Diabetes Management in Canada: Baseline Results of the Group Practice Diabetes Management Study

Harris, Stewart B.; Worrall, Graham; Macaulay, Ann C.; Norton, Peter; Webster-Bogaert, Susan; Donner, Allan; Murray, Alison; Stewart, Moira

doi:10.1016/s1499-2671(06)02005-3

Cited by 24 publications

(28 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, there was a predominance of females among the subjects, similar to other reports analyzed (5,7) . Despite the evidenced trend in the literature regarding predominance of women, the DM prevalence study in Brazil did not confirm a statistically significant association between this disease and gender (14) .…”

Section: Discussionsupporting

confidence: 92%

“…Although the overall assessment of these indicators are recommended to analyze the outcomes of diabetes care, experts point out the importance of valuing the control of hemoglobin A1c, LDL-C and BP in the prevention of complications associated with type 2 diabetes mellitus (T2DM) (3,4) . In addition, the evidences indicate that a large number of people with T2DM does not reach the recommended targets for these indicators (5,6) . The aforementioned scenario can also be found in the Brazilian context, considering that multicenter study, 13 endocrinology outpatient services in eight Brazilian cities, showed that the normal parameters of hemoglobin A1c, LDL-C and BP are rarely achieved in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

et al. 2012

View full text Add to dashboard Cite

Objective: To evaluate the outcome component in a secondary care service for users with Diabetes mellitus type 2 (DM2), adopting control of arterial blood pressure (ABP), glycated hemoglobin and low density lipoprotein as indicators. Methods: A retrospective chart review involving the analysis of these indicators, obtained in the years between 2007 and 2009, based on the consultation of 108 medical records of users from a secondary care service, conducted in the evaluation of health care. Results: The results showed that 30.3% of the users reached the goal for glycated hemoglobin, 48.1% for arterial blood pressure, and 42.3% for the low density lipoprotein. Conclusion: The data evaluated were similar to those found in other international and national investigations, with a large proportion of the users with DM2 studied, presenting with control of hemoglobin A1c levels, ABP and LDL-C, lower than those recommended in the consensus. Keywords: Health evaluation; Diabetes mellitus, type 2/nursing; Quality indicators, health care RESUMOObjetivo: Avaliar o componente resultado em um serviço de atenção secundária a usuários com Diabetes mellitus tipo 2, tomando como indicadores os controles de pressão arterial, hemoglobina glicada e lipoproteína de baixa densidade. Métodos: Estudo do tipo documental e retrospectivo envolvendo a análise desses indicadores, obtidos nos anos entre 2007 e 2009, com base na consulta de 108 prontuários de usuários de um serviço de atenção secundária, realizada na avaliação de cuidados em saúde. Resultados: Os resultados evidenciaram que 30,3% dos usuários alcançaram a meta para a hemoglobina glicada, 48,1%, para a pressão arterial e 42,3%, para a lipoproteína de baixa densidade. Conclusão: Os dados avaliados foram semelhantes aos encontrados em outras investigações internacionais e nacionais, com grande proporção de usuários com DM2 estudados, apresentando controle dos níveis hemoglobina A1c, PA e LDL-C, aquém do preconizado nos consensos. Descritores: Avaliação em saúde; Diabetes mellitus tipo 2/enfermagem; Indicadores de qualidade em assistência à saúde RESUMEN Objetivo: Evaluar el componente resultado en un servicio de atención secundaria a usuarios con Diabetes mellitus tipo 2, tomando como indicadores los controles de presión arterial, hemoglobina glicada y lipoproteína de baja densidad. Métodos: Estudio de tipo documental y retrospectivo que involucró el análisis de esos indicadores, obtenidos en los años entre 2007 y 2009, con base en la consulta de 108 historias clínicas de usuarios de un servicio de atención secundaria, realizada en la evaluación de cuidados en salud. Resultados: Los resultados evidenciaron que el 30,3% de los usuarios alcanzaron la meta para la hemoglobina glicada, 48,1%, para la presión arterial y el 42,3%, para la lipoproteína de baja densidad. Conclusión: los datos evaluados fueron semejantes a los encontrados en otras investigaciones internacionales y nacionales, con gran proporción de usuarios con DM2 estudiados, que presentaban control de los niveles h...

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Also, regarding control of lipid (22). A retrospective analysis of data from 1998-2002 in UK found that >60% of the patients had poorly controlled disease regardless of the cut-off used to determine good control (23), while a Canadian study demonstrated HbA1c of 7.7% for 78% of the patients tested (24). The average HbA1c for patients in Australian population was 7.3 ± 1.23 (25).…”

Section: Resultsmentioning

confidence: 99%

“…A retrospective analysis of data from 1998-2002 in UK found that >60% of the patients had poorly controlled disease regardless of the cut-off used to determine good control (23), while a Canadian study demonstrated HbA1c of 7.7% for 78% of the patients tested (24). The average HbA1c for patients in Australian population was 7.3 ± 1.23 (25). The results of a European cohort study (RECAP-DM) in 2008 showed that the overall frequency of adequate glycemic control among 2,023 T2DM patients was one quarter (25.5%) (26).…”

Section: Resultsmentioning

confidence: 99%

Inadequate control of diabetes and metabolic indices among diabetic patients: A population based study from the Kerman Coronary Artery Disease Risk Study (KERCADRS)

Yousefzadeh

Shokoohi

Najafipour

2014

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: The goal of diabetes control should be feasible in order to minimize the risk of its adverse events and to reduce its burden and cost on patients. The current study aimed to assess the status of glycemic control in male and female patients with Type 2 Diabetes Mellitus (T2DM) in Kerman, Iran. Methods: In the present study, 500 T2DM (300 women and 200 men) from the Kerman Coronary Artery Disease Risk Study (KERCADRS), a population-based study from 2009 to 2011, were selected. Patients were >18 years old, had Fasting Blood Sugar (FBS) higher than 126 mg/dl, and had been through treatment for their diagnosed disease. All participants underwent Glycosylated Hemoglobin (HbA1c) analysis. HbA1c less than 7% was considered as good glucose control. Other metabolic indices based on American Diabetes Association (ADA) target recommendations were considered. Results: The mean level of HbA1c in total subjects was 8.56 ± 4.72% that only 31.66% of men and 26.00% of women had controlled level of HbA1c. Total cholesterol less than 200 mg/dl was reported in 64.50% of men and 44.00% of women, High Density Lipoprotein (HDL) more than 40 mg/dl was revealed in 20.50% of men and 34.67% of women, and Low Density Lipoprotein (LDL) less than 100 mg/dl was reported in 41.50% of men and 25.33% of women. In multivariate logistic regression model, longer duration of disease and higher Waist Circumference (WC) were positively associated with uncontrolled diabetes status. Conclusion:The findings of the present study revealed that diabetes control in T2DM was inadequate. Changing the policy of treatment in individual patient and establishing better diabetes clinic to decrease the frequency of uncontrolled T2DM are crucial. Paying attention to other affecting metabolic components such as WC in the process of T2DM management is important.

show abstract

“…ACR was selected because it has been shown to be tested in less than 50% of patients. 37,38 Secondary clinical process measures were selected in accordance with recommendations from nationally published diabetes CPGs 10 and were captured as binary variables. A test/examination was considered complete when it was documented at least once in a patient's chart during the period before or after the program.…”

Section: Methodsmentioning

confidence: 99%

Results of a Mixed-Methods Evaluation of Partnerships for Health: A Quality Improvement Initiative for Diabetes Care

Harris

Paquette-Warren

Roberts

et al. 2013

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Purpose: Quality improvement (QI) initiatives have been implemented to facilitate transition to a chronic disease management approach in primary health care. However, the effect of QI initiatives on diabetes clinical processes and outcomes remains unclear. This article reports the effect of Partnerships for Health, a QI program implemented in Southwestern Ontario, Canada, on diabetes clinical process and outcome measures and describes program participants' views of elements that influenced their ability to reach desired improvements.Methods: Part of an external, concurrent, comprehensive, mixed-methods evaluation of Partnerships for Health, a before/after audit of 30 charts of patient of program physicians (n ‫؍‬ 35) and semistructured interviews with program participants (physicians and allied health providers) were conducted.Results: The proportion of patients (n ‫؍‬ 998) with a documented test/examination for the following clinical processes significantly improved (P < .005): glycosylated hemoglobin (A1c), cholesterol, albumin-to-creatinine ratio, serum creatinine, glomerular filtration rate, electrocardiogram, foot/eye/neuropathy examination, body mass index, waist circumference, and depression screening. Data showed intensification of treatment and significant improvement in the number of patients at target for lowdensity lipoprotein (LDL) and blood pressure (BP) (P < .001). Mean LDL and BP values decreased significantly (P < .01), and an analysis of patients above glycemic targets (A1c >7% at baseline) showed a significant decrease in mean A1c values (P < .01). Interview participants (n ‫؍‬ 55) described using a team approach, improved collaborative and proactive care through better tracking of patient data, and increased patient involvement as elements that positively influenced clinical processes and outcomes.

show abstract

Diabetes Management in Canada: Baseline Results of the Group Practice Diabetes Management Study

Cited by 24 publications

References 9 publications

Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

Inadequate control of diabetes and metabolic indices among diabetic patients: A population based study from the Kerman Coronary Artery Disease Risk Study (KERCADRS)

Results of a Mixed-Methods Evaluation of Partnerships for Health: A Quality Improvement Initiative for Diabetes Care

Contact Info

Product

Resources

About