Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina
OBJECTIVES: To better understand how diabetes care and control are being administered by general practitioners/nonspecialists in private practice in nine countries of Latin America, and to identify the most significant patient- and physician-related barriers to care. METHODS: A multicenter, cross-se...
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Pan American Health Organization
2007
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ftdoajarticles:oai:doaj.org/article:26aaca23688f4511a42eb7fe885524e4 2023-05-15T15:18:56+02:00 Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina Gloria Lopez Stewart Marcos Tambascia Juan Rosas Guzmán Federico Etchegoyen Jorge Ortega Carrión Sofia Artemenko 2007-07-01T00:00:00Z https://doaj.org/article/26aaca23688f4511a42eb7fe885524e4 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892007000600002 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/26aaca23688f4511a42eb7fe885524e4 Revista Panamericana de Salud Pública, Vol 22, Iss 1, Pp 12-20 (2007) Diabetes mellitus tipo 2 complicaciones de la diabetes accesibilidad a los servicios de salud cooperación del paciente América Latina Diabetes mellitus type 2 diabetes complications health services accessibility patient compliance Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2007 ftdoajarticles 2022-12-31T00:41:16Z OBJECTIVES: To better understand how diabetes care and control are being administered by general practitioners/nonspecialists in private practice in nine countries of Latin America, and to identify the most significant patient- and physician-related barriers to care. METHODS: A multicenter, cross-sectional, epidemiological survey was conducted in nine countries in Latin America: Argentina, Brazil, Chile, Costa Rica, Ecuador, Guatemala, Mexico, Peru, and Venezuela. General practitioners in private practice were asked to provide care and control data for patients 18 to 75 years of age with type 2 diabetes mellitus (T2DM), including demographics, medical and medication history, laboratory exams, and information on the challenges of patient management. RESULTS: Of the 3 592 patient questionnaires returned by 377 physicians, 60% of the patients had a family history of diabetes, 58% followed a poor diet, 71% were sedentary, and 79% were obese or overweight. Poor glycemic control (fasting blood glucose > 110 mg/dL) was observed in 78% of patients. The number of patients with HbA1c < 7.0% was 43.2%. Glycemic control decreased significantly with increased duration of T2DM. Comorbid conditions associated with T2DM were observed in 86% of patients; insulin use and comorbid conditions, especially those associated with microvascular complications, increased significantly disease duration. Ensuring compliance with recommended diet and exercise plans was the most-cited patient management challenge. CONCLUSIONS: Blood glucose levels are undercontrolled in T2DM patients in the private health care system in Latin America, particularly among those who have had the disease the longest (>15 years). Considering the differences between private and public health care in Latin America, especially regarding the quality of care and access to medication, further studies are called for in the public setting. Overall, a more efficient and intensive program of T2DM control is required, including effective patient education programs, ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Argentina |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Diabetes mellitus tipo 2 complicaciones de la diabetes accesibilidad a los servicios de salud cooperación del paciente América Latina Diabetes mellitus type 2 diabetes complications health services accessibility patient compliance Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Diabetes mellitus tipo 2 complicaciones de la diabetes accesibilidad a los servicios de salud cooperación del paciente América Latina Diabetes mellitus type 2 diabetes complications health services accessibility patient compliance Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Gloria Lopez Stewart Marcos Tambascia Juan Rosas Guzmán Federico Etchegoyen Jorge Ortega Carrión Sofia Artemenko Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina |
topic_facet |
Diabetes mellitus tipo 2 complicaciones de la diabetes accesibilidad a los servicios de salud cooperación del paciente América Latina Diabetes mellitus type 2 diabetes complications health services accessibility patient compliance Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: To better understand how diabetes care and control are being administered by general practitioners/nonspecialists in private practice in nine countries of Latin America, and to identify the most significant patient- and physician-related barriers to care. METHODS: A multicenter, cross-sectional, epidemiological survey was conducted in nine countries in Latin America: Argentina, Brazil, Chile, Costa Rica, Ecuador, Guatemala, Mexico, Peru, and Venezuela. General practitioners in private practice were asked to provide care and control data for patients 18 to 75 years of age with type 2 diabetes mellitus (T2DM), including demographics, medical and medication history, laboratory exams, and information on the challenges of patient management. RESULTS: Of the 3 592 patient questionnaires returned by 377 physicians, 60% of the patients had a family history of diabetes, 58% followed a poor diet, 71% were sedentary, and 79% were obese or overweight. Poor glycemic control (fasting blood glucose > 110 mg/dL) was observed in 78% of patients. The number of patients with HbA1c < 7.0% was 43.2%. Glycemic control decreased significantly with increased duration of T2DM. Comorbid conditions associated with T2DM were observed in 86% of patients; insulin use and comorbid conditions, especially those associated with microvascular complications, increased significantly disease duration. Ensuring compliance with recommended diet and exercise plans was the most-cited patient management challenge. CONCLUSIONS: Blood glucose levels are undercontrolled in T2DM patients in the private health care system in Latin America, particularly among those who have had the disease the longest (>15 years). Considering the differences between private and public health care in Latin America, especially regarding the quality of care and access to medication, further studies are called for in the public setting. Overall, a more efficient and intensive program of T2DM control is required, including effective patient education programs, ... |
format |
Article in Journal/Newspaper |
author |
Gloria Lopez Stewart Marcos Tambascia Juan Rosas Guzmán Federico Etchegoyen Jorge Ortega Carrión Sofia Artemenko |
author_facet |
Gloria Lopez Stewart Marcos Tambascia Juan Rosas Guzmán Federico Etchegoyen Jorge Ortega Carrión Sofia Artemenko |
author_sort |
Gloria Lopez Stewart |
title |
Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina |
title_short |
Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina |
title_full |
Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina |
title_fullStr |
Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina |
title_full_unstemmed |
Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America Control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de América Latina |
title_sort |
control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of latin america control de la diabetes mellitus tipo 2 por médicos generales del sector privado en nueve países de américa latina |
publisher |
Pan American Health Organization |
publishDate |
2007 |
url |
https://doaj.org/article/26aaca23688f4511a42eb7fe885524e4 |
geographic |
Arctic Argentina |
geographic_facet |
Arctic Argentina |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 22, Iss 1, Pp 12-20 (2007) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892007000600002 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/26aaca23688f4511a42eb7fe885524e4 |
_version_ |
1766349099507908608 |