How to improve opportunistic screening by using EMRs and other data. The prevalence of undetected diabetes mellitus in target population in Croatia

Botica, Marija Vrca; Carkaxhiu, Linda; Kern, Josipa; Renar, Ivana Pavlić; Botica, Iva; Zelić, Ines; Iliev, D; Vrca, Anđelko

doi:10.1016/j.puhe.2016.12.008

Cited by 3 publications

(6 citation statements)

References 34 publications

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“…Only half of patients (11/23, 47.8 %) with newly detected DM received antidiabetic drug treatment at discharge. Patients with newly detected DM (n = 23) had a longer length of stay (median and interquartile range: 16 [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] versus 10 [8][9][10][11][12][13][14][15][16] days, p = 0.028) compared to patients without DM, while no such differences were found regarding in-hospital mortality.…”

Section: Resultsmentioning

confidence: 99%

Do Hospital Doctors Screen for Diabetes?

Méan

Waeber

Marques‐Vidal

2018

Exp Clin Endocrinol Diabetes

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Background One in five hospitalized patients presents with previously undetected diabetes mellitus (DM). We assessed whether hospital doctors measure HbA1c in hospitalized patients and act consequently. Methods Data from patients hospitalized between January 2013 and December 2014 in a Swiss teaching hospital was collected. We assessed the frequency of HbA1c measurements and the number of newly detected prediabetes or DM. We also examined whether HbA1c values were associated with the antidiabetic drugs prescription and reporting of DM in the discharge letter. Results Of the 2618 patients studied, 298 (11.4%) had HbA1c measured, of whom 136 (45.6%) had no previous history of DM. Of the 136 patients without history of DM, 51 (37.5%) had prediabetic state and 23 (16.9%) had DM. Newly detected prediabetes or DM were reported in 5.8% (3/51) and 65.8% of cases (15/23), respectively. Only half of patients (11/23, 47.8%) with newly detected DM received antidiabetic drug treatment at discharge. Patients with newly detected DM (n=23) had a longer length of stay (median and interquartile range: 16 [9–25] versus 10 [8–16] days, p=0.028) compared to patients without DM, while no such differences were found regarding in-hospital mortality. Conclusions Hospital doctors seldom prescribe HbA1c measurement in medical hospitalized patients. Prescription of HbA1c measurement leads to a high detection rate (53%) of (pre)DM among patients unaware of their status, but management and reporting of these conditions at discharge could be further improved.

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Section: Resultsmentioning

confidence: 99%

Do Hospital Doctors Screen for Diabetes?

Méan

Waeber

Marques‐Vidal

2018

Exp Clin Endocrinol Diabetes

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“…11 Procjena prevalencije ovisi o dijagnostičkim kriteriji ma i populaciji na kojoj se procjenjuje. 12,13 Studija Cro Diab GP, provedena 2010. u Hrvatskoj (2 neovisne vri jednosti IFGa; populacija od 45 do 70 godina) poka zala je prevalenciju predijabetesa od 23% uz IFG 6,1 -6,9 mmol/L i od 30,2% uz IFG 5,6 -6,9 mmol/L. Računa se da progresija predijabetesa u šećernu bolest, prema novim kriterijima, iznosi 2% na godinu.…”

Section: Discussionunclassified

“…Računa se da progresija predijabetesa u šećernu bolest, prema novim kriterijima, iznosi 2% na godinu. [10][11][12][13] Dijabetes zadovoljava preduvjete za probir: ima epi demiološko i javnozdravstveno značenje, otkriva se standardiziranim postupcima, otkrivena bolest može se liječiti. Prijašnji se probir radio određivanjem glu koze natašte svima starijima od 40 godina (populistič ki ili univerzalni probir).…”

Section: Discussionunclassified

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Quaternary prevention. Prediabetes: risk, disease or overdiagnosis? The diseases which are not of great danger should not be teased by medicines (Plato, 5th century BC)

Botica

Renar

2020

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“…In Southeastern Europe, physicians rely on ADA and European Association for the Study of Diabetes guidelines for diabetes management. Unfortunately, screening for type 2 diabetes mellitus has not been adopted as part of routine, particularly in Croatia. Furthermore, the PD treatment recommendations do not represent an object of interest in Croatian guidelines for type 2 diabetes mellitus treatment.…”

Section: Discussionmentioning

confidence: 99%

Prediabetes awareness among Southeastern European physicians

Kokić

Krnić

et al. 2017

J of Diabetes Invest

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Aims/IntroductionPrediabetes (PD) represents a transitional state where the glucose levels are higher than normal, but not enough for diabetes mellitus diagnosis. As there is a growing number of the population with PD, its early detection and treatment could prevent the development of diabetes mellitus and its complications. We aimed to assess the overall knowledge of PD among medical professionals of different varieties.Materials and MethodsA questionnaire‐based study addressing PD and type 2 diabetes mellitus knowledge among Southeastern European general practitioners, postgraduates, physicians and superior specialists was carried out.ResultsA total of 397 physicians completed the questionnaire. The total rate of correct answers from diabetologists, non‐diabetologist internists, residents and general practitioners was 69, 56.1, 54 and 53%, respectively. Questions related to the PD definition achieved a total of 46.6% correct answers. Correct responses considering the numerical definition of impaired fasting glucose and impaired glucose tolerance were 46.3 and 46.8%, respectively. Younger physicians had better knowledge of numerical values regarding PD and type 2 diabetes mellitus criteria (P < 0.001).ConclusionsThe present results show that overall knowledge of PD is poor among Southeastern European physicians, which necessitates adequate educational programs on PD in this region.

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How to improve opportunistic screening by using EMRs and other data. The prevalence of undetected diabetes mellitus in target population in Croatia

Cited by 3 publications

References 34 publications

Do Hospital Doctors Screen for Diabetes?

Do Hospital Doctors Screen for Diabetes?

Quaternary prevention. Prediabetes: risk, disease or overdiagnosis? The diseases which are not of great danger should not be teased by medicines (Plato, 5th century BC)

Prediabetes awareness among Southeastern European physicians

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