Quality of care in diabetic outpatient clinics.

Detalhes bibliográficos
Autor(a) principal: Marcelino, Mafalda
Data de Publicação: 2010
Outros Autores: Nobre, E Lacerda, Chambel, Paula, Domingues, Andreia, da Silva, M Paes, Santos, Valentim, Vilar, Helena, Oliveira Lopes, L, Carvalho, Raquel, Santana Lopes, M, Paradinha, Manuel, Jácome De Castro, J
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/709
Resumo: Type 2 Diabetes Mellitus affects an increasing number of people throughout the world. Several studies have shown that it is possible to prevent and minimize type 2 diabetes complications, be it treated appropriately over time. This study aimed to determine the quality of care provided to type 2 diabetic patients in our institution, through metabolic control and risk factors evaluation. Subjects and methods: We reviewed the medical records of 776 type 2 diabetic patients, followed at our outpatient clinic between 1998-2004. RESULTS: A total of 588 patients were included in the study, with a mean age of 66,8 ± 27,2 years. 58% were men. HbA1c levels averaged 7,2 ± 1,6. 57% had HbA1c = 7%. 25,3% met the target blood pressure of 130/80 mmHg; 48% met the goal LDL cholesterol level < 100 and 80% < 130 mg/dl. 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Concerning therapeutic regimens: 71,5% used oral hypoglycaemic agents (OAD) alone (52,1% of these were using 2 or more agents); 28,5% were treated with insulin (16,2% in combination with OAD). 52,1% of the patients were anti-aggregated with aspirin. CONCLUSIONS: The metabolic control (HbA1c) and LDL values were favourable in our patients sample, comparing to other studies. The percentage of patients treated to the recommended BP of 130/80 mmHg is consistent with the literature. Only 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Despite our comparable results to published data, we would like to highlight the difficulty to accomplish international recommendations to metabolic and risk factors control in clinical practice and the necessity of an aggressive approach to diabetes treatment.
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spelling Quality of care in diabetic outpatient clinics.Avaliação da qualidade de cuidados numa consulta de diabetes.Type 2 Diabetes Mellitus affects an increasing number of people throughout the world. Several studies have shown that it is possible to prevent and minimize type 2 diabetes complications, be it treated appropriately over time. This study aimed to determine the quality of care provided to type 2 diabetic patients in our institution, through metabolic control and risk factors evaluation. Subjects and methods: We reviewed the medical records of 776 type 2 diabetic patients, followed at our outpatient clinic between 1998-2004. RESULTS: A total of 588 patients were included in the study, with a mean age of 66,8 ± 27,2 years. 58% were men. HbA1c levels averaged 7,2 ± 1,6. 57% had HbA1c = 7%. 25,3% met the target blood pressure of 130/80 mmHg; 48% met the goal LDL cholesterol level < 100 and 80% < 130 mg/dl. 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Concerning therapeutic regimens: 71,5% used oral hypoglycaemic agents (OAD) alone (52,1% of these were using 2 or more agents); 28,5% were treated with insulin (16,2% in combination with OAD). 52,1% of the patients were anti-aggregated with aspirin. CONCLUSIONS: The metabolic control (HbA1c) and LDL values were favourable in our patients sample, comparing to other studies. The percentage of patients treated to the recommended BP of 130/80 mmHg is consistent with the literature. Only 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Despite our comparable results to published data, we would like to highlight the difficulty to accomplish international recommendations to metabolic and risk factors control in clinical practice and the necessity of an aggressive approach to diabetes treatment.Type 2 Diabetes Mellitus affects an increasing number of people throughout the world. Several studies have shown that it is possible to prevent and minimize type 2 diabetes complications, be it treated appropriately over time. This study aimed to determine the quality of care provided to type 2 diabetic patients in our institution, through metabolic control and risk factors evaluation. Subjects and methods: We reviewed the medical records of 776 type 2 diabetic patients, followed at our outpatient clinic between 1998-2004. RESULTS: A total of 588 patients were included in the study, with a mean age of 66,8 ± 27,2 years. 58% were men. HbA1c levels averaged 7,2 ± 1,6. 57% had HbA1c = 7%. 25,3% met the target blood pressure of 130/80 mmHg; 48% met the goal LDL cholesterol level < 100 and 80% < 130 mg/dl. 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Concerning therapeutic regimens: 71,5% used oral hypoglycaemic agents (OAD) alone (52,1% of these were using 2 or more agents); 28,5% were treated with insulin (16,2% in combination with OAD). 52,1% of the patients were anti-aggregated with aspirin. CONCLUSIONS: The metabolic control (HbA1c) and LDL values were favourable in our patients sample, comparing to other studies. The percentage of patients treated to the recommended BP of 130/80 mmHg is consistent with the literature. Only 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Despite our comparable results to published data, we would like to highlight the difficulty to accomplish international recommendations to metabolic and risk factors control in clinical practice and the necessity of an aggressive approach to diabetes treatment.Ordem dos Médicos2010-10-22info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/709oai:ojs.www.actamedicaportuguesa.com:article/709Acta Médica Portuguesa; Vol. 23 No. 5 (2010): September-October; 909-14Acta Médica Portuguesa; Vol. 23 N.º 5 (2010): Setembro-Outubro; 909-141646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/709https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/709/387Marcelino, MafaldaNobre, E LacerdaChambel, PaulaDomingues, Andreiada Silva, M PaesSantos, ValentimVilar, HelenaOliveira Lopes, LCarvalho, RaquelSantana Lopes, MParadinha, ManuelJácome De Castro, Jinfo:eu-repo/semantics/openAccess2022-12-20T10:56:45Zoai:ojs.www.actamedicaportuguesa.com:article/709Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:42.228271Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Quality of care in diabetic outpatient clinics.
Avaliação da qualidade de cuidados numa consulta de diabetes.
title Quality of care in diabetic outpatient clinics.
spellingShingle Quality of care in diabetic outpatient clinics.
Marcelino, Mafalda
title_short Quality of care in diabetic outpatient clinics.
title_full Quality of care in diabetic outpatient clinics.
title_fullStr Quality of care in diabetic outpatient clinics.
title_full_unstemmed Quality of care in diabetic outpatient clinics.
title_sort Quality of care in diabetic outpatient clinics.
author Marcelino, Mafalda
author_facet Marcelino, Mafalda
Nobre, E Lacerda
Chambel, Paula
Domingues, Andreia
da Silva, M Paes
Santos, Valentim
Vilar, Helena
Oliveira Lopes, L
Carvalho, Raquel
Santana Lopes, M
Paradinha, Manuel
Jácome De Castro, J
author_role author
author2 Nobre, E Lacerda
Chambel, Paula
Domingues, Andreia
da Silva, M Paes
Santos, Valentim
Vilar, Helena
Oliveira Lopes, L
Carvalho, Raquel
Santana Lopes, M
Paradinha, Manuel
Jácome De Castro, J
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Marcelino, Mafalda
Nobre, E Lacerda
Chambel, Paula
Domingues, Andreia
da Silva, M Paes
Santos, Valentim
Vilar, Helena
Oliveira Lopes, L
Carvalho, Raquel
Santana Lopes, M
Paradinha, Manuel
Jácome De Castro, J
description Type 2 Diabetes Mellitus affects an increasing number of people throughout the world. Several studies have shown that it is possible to prevent and minimize type 2 diabetes complications, be it treated appropriately over time. This study aimed to determine the quality of care provided to type 2 diabetic patients in our institution, through metabolic control and risk factors evaluation. Subjects and methods: We reviewed the medical records of 776 type 2 diabetic patients, followed at our outpatient clinic between 1998-2004. RESULTS: A total of 588 patients were included in the study, with a mean age of 66,8 ± 27,2 years. 58% were men. HbA1c levels averaged 7,2 ± 1,6. 57% had HbA1c = 7%. 25,3% met the target blood pressure of 130/80 mmHg; 48% met the goal LDL cholesterol level < 100 and 80% < 130 mg/dl. 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Concerning therapeutic regimens: 71,5% used oral hypoglycaemic agents (OAD) alone (52,1% of these were using 2 or more agents); 28,5% were treated with insulin (16,2% in combination with OAD). 52,1% of the patients were anti-aggregated with aspirin. CONCLUSIONS: The metabolic control (HbA1c) and LDL values were favourable in our patients sample, comparing to other studies. The percentage of patients treated to the recommended BP of 130/80 mmHg is consistent with the literature. Only 6,8% of patients met the combined ADA goal for BP, LDL and HbA1c. Despite our comparable results to published data, we would like to highlight the difficulty to accomplish international recommendations to metabolic and risk factors control in clinical practice and the necessity of an aggressive approach to diabetes treatment.
publishDate 2010
dc.date.none.fl_str_mv 2010-10-22
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/709/387
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 23 No. 5 (2010): September-October; 909-14
Acta Médica Portuguesa; Vol. 23 N.º 5 (2010): Setembro-Outubro; 909-14
1646-0758
0870-399X
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