Achievement of partial combined control of major diabetes targets in primary care correlates with development of chronic complications in T2DM patients—A real life data

Rapoport, Micha J.; Harel, Nissim; Shasha, Y.; Barkan, Refael; Kitaee, Eliezer; Buchs, Andreas; Izhakian, Shimon; Aviel-Gadot, Einat

doi:10.1016/j.pcd.2015.05.001

Cited by 5 publications

(8 citation statements)

References 33 publications

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“…At baseline, 94.4% of T2DM patients did not meet all three ABC goals. This figure is similar to that found in other studies such as the National Health and Nutrition Examinatin Survey (NHANES) [ 27 ] in 1999–2002 and an Israel cohort study [ 28 ]. However, more recently, in NHANES 2007–2010 the percentage of patients who did not meet all of their ABC fell to 81.2% [ 27 ].…”

Section: Discussionsupporting

confidence: 90%

Effectiveness of standardized nursing care plans to achieve A1C, blood pressure, and LDL-C goals among people with poorly controlled type 2 diabetes mellitus at baseline: four-year follow-up study

et al. 2018

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BackgroundNo studies that have measured the role of nursing care plans in patients with poorly controlled type 2 diabetes mellitus. Our objectives were firstly, to evaluate the effectiveness of implementing Standardized languages in Nursing Care Plans (SNCP) for improving A1C, blood pressure and low density lipoprotein cholesterol (ABC goals) in patients with poorly controlled type 2 diabetes mellitus at baseline (A1C ≥7%, blood pressure ≥ 130/80 mmHg, and low-density lipoprotein cholesterol≥100 mg/dl) compared with Usual Nursing Care (UNC). Secondly, to evaluate the factors associated with these goals.MethodsA four-year prospective follow-up study among outpatients with type 2 diabetes mellitus: We analyzed outpatients of 31 primary health centers (Madrid, Spain), with at least two A1C values (at baseline and at the end of the study) who did not meet their ABC goals at baseline. A total of 1916 had A1C ≥7% (881 UNC versus 1035 SNCP). Two thousand four hundred seventy-one had systolic blood pressure ≥ 130 mmHg (1204 UNC versus 1267 SNCP). One thousand one hundred seventy had diastolic blood pressure ≥ 80 mmHg (618 UNC versus 552 SNCP); and 2473 had low-density lipoprotein cholesterol ≥100 mg/dl (1257 UNC versus 1216 SNCP). Data were collected from computerized clinical records; SNCP were identified using NANDA and NIC taxonomies.ResultsMore patients cared for using SNCP achieved in blood pressure goals compared with patients who received UNC (systolic blood pressure: 29.4% versus 28.7%, p = 0.699; diastolic blood pressure: 58.3% versus 53.2%, p = 0.08), but the differences did not reach statistical significance. For A1C and low-density lipoprotein cholesterol goals, there were no significant differences between the groups. Coronary artery disease was a significant predictor of blood pressure and low-density lipoprotein cholesterol goals.ConclusionsIn patients with poorly controlled type 2 diabetes mellitus, there is not enough evidence to support the use of SNCP instead of with UNC with the aim of helping patients to achieve their ABC goals. However, the use of SNCP is associated with a clear trend of a achievement of diastolic blood pressure goals.

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Section: Discussionsupporting

confidence: 90%

Effectiveness of standardized nursing care plans to achieve A1C, blood pressure, and LDL-C goals among people with poorly controlled type 2 diabetes mellitus at baseline: four-year follow-up study

et al. 2018

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“…Given that the combined control of T2D patients' CV risk factors is known to be rarely reached [6,7], our finding that males who have a personalized care plan also have a lower CV risk is of importance, particularly given the higher overall CV risk seen in male patients [37]. The difference in results between genders may be because patient-centric discussion in consultations with female patients, even in the absence of a jointly written care plan.…”

Section: Accepted Manuscriptmentioning

confidence: 82%

“…To avoid complications, the following targets are recommended in the treatment of patients with T2D: non-smoking, A1C <7% (53 mmol/mol), LDL<2.5 mmol/l, and systolic blood pressure (sBP) <140 mmHg [4,5]. Studies show that all these targets are achieved in only 0.2-9.0% of patients [6,7].…”

Section: Introductionmentioning

confidence: 99%

A Personalized Care Plan Is Positively Associated With Better Clinical Outcomes in the Care of Patients With Type 2 Diabetes: A Cross-Sectional Real-Life Study

Mikkola

Hagnäs

Hartšenko

et al. 2020

Canadian Journal of Diabetes

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“…therapeutic goals in patients with type 2 diabetes mellitus (21). Hence, further studies on genetics, environmental exposures, and social factors related to health services provision and utilization related to APS are potential areas for further study.…”

Section: Discussionmentioning

confidence: 99%

Ethnicity and Antiphospholipid Syndrome in Israel

Niznik

Rapoport

Avnery

et al. 2022

Arthritis Care & Research

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Objective. Antiphospholipid syndrome (APS) is an acquired coagulopathy associated with the presence of antiphospholipid antibodies. Whether ethnicity modulates APS clinical course is not known. The aim of our study was to assess the interplay of ethnicity and APS in Israel.Methods. We retrospectively evaluated the ethnic distribution of APS patients from 3 medical centers in Israel compared to the general population. Ethnic groups were defined according to the Israeli Bureau of Statistics as Ashkenazi (European), former Union of Soviet Socialist Republics (USSR), North African, Asian (West Asia, Greece, and Turkey), Israeli Arab individuals, and others.Results. Our cohort included 382 patients. The prevalence of Ashkenazi and Asian ethnicities was more pronounced (33% versus 12.8% and 15.4% versus 7.7%, respectively; P < 0.001), while Israeli Arabs were less represented (5.2% versus 31.1%; P < 0.001) relative to their part in the general population. Arab patients were younger at presentation (mean ± SD 28 ± 10 years versus 34 ± 13 years; P < 0.001) and were more likely to present with venous thrombosis (50% versus 35%; P = 0.037) and to suffer from venous thrombotic recurrence (45% versus 16%; P < 0.001) compared to other ethnicities. Mortality was higher among patients of Asian ethnic origin (8.8% versus 1.1%; P = 0.005); intriguingly, this group experienced cardiovascular risk factors more often (i.e., dyslipidemia and hypertension).Conclusion. Ethnicity may affect the prevalence and/or natural course of APS, which is less prevalent and differs clinically in Israeli Arab patients, while mortality was linked with Asian ethnicity.

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Achievement of partial combined control of major diabetes targets in primary care correlates with development of chronic complications in T2DM patients—A real life data

Cited by 5 publications

References 33 publications

Effectiveness of standardized nursing care plans to achieve A1C, blood pressure, and LDL-C goals among people with poorly controlled type 2 diabetes mellitus at baseline: four-year follow-up study

Effectiveness of standardized nursing care plans to achieve A1C, blood pressure, and LDL-C goals among people with poorly controlled type 2 diabetes mellitus at baseline: four-year follow-up study

A Personalized Care Plan Is Positively Associated With Better Clinical Outcomes in the Care of Patients With Type 2 Diabetes: A Cross-Sectional Real-Life Study

Ethnicity and Antiphospholipid Syndrome in Israel

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