Quality of care of patients with type-2 diabetes in Galicia (NW Spain) [OBTEDIGA project]

Abstract

There is a wide margin for improvement in the adaptation of clinical practice to recommendations for diabetic patients. The large variation existing in certain indicators would suggest that certain control objectives are less demanding than advisable in those that comply least, while low compliance and low variability in other indicators point to structural problems or unsatisfactory training of doctors.

Control of Cardiovascular Risk Factors in Revascularized Patients With Diabetes: A Subanalysis of the ICP-Bypass Study

“…Insulin use was higher (30.4%) than that reported in studies conducted among the general diabetic population in our setting (16%-23%), 22,23 although this may be explained by a possibly longer history of DM in these patients (data not recorded in our study) and the resulting deterioration in beta-cell function, as well as by a higher prevalence of chronic renal failure. The combination of OADs and the use of secretagogues (eg, sulfonylureas) widely used as adjuvant therapy, were relatively low.…”

Adherence to the ESC Heart Failure Treatment Guidelines in Spain: ESC Heart Failure Long-term Registry

“…Nonetheless, the incorporation of these advances in clinical practice tends to be slow. As a result, several studies investigating HF 4,5 and other conditions 6,7 have reported a discrepancy between the accepted approaches published in clinical practice guidelines and the activity seen in regular clinical practice. With regard to HF, the gap between recommendations and what is done in clinical practice is much smaller now than in previous years, after justified reasons for not administering a recommended therapy have been taken into account.…”

Effect of an educational intervention in primary care physicians on the compliance of indicators of good clinical practice in the treatment of type 2 diabetes mellitus [OBTEDIGA project]

“…In our case, the designed intervention aimed at primary care physicians in the public health system was based on the results of a baseline study (26) to be viable in our health system and repeatable in the future.…”