Outcomes of diabetes care: a population-based study
Aims. To describe prevalence, metabolic control, and complications of diabetes mellitus in a county in Northern Sweden, in order to improve diabetes care and guide decision makers. Methods. A population-based, cross-sectional, retrospective study of medical records of all registered persons with dia...
Published in: | International Journal for Quality in Health Care |
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2003
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fthighwire:oai:open-archive.highwire.org:intqhc:15/4/301 2023-05-15T17:44:50+02:00 Outcomes of diabetes care: a population-based study FÄRNKVIST, LISBETH M. LUNDMAN, BERIT M. 2003-08-01 00:00:00.0 text/html http://intqhc.oxfordjournals.org/cgi/content/short/15/4/301 https://doi.org/10.1093/intqhc/mzg047 en eng Oxford University Press http://intqhc.oxfordjournals.org/cgi/content/short/15/4/301 http://dx.doi.org/10.1093/intqhc/mzg047 Copyright (C) 2003, International Society for Quality in Health Care Papers TEXT 2003 fthighwire https://doi.org/10.1093/intqhc/mzg047 2013-05-27T09:58:20Z Aims. To describe prevalence, metabolic control, and complications of diabetes mellitus in a county in Northern Sweden, in order to improve diabetes care and guide decision makers. Methods. A population-based, cross-sectional, retrospective study of medical records of all registered persons with diabetes mellitus ( n = 5251) in the area. Assessments and examinations concerning metabolic control and complications were studied over a period of 15 months. Results. Of the 5143 patients included, 13% had Type 1, 86% Type 2, and 1% other types of diabetes. An annual check-up was performed in 84% of patients. Glycosylated haemoglobin (HbA 1c ) was assessed in 88%, and had a mean value of 7.3% (sd 1.3%). Metabolic control was good in 33% and acceptable in another 26%. Risk factors for complications were found in 64%; in 35% body mass index was >30; 50% had hypertension; 22% were smokers; 51% had macro- and/or microvascular complications; ischaemic heart disease 26%; a cerebrovascular lesion 13%; amputation 1.8%; proteinuria 7.9%; microalbuminuria 2.6%; peripheral neuropathy 30%; impaired peripheral circulation 29%; and retinopathy 37%. Conclusions. The majority of patients with diabetes in the study area attended an annual check-up, had acceptable metabolic control and severe complications were uncommon. Nevertheless, the number of undocumented examinations was high, 40% of the patients had unacceptable metabolic control and more than 50% had macrovascular risk factors. These findings emphasize the importance in diabetes care of smoking cessation and intensive treatment of high blood pressure. Text Northern Sweden HighWire Press (Stanford University) International Journal for Quality in Health Care 15 4 301 307 |
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Papers FÄRNKVIST, LISBETH M. LUNDMAN, BERIT M. Outcomes of diabetes care: a population-based study |
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description |
Aims. To describe prevalence, metabolic control, and complications of diabetes mellitus in a county in Northern Sweden, in order to improve diabetes care and guide decision makers. Methods. A population-based, cross-sectional, retrospective study of medical records of all registered persons with diabetes mellitus ( n = 5251) in the area. Assessments and examinations concerning metabolic control and complications were studied over a period of 15 months. Results. Of the 5143 patients included, 13% had Type 1, 86% Type 2, and 1% other types of diabetes. An annual check-up was performed in 84% of patients. Glycosylated haemoglobin (HbA 1c ) was assessed in 88%, and had a mean value of 7.3% (sd 1.3%). Metabolic control was good in 33% and acceptable in another 26%. Risk factors for complications were found in 64%; in 35% body mass index was >30; 50% had hypertension; 22% were smokers; 51% had macro- and/or microvascular complications; ischaemic heart disease 26%; a cerebrovascular lesion 13%; amputation 1.8%; proteinuria 7.9%; microalbuminuria 2.6%; peripheral neuropathy 30%; impaired peripheral circulation 29%; and retinopathy 37%. Conclusions. The majority of patients with diabetes in the study area attended an annual check-up, had acceptable metabolic control and severe complications were uncommon. Nevertheless, the number of undocumented examinations was high, 40% of the patients had unacceptable metabolic control and more than 50% had macrovascular risk factors. These findings emphasize the importance in diabetes care of smoking cessation and intensive treatment of high blood pressure. |
format |
Text |
author |
FÄRNKVIST, LISBETH M. LUNDMAN, BERIT M. |
author_facet |
FÄRNKVIST, LISBETH M. LUNDMAN, BERIT M. |
author_sort |
FÄRNKVIST, LISBETH M. |
title |
Outcomes of diabetes care: a population-based study |
title_short |
Outcomes of diabetes care: a population-based study |
title_full |
Outcomes of diabetes care: a population-based study |
title_fullStr |
Outcomes of diabetes care: a population-based study |
title_full_unstemmed |
Outcomes of diabetes care: a population-based study |
title_sort |
outcomes of diabetes care: a population-based study |
publisher |
Oxford University Press |
publishDate |
2003 |
url |
http://intqhc.oxfordjournals.org/cgi/content/short/15/4/301 https://doi.org/10.1093/intqhc/mzg047 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://intqhc.oxfordjournals.org/cgi/content/short/15/4/301 http://dx.doi.org/10.1093/intqhc/mzg047 |
op_rights |
Copyright (C) 2003, International Society for Quality in Health Care |
op_doi |
https://doi.org/10.1093/intqhc/mzg047 |
container_title |
International Journal for Quality in Health Care |
container_volume |
15 |
container_issue |
4 |
container_start_page |
301 |
op_container_end_page |
307 |
_version_ |
1766147126017916928 |