P86 Prise en charge du diabète sucré au Cameroun : résultats de l’étude Diabcare

Yefou, M. Dehayem; Sobngwi, Eugène; Nwatsock, Joseph-Francis; Mani, Jayashree; Jupkwo, B; Mbanya, J.C.

doi:10.1016/s1262-3636(10)70234-2

Cited by 3 publications

(4 citation statements)

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“…This predominance of diabetes among women has previously been reported by the WHO. A local study found similar results [9]. Nearly all the participants (98.82%) had type 2 diabetes.…”

Section: Discussionsupporting

confidence: 52%

Untitled

2022

OCR

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Objective:To determine the mean central macular thickness of diabetic patients as well as the frequency of macular thickness abnormalities and the factors associated with them.Methodology: A prospective study was done from February to May 2021 at the University Teaching Hospital Yaounde. Analyzed parameters were age, gender, diabetes type, duration and treatment, glycemic control, fundus examination, and central macular thickness measured by optical coherence tomography. Data analysis was performed using Epi Info version 7.2.26 and Excel 2013, and comparisons were made with chi-squared and Pearson tests with a significance level of 5% (p<0.05).Results: 85 diabetic patients were included (165 eyes). The mean age was 57.4 ± 9.4 years. The mean central macular thickness was 229.6 ± 53.8 µm. Optical coherence tomography detected a retinal abnormality in 78.2% of the eyes compared with 8.5% on fundoscopy. Abnormalities of macular thickness included perifoveolar thickening, macular thinning, subclinical macular edema and significant macular edema. Conclusion:Optical coherence tomography has allowed the early detection of subclinical macular edema in our population.

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“…This predominance of diabetes among women has previously been reported by the WHO. A local study found similar results [9]. Nearly all the participants (98.82%) had type 2 diabetes.…”

Section: Discussionsupporting

confidence: 52%

Untitled

2022

OCR

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“…Our results are similar to those found by Barbosa et al [14], Oguejiofor et al [15], Young et al [16] and Tabatabaei et al [17] with respectively 32.2%, 29.8%, 28.7% and 34% of diabetic patients with neuropathy. Dehayem et al [18] reported a prevalence of 44.1% in a study whose main objective was to describe the management of diabetes mellitus, the level of control of cardiovascular risk factors and chronic complications of diabetes in Cameroon. However, they did not exclude patients with other risk factors for neuropathy like HIV-infection, alcoholism etc.…”

Section: Prevalence Of Polyneuropathymentioning

confidence: 99%

Prevalence and determinants of diabetic polyneuropathy in a sub-Saharan African referral hospital

Kuate-Tegueu

Temfack

Ngankou

et al. 2015

Journal of the Neurological Sciences

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“…These policy- and practice-level effects shape care delivery – including interactions between healthcare professionals, children, and parents – and the impacts of T1D care delivery on patient and families’ outcomes. 6 , 7 , 8 , 9 , 10 In sub-Saharan Africa and Cameroon in particular, there are to our knowledge no previous studies examining how care delivery for patients with T1D is represented and put into practice at these three societal levels: political decision-makers, healthcare providers and patients within families. However, few studies have concomitantly analysed T1D and the social representations of patients, families, health professionals and policy makers, especially in sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

“…However, few studies have concomitantly analysed T1D and the social representations of patients, families, health professionals and policy makers, especially in sub-Saharan Africa. Existing studies generally focused on one or another specific dimension: the epidemiological prevalence and situations of ocular complications 7,11,12,13 ; the political dimension concerning the priority given to human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) to the detriment of other chronic pathologies as documented in the health sector strategy plan 2016-2027; the logic underlying the non-adherence of young patients with diabetes to dietary recommendations and structuring their eating behaviour's. 8 The aim in this qualitative study was to explore the management of T1D and how the role of the patient in T1D care is reflected in political and health strategies, care delivery practices, and representations of patients and their families.…”

Section: Introductionmentioning

confidence: 99%

Type 1 diabetes care delivery in Yaoundé, Cameroon: Social and political representations

Djiofack Kentsop,

Zarowsky,

von Oettingen

2024

African Journal of Primary Health Care & Family Medicine

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Background: Increasing chronic diseases challenges the health systems of low- and middle-income countries, including Cameroon. Type 1 diabetes (T1D), among the most common chronic diseases in children, poses particular care delivery challenges.Aim: We examined social representations of patients’ roles and implementation of T1D care among political decision-makers, healthcare providers and patients within families.Setting: The study was conducted in Yaoundé, Cameroon.Methods: Eighty-two individuals were included in the study. The authors conducted semi-structured interviews with policy makers (n = 5), healthcare professionals (n = 7) and patients ’parents (n = 20). Questionnaires were administered to paediatric patients with T1D (n = 50). The authors also observed care delivery at a referral hospital and at a T1D-focused non-governmental organisation over 15 days. Data were analysed using thematic content analysis and descriptive statistics.Results: Cameroonian health policy portrays patients with T1D as passive recipients of care. While many practitioners recognised the complex social and economic determinants of adherence to T1D care, in practice interactions focused on specific biomedical issues and offered brief guidance. Cultural barriers and policy implementation challenges prevent patients and their families from being fully active participants in care. Parents and children prefer an ongoing relationship with a single clinician and interactions with other patients and families.Conclusion: Patients and families mobilise experience and lay knowledge to complement biomedical knowledge, but top-down policy and clinical practice limit their active engagement in T1D care.Contribution: Children with T1D and their families, policy makers, healthcare professionals, and civil society have new opportunities to contribute to person-centred care, as advocated by the Sustainable Development Goals.

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P86 Prise en charge du diabète sucré au Cameroun : résultats de l’étude Diabcare

Cited by 3 publications

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Prevalence and determinants of diabetic polyneuropathy in a sub-Saharan African referral hospital

Type 1 diabetes care delivery in Yaoundé, Cameroon: Social and political representations

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