Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients
Background: Coronary heart disease (CHD) and stroke are the major causes of death among people with diabetes. Aim: To describe the prevalence and onset of CHD and stroke among patients with type 2 diabetes mellitus (T2DM) in primary care in Norway, and explore the quality of secondary prevention. De...
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British Journal of General Practice
2020
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ftoslouniv:oai:www.duo.uio.no:10852/76563 2023-05-15T17:24:41+02:00 Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients Gjelsvik, Bjørn E. Tran, Anh Thi Berg, Tore Julsrud Bakke, Åsne Mdala, Ibrahimu Nøkleby, Kjersti Cooper, John G. Claudi, Tor Løvaas, Karianne Fjeld Thue, Geir Sandberg, Sverre Jenum, Anne Karen 2020-01-28T11:57:05Z http://hdl.handle.net/10852/76563 http://urn.nb.no/URN:NBN:no-79664 https://doi.org/10.3399/bjgpopen18X101636 EN eng British Journal of General Practice http://urn.nb.no/URN:NBN:no-79664 Gjelsvik, Bjørn E. Tran, Anh Thi Berg, Tore Julsrud Bakke, Åsne Mdala, Ibrahimu Nøkleby, Kjersti Cooper, John G. Claudi, Tor Løvaas, Karianne Fjeld Thue, Geir Sandberg, Sverre Jenum, Anne Karen . Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients. British Journal of General Practice Open. 2019 http://hdl.handle.net/10852/76563 1783968 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=British Journal of General Practice Open&rft.volume=&rft.spage=&rft.date=2019 British Journal of General Practice Open 11 https://doi.org/10.3399/bjgpopen18X101636 URN:NBN:no-79664 Fulltext https://www.duo.uio.no/bitstream/handle/10852/76563/2/Gjelsvikbjgpopen2019.pdf Attribution-NonCommercial 4.0 International https://creativecommons.org/licenses/by-nc/4.0/ CC-BY-NC 2398-3795 Journal article Tidsskriftartikkel Peer reviewed PublishedVersion 2020 ftoslouniv https://doi.org/10.3399/bjgpopen18X101636 2020-06-21T08:54:30Z Background: Coronary heart disease (CHD) and stroke are the major causes of death among people with diabetes. Aim: To describe the prevalence and onset of CHD and stroke among patients with type 2 diabetes mellitus (T2DM) in primary care in Norway, and explore the quality of secondary prevention. Design & setting: A cross-sectional study of data was undertaken from electronic medical records (EMRs) of 10 255 patients with T2DM in general practice. The study took place in five counties of Norway (Oslo, Akershus, Rogaland, Hordaland, and Nordland). Quality of care was assessed based on national guideline recommendations. Method: Summary statistics with adjustments and binary logistic regression models were used. Results: In total, 2260 patients (22.1%) had CHD and 759 (7.4%) had stroke. South Asians had significantly more CHD than ethnic Norwegians (29.5%, 95% confidence interval [CI] = 26.1 to 33.0 versus 21.5%, CI = 20.6 to 22.3) and other ethnic groups, and experienced onset of CHD or stroke at a mean of 7 years before Norwegians. In 47.9% of the patients, CHD was diagnosed before T2DM. Treatment target for low-density lipoprotein (LDL) cholesterol was reached for 30.0% and for systolic blood pressure (SBP) for 65.1% of the patients with CHD. Further, 20.9% of patients with CHD were present smokers, and only 5.0% of patients reached all four treatment targets (no smoking, HbA1c ≤7.0%, SBP <135 mmHg, LDL-cholesterol <1.8 mmol/l). Conclusion: The diagnosis of CHD preceded the diagnosis of T2DM in half of the patients. The prevalence of CHD was highest and onset earlier among ethnic South Asians. More intensive treatment of lipids, blood pressure, and smoking are needed in patients with T2DM and CHD. Article in Journal/Newspaper Nordland Nordland Nordland Universitet i Oslo: Digitale utgivelser ved UiO (DUO) Norway BJGP Open 3 1 bjgpopen18X10163 |
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Open Polar |
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Universitet i Oslo: Digitale utgivelser ved UiO (DUO) |
op_collection_id |
ftoslouniv |
language |
English |
description |
Background: Coronary heart disease (CHD) and stroke are the major causes of death among people with diabetes. Aim: To describe the prevalence and onset of CHD and stroke among patients with type 2 diabetes mellitus (T2DM) in primary care in Norway, and explore the quality of secondary prevention. Design & setting: A cross-sectional study of data was undertaken from electronic medical records (EMRs) of 10 255 patients with T2DM in general practice. The study took place in five counties of Norway (Oslo, Akershus, Rogaland, Hordaland, and Nordland). Quality of care was assessed based on national guideline recommendations. Method: Summary statistics with adjustments and binary logistic regression models were used. Results: In total, 2260 patients (22.1%) had CHD and 759 (7.4%) had stroke. South Asians had significantly more CHD than ethnic Norwegians (29.5%, 95% confidence interval [CI] = 26.1 to 33.0 versus 21.5%, CI = 20.6 to 22.3) and other ethnic groups, and experienced onset of CHD or stroke at a mean of 7 years before Norwegians. In 47.9% of the patients, CHD was diagnosed before T2DM. Treatment target for low-density lipoprotein (LDL) cholesterol was reached for 30.0% and for systolic blood pressure (SBP) for 65.1% of the patients with CHD. Further, 20.9% of patients with CHD were present smokers, and only 5.0% of patients reached all four treatment targets (no smoking, HbA1c ≤7.0%, SBP <135 mmHg, LDL-cholesterol <1.8 mmol/l). Conclusion: The diagnosis of CHD preceded the diagnosis of T2DM in half of the patients. The prevalence of CHD was highest and onset earlier among ethnic South Asians. More intensive treatment of lipids, blood pressure, and smoking are needed in patients with T2DM and CHD. |
format |
Article in Journal/Newspaper |
author |
Gjelsvik, Bjørn E. Tran, Anh Thi Berg, Tore Julsrud Bakke, Åsne Mdala, Ibrahimu Nøkleby, Kjersti Cooper, John G. Claudi, Tor Løvaas, Karianne Fjeld Thue, Geir Sandberg, Sverre Jenum, Anne Karen |
spellingShingle |
Gjelsvik, Bjørn E. Tran, Anh Thi Berg, Tore Julsrud Bakke, Åsne Mdala, Ibrahimu Nøkleby, Kjersti Cooper, John G. Claudi, Tor Løvaas, Karianne Fjeld Thue, Geir Sandberg, Sverre Jenum, Anne Karen Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients |
author_facet |
Gjelsvik, Bjørn E. Tran, Anh Thi Berg, Tore Julsrud Bakke, Åsne Mdala, Ibrahimu Nøkleby, Kjersti Cooper, John G. Claudi, Tor Løvaas, Karianne Fjeld Thue, Geir Sandberg, Sverre Jenum, Anne Karen |
author_sort |
Gjelsvik, Bjørn E. |
title |
Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients |
title_short |
Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients |
title_full |
Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients |
title_fullStr |
Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients |
title_full_unstemmed |
Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients |
title_sort |
exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients |
publisher |
British Journal of General Practice |
publishDate |
2020 |
url |
http://hdl.handle.net/10852/76563 http://urn.nb.no/URN:NBN:no-79664 https://doi.org/10.3399/bjgpopen18X101636 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Nordland Nordland Nordland |
genre_facet |
Nordland Nordland Nordland |
op_source |
2398-3795 |
op_relation |
http://urn.nb.no/URN:NBN:no-79664 Gjelsvik, Bjørn E. Tran, Anh Thi Berg, Tore Julsrud Bakke, Åsne Mdala, Ibrahimu Nøkleby, Kjersti Cooper, John G. Claudi, Tor Løvaas, Karianne Fjeld Thue, Geir Sandberg, Sverre Jenum, Anne Karen . Exploring the relationship between coronary heart disease and type 2 diabetes: a cross-sectional study of secondary prevention among diabetes patients. British Journal of General Practice Open. 2019 http://hdl.handle.net/10852/76563 1783968 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=British Journal of General Practice Open&rft.volume=&rft.spage=&rft.date=2019 British Journal of General Practice Open 11 https://doi.org/10.3399/bjgpopen18X101636 URN:NBN:no-79664 Fulltext https://www.duo.uio.no/bitstream/handle/10852/76563/2/Gjelsvikbjgpopen2019.pdf |
op_rights |
Attribution-NonCommercial 4.0 International https://creativecommons.org/licenses/by-nc/4.0/ |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.3399/bjgpopen18X101636 |
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