The European EUCCLID pilot study on care and complications in an unselected sample of people with type 2 diabetes in primary care

被引:7
|
作者
Gorter, Kees J. [1 ]
Wens, Johan [2 ]
Khunti, Kamlesh [13 ]
Cos Claramunt, Xavier [9 ,10 ]
Topsever, Pinar [11 ]
Drivsholm, Thomas [3 ]
Jenum, Anne Karen [8 ]
Berkhout, Christophe [4 ]
Khalangot, Mykola [12 ]
Goldfracht, Margalit [7 ,14 ]
Rurik, Imre [6 ]
Lionis, Christos [5 ]
Rutten, Guy E. H. M. [1 ]
机构
[1] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, NL-3508 AB Utrecht, Netherlands
[2] Univ Antwerp, Antwerp, Belgium
[3] Ctr Sundhed Samfund, Res Unit Gen Practice Copenhagen, DK-1014 Copenhagen K, Denmark
[4] Univ Lille 2 Law & Healthcare, Dept Gen Med, Fac Med Henri Warembourg, F-59045 Lille, France
[5] Univ Crete, Clin Social & Family Med, Sch Med, Iraklion, Crete, Greece
[6] Univ Debrecen, Dept Family Med, H-4012 Debrecen, Hungary
[7] Technion Israel Inst Technol, Bruce Rappaport Fac Med, Dept Family Hlth Care, IL-31096 Haifa, Israel
[8] Oslo Univ Hosp, Oslo Diabet Res Ctr, N-0514 Oslo, Norway
[9] Inst Catala de la Salut, St Marti Provencals Primary Hlth Care Ctr, Catalonian Hlth Serv, Spain
[10] Univ Autonoma Barcelona, Dept Internal Med, Barcelona 08020, Spain
[11] Acibadem Univ, Sch Med, Dept Family Med, Istanbul, Turkey
[12] VP Komisarenko Inst Endocrinol & Metab, Epidemiol Diabet Mellitus Lab, UA-04114 Kiev, Ukraine
[13] Univ Leicester, Dept Hlth Sci, Leicester LE1 6TP, Leics, England
[14] Clalit Hlth Serv, Qual Improvement Dept, Div Med, Community Sect, IL-62098 Tel Aviv, Israel
关键词
Diabetes type 2; International survey; Care; Complications; Primary care; HEART-DISEASE; RISK; PREVALENCE; GUIDELINES; MELLITUS; GAP;
D O I
10.1016/j.pcd.2010.01.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: European studies on quality of diabetes care in an unselected primary care diabetes population are scarce. Research question: To test the feasibility of the set-up and logistics of a cross-sectional EUropean study on Care and Complications in patients with type 2 diabetes (T2DM) in Primary Care (EUCCLID) in 12 European countries. Method: One rural and one urban practice from each country participated. The central coordinating centre randomly selected five patients from each practice. Patient characteristics were assessed including medical history, anthropometric measures, quality indicators, UKPDS-risk engine, psychological and general well-being. Results: We included 103 participants from 22 GPs in 11 countries. Central data and laboratory samples were successfully collected. Of the participants 54% were female, mean age was 66 years and mean duration of diabetes was 9.6 years. Besides, 18% were using insulin, 31% had a history of cardiovascular disease, mean HbA1c was 7.1% (range 6.6-8.0), mean systolic blood pressure was 133.7 mmHg (range 126.1-144.4) and mean total cholesterol was 4.9 mmol/l (range 4.0-6.2). Conclusion: A European study on care and complications in a random selection of people with T2DM is feasible. There are large differences in indicators of metabolic control and wellbeing between countries. (C) 2010 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:17 / 23
页数:7
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