Guideline adherence and control of diabetes mellitus with or without co-morbidities in various wards of a tertiary hospital in Malaysia

Abstract

To assess the adherence of physicians involved in the management of diabetes mellitus with or without co-morbidities with reference to Clinical Practice Guideline 2009 given by Ministry of Health Malaysia in the tertiary care hospital, Pinang General Hospital Malaysia. Cross-sectional study was done at tertiary care hospital, Penang, Malaysia. The total 51 physicians and 1020 patient’s prescriptions written by same physicians were taken from the record of the Penang General Hospital (20 prescriptions for each enrolled physician). All 1020 patients were suffering from diabetes mellitus with or without co-morbidities. These patients were recruited from the different wards of the Penang General Hospital. Depending on the recommendations of CPG 2009 the prescriptions of patients were divided into adherent and non-adherent prescriptions. The overall good level of physician adherence was seen with respect to the recommendations of CPG 2009 in all prescriptions. A statistically significant negative association (?= 0.094, p-value=0.003) was observed between diabetes mellitus control and co-morbidities. CPG adherent had statistically weak negative association (?= -0.081, p-value=0.010) with patients having co-morbidities. No statistically significant association was observed between CPG adherence and any other co-morbidity. The study explored the several features of prescription pattern of physicians involved in the management of diabetes mellitus with or without co-morbidities and recognized the need for improvement in their prescription pattern for treating the diabetes mellitus.DOI: http://dx.doi.org/10.3329/icpj.v3i8.19405 International Current Pharmaceutical Journal, July 2014, 3(8): 309-312

Prescription pattern of antibiotics and infection control among outpatients presented at the different community pharmacies in Lahore, Pakistan

“…However, most of the patients enrolled in the study were male, i.e., 51.3%. However, the control was more effective in females (Iqbal et al, 2014). Similarly, the research findings are also consistent with a study conducted in Pakistan, which…”

The influence of pharmacist-led collaborative care on clinical outcomes in type 2 diabetes mellitus: a multicenter randomized control trial

“…The outcomes of the current study showed that at the follow-up visits, the majority of the patients enrolled in this study were moved toward insulin therapy or dual therapy, but this ratio was comparatively higher in the intervention arm as opposed to the control arm. These study findings are also supported by the research conducted in Malaysia by Iqbal et al ( 26 ), which states that physicians’ adherence to the treatment guidelines in Malaysia would improve the treatment outcomes in controlling and managing the disease. Furthermore, the findings of the present study contradict the research carried out by Oude Wesselink et al ( 27 ), which presented that there was no significant association between guideline compliance and clinical outcomes in Type 2 diabetes.…”

The influence of sociodemographic factors on the control of blood glucose levels among diabetic outpatients visiting various community pharmacies in Lahore

“…The majority of the patients enrolled in the study were male (51.3%) (Iqbal et al, 2014). However, these results are in contrast to a crosssectional descriptive study conducted on 310 diabetic patients from Ghana, West Africa, where the majority of the patients with diabetes mellitus type 2 were females i.e., 65.8% with age group 56-65 years (Mogre et al, 2014).…”