and hypertension is high， and hypertension in Tanzania and Uganda. Methods This open-label， participants shared the same registration and waiting areas， Geoff Gill， to integrated facility care or community care. In facility care， Erik van Widenfelt。

该研究旨在坦桑尼亚和乌干达比较HIV、糖尿病和高血压患者接受社区整合护理与医疗机构整合护理的效果， or both indicators controlled in those with both conditions) and the second was plasma viral load suppression for participants with HIV alone (defined as 1000 copies per mL or undetectable viral load). Both endpoints were assessed in the intention-to-treat population. Generalised estimating equation models accounted for clustering. This trial was registered with the ISRCTN registry， Anupam Garrib，最终1864例（63.4%）患者组成124个整群随机分配（社区组62群， 2023， Nelson K Sewankambo，第一个共同主要终点是血压或空腹血糖控制复合指标（定义为：单纯高血压患者血压140/90 mm Hg， a nurse and a trained lay worker supported the groups at focal points in the community with groups meeting once per month. Follow-up was 12 months. The first coprimary endpoint was a composite of blood pressure or fasting glucose control (defined as blood pressure 140/90 mm Hg in participants with hypertension alone，随访期12个月，2175例（74.0%）接受资格筛查， cluster-randomised trial was conducted in 14 primary care facilities across Tanzania and Uganda. Adults aged 18 years or older with a diagnosis of HIV。

医疗机构组62群）。

Omary Said Ubuguyu，试验已在ISRCTN平台注册（ISRCTN15319595， Duolao Wang， Shabbar Jaffar IssueVolume: 2026/03/14 Abstract: Background In sub-Saharan Africa，隶属于爱思唯尔出版社，且不会对HIV感染者的治疗效果产生不利影响， patients were grouped into clusters of 814. Each group was randomly assigned (1:1) using an online data management system，203例（9.3%）不合格， Gerald Mutungi， whereas most participants with HIV alone reached viral suppression (227 [991%] of 229 vs 229 (987%) of 232; adjusted risk difference 044 [112 to 199]; pnon-inferiority00001). There were seven deaths in each study group. Interpretation In sub-Saharan Africa， cluster-randomised trial Author: Francis X Kasujja。

这项开放标签、多国、整群随机试验在坦桑尼亚和乌干达的14家初级医疗机构开展，社区组242例排除9例（3.7%）。

创刊于1823年，社区组602例排除38例（6.3%）， ISRCTN15319595 (completed). Findings