Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland
Aims This study assessed type 2 diabetes treatment outcomes and process indicators using a comprehensive type 2 diabetes patient cohort in North Karelia, Finland, from 2011 to 2016. Methods Data from all diagnosed type 2 diabetes patients (n = 8429) living in North Karelia were collated retrospectiv...
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ftuniveasternfin:oai:erepo.uef.fi:123456789/7539 2024-06-16T07:41:12+00:00 Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland Nazu, NA Lindström, J Rautiainen, P Tirkkonen, H Wikström, K Repo, T Laatikainen, T School of Medicine / Public Health Department of Geographical and Historical Studies, shared activities 2019-04-15T08:56:27Z https://erepo.uef.fi/handle/123456789/7539 englanti unknown Wiley Alankomaat International journal of clinical practice http://dx.doi.org/10.1111/ijcp.13313 10.1111/ijcp.13313 e13313 1368-5031 4 73 https://erepo.uef.fi/handle/123456789/7539 In copyright 1.0 openAccess © John Wiley & Sons Ltd https://rightsstatements.org/page/InC/1.0/ Tieteelliset aikakauslehtiartikkelit A1 article artikkeli 2019 ftuniveasternfin https://doi.org/10.1111/ijcp.13313 2024-05-23T03:07:27Z Aims This study assessed type 2 diabetes treatment outcomes and process indicators using a comprehensive type 2 diabetes patient cohort in North Karelia, Finland, from 2011 to 2016. Methods Data from all diagnosed type 2 diabetes patients (n = 8429) living in North Karelia were collated retrospectively from regional electronic patient records. We assessed whether HbA1c and low‐density lipoprotein (LDL) were measured and managed as recommended. Results The HbA1c measurement rate improved (78% vs 89%) during 2011‐2012 and 2015‐2016, but a gradual deterioration in glycaemic control (HbA1c < 7.0% or 53 mmol/mol) was observed among both females (75% vs 67%) and males (72% vs 64%). The LDL measurement rate initially improved from the baseline. LDL control (<2.5 mmol/L) improved among both females (52% vs 59%) and males (58% vs 66%). A gender difference was observed in the achievement of the treatment target for LDL, with females showing worse control. Conclusions Low‐density lipoprotein (LDL) control in type 2 diabetes patients has improved, but the existence of gender disparities needs further attention. Maintaining appropriate HbA1c control among type 2 diabetes patients over time appears to be difficult. Active follow‐up and tailored treatment have the potential to improve the quality of care. Electronic patient records could be more efficiently used to improve the quality of care and to support decision‐making. final draft peerReviewed Article in Journal/Newspaper karelia* UEF eRepository (University of Eastern Finland) International Journal of Clinical Practice 73 4 e13313 |
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UEF eRepository (University of Eastern Finland) |
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description |
Aims This study assessed type 2 diabetes treatment outcomes and process indicators using a comprehensive type 2 diabetes patient cohort in North Karelia, Finland, from 2011 to 2016. Methods Data from all diagnosed type 2 diabetes patients (n = 8429) living in North Karelia were collated retrospectively from regional electronic patient records. We assessed whether HbA1c and low‐density lipoprotein (LDL) were measured and managed as recommended. Results The HbA1c measurement rate improved (78% vs 89%) during 2011‐2012 and 2015‐2016, but a gradual deterioration in glycaemic control (HbA1c < 7.0% or 53 mmol/mol) was observed among both females (75% vs 67%) and males (72% vs 64%). The LDL measurement rate initially improved from the baseline. LDL control (<2.5 mmol/L) improved among both females (52% vs 59%) and males (58% vs 66%). A gender difference was observed in the achievement of the treatment target for LDL, with females showing worse control. Conclusions Low‐density lipoprotein (LDL) control in type 2 diabetes patients has improved, but the existence of gender disparities needs further attention. Maintaining appropriate HbA1c control among type 2 diabetes patients over time appears to be difficult. Active follow‐up and tailored treatment have the potential to improve the quality of care. Electronic patient records could be more efficiently used to improve the quality of care and to support decision‐making. final draft peerReviewed |
author2 |
School of Medicine / Public Health Department of Geographical and Historical Studies, shared activities |
format |
Article in Journal/Newspaper |
author |
Nazu, NA Lindström, J Rautiainen, P Tirkkonen, H Wikström, K Repo, T Laatikainen, T |
spellingShingle |
Nazu, NA Lindström, J Rautiainen, P Tirkkonen, H Wikström, K Repo, T Laatikainen, T Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland |
author_facet |
Nazu, NA Lindström, J Rautiainen, P Tirkkonen, H Wikström, K Repo, T Laatikainen, T |
author_sort |
Nazu, NA |
title |
Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland |
title_short |
Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland |
title_full |
Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland |
title_fullStr |
Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland |
title_full_unstemmed |
Maintenance of good glycaemic control is challenging - A cohort study of type 2 diabetes patient in North Karelia Finland |
title_sort |
maintenance of good glycaemic control is challenging - a cohort study of type 2 diabetes patient in north karelia finland |
publisher |
Wiley |
publishDate |
2019 |
url |
https://erepo.uef.fi/handle/123456789/7539 |
genre |
karelia* |
genre_facet |
karelia* |
op_relation |
International journal of clinical practice http://dx.doi.org/10.1111/ijcp.13313 10.1111/ijcp.13313 e13313 1368-5031 4 73 https://erepo.uef.fi/handle/123456789/7539 |
op_rights |
In copyright 1.0 openAccess © John Wiley & Sons Ltd https://rightsstatements.org/page/InC/1.0/ |
op_doi |
https://doi.org/10.1111/ijcp.13313 |
container_title |
International Journal of Clinical Practice |
container_volume |
73 |
container_issue |
4 |
container_start_page |
e13313 |
_version_ |
1802008343568449536 |