Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/166344 |
Resumo: | Objectives: To describe the clinical profile of Brazilian patients with type 2 diabetes attending the public healthcare system and identify factors associated with poor glycaemic control. Design: Cross-sectional study. Setting: 14 centres in five regions of Brazil, including primary care units and outpatient clinics of University Hospitals. Participants: Patients with type 2 diabetes attending outpatient clinics of public healthcare system. Main outcome measured: Glycated haemoglobin (HbA1c), centrally measured by high-performance liquid chromatography (National Glycohemoglobin Standardization Program certified). Results: A total of 5750 patients aged 61±10 years, with 11±8 years of diabetes duration (66% women, 56% nonwhite, body mass index: 28.0±5.3 kg/m2) were analysed. Mean HbA1c was 8.6±2.2%, and median HbA1c was 8.1% (6.9% to 9.9%). HbA1c <7% was observed in only 26% of patients. Mean HbA1c was higher (p < 0.01) in the North (9.0±2.6%) and Northeast (8.9±2.4%) than in the Midwest (8.1±2%), Southeast (8.4±2.1%) and South regions (8.3±1.9%). Using the cut-off value of HbA1c above the median, age (0.986 (0.983 to 0.989)), white ethnicity (0.931 (0.883 to 0.981)) and being from Midwest region (0.858 (0.745 to 0.989)) were protective factors, while diabetes duration (1.015 (1.012 to 1.018)), use of insulin (1.710 (1.624 to 1.802)) and living in the Northeast region (1.197 (1.085 to 1.321)) were associated with HbA1c >8%. Conclusions: The majority of Brazilian patients with type 2 diabetes attending the public healthcare system had HbA1c levels above recommended targets. The recognition of Northeast residents and non-white patients as vulnerable populations should guide future policies and actions to prevent and control diabetes. |
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Viana, Luciana VerçozaLeitão, Cristiane BauermannKramer, Caroline KaercherZucatti, Alessandra Teixeira NettoJezini, Deborah LaredoFelicio, João SoaresMendes, Ana Beatriz ValverdeChacra, Antonio RobertoAzevedo, Mirela Jobim deGross, Jorge Luiz2017-09-14T02:27:55Z20132044-6055http://hdl.handle.net/10183/166344000919878Objectives: To describe the clinical profile of Brazilian patients with type 2 diabetes attending the public healthcare system and identify factors associated with poor glycaemic control. Design: Cross-sectional study. Setting: 14 centres in five regions of Brazil, including primary care units and outpatient clinics of University Hospitals. Participants: Patients with type 2 diabetes attending outpatient clinics of public healthcare system. Main outcome measured: Glycated haemoglobin (HbA1c), centrally measured by high-performance liquid chromatography (National Glycohemoglobin Standardization Program certified). Results: A total of 5750 patients aged 61±10 years, with 11±8 years of diabetes duration (66% women, 56% nonwhite, body mass index: 28.0±5.3 kg/m2) were analysed. Mean HbA1c was 8.6±2.2%, and median HbA1c was 8.1% (6.9% to 9.9%). HbA1c <7% was observed in only 26% of patients. Mean HbA1c was higher (p < 0.01) in the North (9.0±2.6%) and Northeast (8.9±2.4%) than in the Midwest (8.1±2%), Southeast (8.4±2.1%) and South regions (8.3±1.9%). Using the cut-off value of HbA1c above the median, age (0.986 (0.983 to 0.989)), white ethnicity (0.931 (0.883 to 0.981)) and being from Midwest region (0.858 (0.745 to 0.989)) were protective factors, while diabetes duration (1.015 (1.012 to 1.018)), use of insulin (1.710 (1.624 to 1.802)) and living in the Northeast region (1.197 (1.085 to 1.321)) were associated with HbA1c >8%. Conclusions: The majority of Brazilian patients with type 2 diabetes attending the public healthcare system had HbA1c levels above recommended targets. The recognition of Northeast residents and non-white patients as vulnerable populations should guide future policies and actions to prevent and control diabetes.application/pdfengBMJ Open. London. Vol. 3, no. 9 (Sept. 2013), e003336, 6 p.Fator neurotrófico derivado do encéfaloCocaína crackSíndrome de abstinência a substânciasNeurobiologiaPoor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional studyEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000919878.pdf000919878.pdfTexto completo (inglês)application/pdf474724http://www.lume.ufrgs.br/bitstream/10183/166344/1/000919878.pdf936d68cfe897d49b0fff33241fdfc285MD51TEXT000919878.pdf.txt000919878.pdf.txtExtracted Texttext/plain29895http://www.lume.ufrgs.br/bitstream/10183/166344/2/000919878.pdf.txt269d6f4681ed8346901983eedec186fdMD52THUMBNAIL000919878.pdf.jpg000919878.pdf.jpgGenerated Thumbnailimage/jpeg2247http://www.lume.ufrgs.br/bitstream/10183/166344/3/000919878.pdf.jpgb02c6f9db6659f55fe63f055e91e68c2MD5310183/1663442024-03-07 05:02:38.824448oai:www.lume.ufrgs.br:10183/166344Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2024-03-07T08:02:38Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study |
title |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study |
spellingShingle |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study Viana, Luciana Verçoza Fator neurotrófico derivado do encéfalo Cocaína crack Síndrome de abstinência a substâncias Neurobiologia |
title_short |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study |
title_full |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study |
title_fullStr |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study |
title_full_unstemmed |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study |
title_sort |
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system : a cross-sectional study |
author |
Viana, Luciana Verçoza |
author_facet |
Viana, Luciana Verçoza Leitão, Cristiane Bauermann Kramer, Caroline Kaercher Zucatti, Alessandra Teixeira Netto Jezini, Deborah Laredo Felicio, João Soares Mendes, Ana Beatriz Valverde Chacra, Antonio Roberto Azevedo, Mirela Jobim de Gross, Jorge Luiz |
author_role |
author |
author2 |
Leitão, Cristiane Bauermann Kramer, Caroline Kaercher Zucatti, Alessandra Teixeira Netto Jezini, Deborah Laredo Felicio, João Soares Mendes, Ana Beatriz Valverde Chacra, Antonio Roberto Azevedo, Mirela Jobim de Gross, Jorge Luiz |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Viana, Luciana Verçoza Leitão, Cristiane Bauermann Kramer, Caroline Kaercher Zucatti, Alessandra Teixeira Netto Jezini, Deborah Laredo Felicio, João Soares Mendes, Ana Beatriz Valverde Chacra, Antonio Roberto Azevedo, Mirela Jobim de Gross, Jorge Luiz |
dc.subject.por.fl_str_mv |
Fator neurotrófico derivado do encéfalo Cocaína crack Síndrome de abstinência a substâncias Neurobiologia |
topic |
Fator neurotrófico derivado do encéfalo Cocaína crack Síndrome de abstinência a substâncias Neurobiologia |
description |
Objectives: To describe the clinical profile of Brazilian patients with type 2 diabetes attending the public healthcare system and identify factors associated with poor glycaemic control. Design: Cross-sectional study. Setting: 14 centres in five regions of Brazil, including primary care units and outpatient clinics of University Hospitals. Participants: Patients with type 2 diabetes attending outpatient clinics of public healthcare system. Main outcome measured: Glycated haemoglobin (HbA1c), centrally measured by high-performance liquid chromatography (National Glycohemoglobin Standardization Program certified). Results: A total of 5750 patients aged 61±10 years, with 11±8 years of diabetes duration (66% women, 56% nonwhite, body mass index: 28.0±5.3 kg/m2) were analysed. Mean HbA1c was 8.6±2.2%, and median HbA1c was 8.1% (6.9% to 9.9%). HbA1c <7% was observed in only 26% of patients. Mean HbA1c was higher (p < 0.01) in the North (9.0±2.6%) and Northeast (8.9±2.4%) than in the Midwest (8.1±2%), Southeast (8.4±2.1%) and South regions (8.3±1.9%). Using the cut-off value of HbA1c above the median, age (0.986 (0.983 to 0.989)), white ethnicity (0.931 (0.883 to 0.981)) and being from Midwest region (0.858 (0.745 to 0.989)) were protective factors, while diabetes duration (1.015 (1.012 to 1.018)), use of insulin (1.710 (1.624 to 1.802)) and living in the Northeast region (1.197 (1.085 to 1.321)) were associated with HbA1c >8%. Conclusions: The majority of Brazilian patients with type 2 diabetes attending the public healthcare system had HbA1c levels above recommended targets. The recognition of Northeast residents and non-white patients as vulnerable populations should guide future policies and actions to prevent and control diabetes. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013 |
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2017-09-14T02:27:55Z |
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Estrangeiro info:eu-repo/semantics/article |
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000919878 |
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BMJ Open. London. Vol. 3, no. 9 (Sept. 2013), e003336, 6 p. |
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