Core outcome set for diabetes
A standard set of outcomes for diabetes care that includes both clinical measures and patient-reported experiences, developed with input from people with diabetes, healthcare providers, and other stakeholders across Europe. It helps ensure that care is person-centred and consistently measured.
At a glance
Use when
Developing diabetes care guidelines, designing clinical audits, implementing person-centred monitoring systems, or evaluating diabetes interventions at individual or population level
Avoid when
Working in settings where basic outcome measurement infrastructure is lacking or when only biomedical outcomes are of interest
Inputs
64 candidate clinical and person-reported outcomes, stakeholder ratings on relevance and measurement frequency
Outputs
A consensus-based core outcome set of 46 outcomes (27 clinical, 19 PROs) with recommended measurement timepoints
How it works
A multinational Delphi study involving 184 stakeholders from 19 countries was conducted over three rounds to achieve consensus on a core outcome set for Type 1 and Type 2 diabetes. From an initial list of 64 outcomes, 46 were retained (27 clinical outcomes and 19 person-reported outcomes). Two recommended measurement timepoints were established: during medical visits (e.g., symptoms, psychological health) and annually (e.g., self-management, general well-being). The outcome set is designed for scalability and integration into routine care.
- Project
- H2O
- Funding
- IMI
- Project status
- Ongoing
- HTA domains
- Clinical Effectiveness, Patient and Social Aspects
- Technology
- Non-specific
- Assumptions
- Stakeholder input reflects meaningful priorities; outcomes are measurable across diverse health systems; standardisation improves care quality
- Strengths
- Multinational, multi-stakeholder involvement; includes patient perspectives; distinguishes measurement timing; designed for real-world implementation
- Limitations
- May not capture all local or cultural variations; implementation depends on healthcare infrastructure; not all outcomes may be feasible in every setting
- Geographic & clinical scope
- Diabetes
- Also known as
- Person-centred outcome set for diabetes, Diabetes Core Outcome Set, COS for diabetes
Questions this answers
- › What outcomes should be routinely measured in diabetes care?
- › How often should these outcomes be measured?
- › Which outcomes matter most to people with diabetes?
- › How can diabetes care be made more person-centred?
- › Can the same outcomes be used across different countries?
- › What role do patient-reported outcomes play in diabetes management?
Similar by meaning
Beta record. Generated from the primary source via AI extraction and independent audit, pending final human review.

