Dropout and Relapse During Diabetes Care

Graber, Alan L.; Davidson, Patricia; Brown, Anne; McRae, J. R.; Woolridge, Kathleen

doi:10.2337/diacare.15.11.1477

Cited by 85 publications

(86 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The data conflict with those from specialist clinics and studies of type 1 diabetes care, which have suggested that nonattenders are more likely to suffer from complications (8,9) and are more likely to smoke (9). The data do confirm the findings of Graber et al (9), who showed that nonattenders are less likely to have been prescribed medication. Subjects not receiving care had poor self-care skills, including bad dietary adherence, which correlated with less diabetes knowledge.…”

Section: Results -contrasting

confidence: 52%

Prevalence and characteristics of diabetic patients with no ongoing care in South Auckland.

Simmons

Fleming

2000

Diabetes Care

View full text Add to dashboard Cite

OBJECTIVE: To describe the prevalence of default from diabetes care and to reveal associated characteristics among patients with known diabetes in urban South Auckland, New Zealand. RESEARCH DESIGN AND METHODS: We developed a cross-sectional household study of patients with known diabetes and compared those patients with and without ongoing care. Ongoing care was defined as having been clinically reviewed at least once in the previous 10 months. RESULTS: Of the 1,488 European, Maori, and Pacific Islander subjects with known diabetes, 107 (6.3%) had not seen a general practitioner or a diabetes service in the previous 10 months. Subjects not attending a diabetes service were more likely than subjects attending a diabetes service to have been diagnosed when screened asymptomatically (11.7 vs. 5.2%, P = 0.008) and after gestational diabetes (39.7 vs. 11.7%, P < 0.001). Maori were most likely to have no ongoing care (10.8 vs. 5.8% European and 6.6% of Pacific Islander subjects, P = 0.01). Nonattenders were younger, were diagnosed at a younger age, knew less about diabetes, were less satisfied with past care, and were less likely to require medication. CONCLUSIONS: The elevated number of diabetic individuals not attending ongoing care is a significant problem in this population, and it may reflect a decisional balance as seen in problem behaviors. Diagnosis when asymptomatic may contribute to default from ongoing care; in this case, caution is required if population-based screening programs are being considered.

show abstract

Section: Results -contrasting

confidence: 52%

Prevalence and characteristics of diabetic patients with no ongoing care in South Auckland.

Simmons

Fleming

2000

Diabetes Care

View full text Add to dashboard Cite

show abstract

“…Up to 50% of adults with diabetes and somewhere between 50% and 70% of adult patients with hypertension or asthma have recurrent symptoms each year that require medical care (cf. Clark 1991; Dekker et al 1993;Graber et al 1992;Schaub et al 1993). These rates are virtually identical to what we find with addicts: somewhere between 40% and 60% of patients treated for alcohol or drug dependence return to active use within a year of some treatment intervention (cf.…”

Section: Addiction As Voluntary Behaviorsupporting

confidence: 85%

“…Less than 30% of patients with adult-onset diabetes, hypertension, or asthma observe the diet and behavioral changes required to reduce the risk factors for recurrence (cf. Clark 1991;Dekker et al 1993;Graber et al 1992).…”

Section: Addiction As Voluntary Behaviormentioning

confidence: 99%

Addiction, Chronic Illness, and Responsibility

Hardcastle

2017

Ideas Valores

View full text Add to dashboard Cite

Some theorists have argued that we should understand the notion of free will from a functional perspective: free will just is our ability to choose effectively and adaptively in an ever-changing environment. Although far from what many philosophers normally mean by free will, those who adopt this biological-evolutionary perspective can clearly define and defend a notion of personal responsibility. One consequenceof this point of view is that addicts become responsible for their actions, for at each choice point, there is a real sense in which the addict could have elected not to use or abuse. As a result, it has been argued that addiction is not a disease, that addictive behavior is voluntary, and that sometimes it is even rational. This paper defends a different way of thinking about addiction, one that aligns it with other complex chronic illnesses. The perspective put forth here suggests that these discussions about responsibility and free will represent an over-simplified and neuropsychologically inaccurate portrait of basic human capacities for behavioral choice.

show abstract

“…The reasons for dropout from a diabetic care can be generally summarized into the following three categories: 1) patient-oriented problem (2,(11)(12)(13)(14)(15)(16)(17), 2) health-care provideroriented problem (11,18,19), and 3) physician-patient relationship (5,20). For the patient-oriented problem, gender, age, ethnicity, educational level, economical status, tobacco use, obesity, the duration of disorder, glycemic control, and psychological problems among others can be considered.…”

Section: Introductionmentioning

confidence: 99%

Personal features and dropout from diabetic care

Masuda

Kubo²,

Kokaze

et al. 2006

Environ. Health Prev. Med.

View full text Add to dashboard Cite

Objective: To investigate the personal features associated with dropout from regular outpatient care among persons with type 2 diabetes mellitus (DM).Methods: A total of 160 DM patients were enrolled in the study. As a retrospective analysis, outpatient's clinical characteristics, lifestyle, or social features were gathered from their medical records or interview sheets. All the subjects were divided into two groups by adherence to diabetic care, namely, 'dropout case' (DC) or 'ongoing case' (OC), and were subjected to comparative analysis. We called the patients who did not receive outpatient treatment from the clinic on a regular basis, including treatment from other clinics or dropout of diabetic care, as DC. In contrast, patients who regularly visited the clinic were defined as OC. An unconditional multiple logistic regression analysis was performed to analyze the association of adherence to diabetic care with several personal features.Results: Sixty-eight of 160 subjects (42.5%) were recognized as DC. The remaining 92 subjects (57.5%) were considered as OC. Young age (p=0.045), low plasma glucose (p=0.005) and hemoglobin A1c (HbA1c) levels (p=0.005), nonmedication (p<0.001) and no past history of DM (p=0.007) at the initial visit were the features related to dropout by crude analysis. Even after adjustment for age and gender by multivariate analysis, there remained significant inverse associations of dropout with HbA1c level, medical treatment (oral agents or insulin) and previous DM history. Neither occupation, distance from residence to clinic, smoking habit nor drinking habit was associated with dropout. Dropout mostly occurred after the initial or second visit.Conclusions: A mild condition of DM may be related to dropout from regular outpatient care. It may be necessary to clearly show the objectives and importance of regular visit to an outpatient clinic for diabetic care, particularly for screened mild DM cases in public health activities.

show abstract

Dropout and Relapse During Diabetes Care

Abstract: Dropout from treatment and relapse after temporary improvement account for a substantial amount of uncontrolled diabetes, and overcoming the obstacles of dropout and relapse has potential for significant improvement in diabetes care.

Cited by 85 publications

References 20 publications

Prevalence and characteristics of diabetic patients with no ongoing care in South Auckland.

Prevalence and characteristics of diabetic patients with no ongoing care in South Auckland.

Addiction, Chronic Illness, and Responsibility

Personal features and dropout from diabetic care

Contact Info

Product

Resources

About