Fekadu Aga|Sandra B. Dunbar|Tedla Kebede|Rebecca Gary
&lt;p&gt;The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review&lt;/p&gt;
Addis Ababa University|Emory University|Diabetes Australia|Addis Ababa University|Tikur Anbessa Hospital|Emory University
background patients type 2 diabetes t2d high number comorbid chronic conditions affect selfcare abilities guidelines diabetes selfcare behaviors disease specific little attention given managing t2d comorbidities identifying comorbidities either improve potentially diminish individuals capacity perform effective selfcare behaviors essential enhance clinical outcomes one framework conceptualizes comorbidities concordant discordant diabetes pathophysiological pathways care goals objective purpose systematic review examine role diabetesconcordant discordant chronic conditions performance selfcare behaviors adults t2d methods comprehensive literature search undertaken identify published english language articles following five electronic databases pubmed cinahl psycinfo isi web science embase quantitative studies published march 2006 april 2018 included quality evidence evaluated using joanna briggs institutes critical appraisal tools jbicat rated using quality assessment tool quantitative studies qatqs results initial database search identified 1136 articles 33 studies met inclusion criteria included common concordant comorbidity hypertension depression common discordant condition adherence medications frequent diabetes selfcare behavior reported tended higher among concordant comorbidities findings showed mixed results concerning effect concordant comorbidities hypertension hyperlipidemia retinopathy heart failure diabetes selfcare behaviors agreement across studies diabetesdiscordant comorbidities detrimental effect selfcare behaviors conclusions concordant comorbidities may improve diabetes selfcare evidence inconclusive future research using well designed studies needed examine complex relationship diabetes selfcare comorbidities