Improvement of diabetes care in a small but geographically widely spread population in Greenland. Effects of a national diabetes care programme

Pedersen, Michael Lynge; Jacobsen, Jytte Lindskov

doi:10.1111/j.1464-5491.2011.03337.x

Cited by 14 publications

(21 citation statements)

References 25 publications

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“…In accordance with that we have found an increasing prevalence in this study compared to previous studies [17]. …”

Section: Discussionsupporting

confidence: 94%

“…The prevalence increased with age for both males (p<0.001) and females (p<0.001). The prevalence among patients at or above 20 years old documented in this study is illustrated in Table 2 together with prevalence calculated from earlier published data [17]. The prevalence of diagnosed diabetes mellitus is still increasing in Greenland (p<0.001).…”

Section: Resultssupporting

confidence: 54%

“…The age and gender specific prevalence was calculated using the Greenlandic population as of 1 January 2012 as the background population [21]. The prevalence of diagnosed diabetes mellitus among adults at or above 20 years old was estimated in the present study (2012)—as well as for 2008 and 2010 studies—based on data published in 2011 [17]. …”

Section: Methodsmentioning

confidence: 99%

“…Along with increasing quality of care, the prevalence of diagnosed type 2 diabetes mellitus (T2DM) rose by 19% within two years from 1.97% to 2.3% among adult Greenlanders at or above 40 years old [17]. However, the prevalence of diagnosed T2DM was still much lower than reported in the surveys of the population [6,16].…”

Section: Introductionmentioning

confidence: 99%

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Use of glycosylated haemoglobin as diagnostic tool in Greenland: prevalence of diagnosed diabetes mellitus

Damsgaard

Pedersen

2013

Diabetol Metab Syndr

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BackgroundThe prevalence of undiagnosed diabetes mellitus (DM) in Greenland has been reported very high with only 30% of cases diagnosed. In 2010, glycosylated hemoglobin (A1C) was introduced as a diagnostic tool in Greenland. However, the current use of A1c is unknown as well as the current prevalence of diagnosed DM.The aim of this study was firstly to estimate the use of A1C as diagnostic tool within the first 27 months after introducing the method and secondly to estimate the age and gender specific prevalence of diagnosed DM in Greenland in 2012.MethodsThis study was perfomed as a cross-sectional register study using data from electronic medical records (EMR). To analyse the use of A1C as diagnostic tool:A sample amongst all Greenlanders at or above age 35 old was used to determine the number of individuals screened with A1C within a 27 month period, excluding those already known to have DM.To estimate the prevalence of diagnosted DM: Patients with DM were identified electronically using a statistic module run on data in the EMR. Age and gender specific prevalence was estimated using the Greenlandic population as of 1 January 2012 as the background population.ResultsThe test sample resulted in a study group of 1008 individuals from which 2.3% (23) were excluded because they were already known to have DM. Among the remaining 985, 13.6% were tested with A1C at least once during the 27 months of observation. DM was diagnosed in 7.5% (10) of the tested persons and in 1.0% of the whole group.Regarding prevalence, a total of 920 patients with diagnosed DM were identified. The total prevalence among adults aged 20–79 years old was 2.20% (95% CI: 2.05-2.34) with no significant difference between genders.ConclusionTesting for DM using A1C as diagnostic tool is used in Greenland. The prevalence of diagnosed DM in Greenland remains low although increasing. Undiagnosed DM may still be an important issue in Greenland.

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“…In accordance with that we have found an increasing prevalence in this study compared to previous studies [17]. …”

Section: Discussionsupporting

confidence: 94%

Section: Resultssupporting

confidence: 54%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of glycosylated haemoglobin as diagnostic tool in Greenland: prevalence of diagnosed diabetes mellitus

Damsgaard

Pedersen

2013

Diabetol Metab Syndr

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“…As approximately 83% of the overall population in Nuuk has been found to seek medical care in any one year [20] , many opportunities for continued monitoring of smoking use remain. Additionally, it is encouraging given that other interventions, such as the national diabetes care program, have been able to make headway and bring change to the health of Greenlandic populations [21] .…”

Section: Discussionmentioning

confidence: 99%

Smoking among patients in the primary health care system in Nuuk, Greenland

Reiss

Pedersen

2014

Clinical Nursing Studies

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Background: Tobacco use is the largest preventable cause of death in the developed world. Registration of smoking status in the health care setting has been internationally recognized as an important step towards promoting smoking cessation. Tobacco smoking is highly prevalent in Greenland. However, no studies to date have described the use of smoking cessation interventions in Greenland.Objective: The purpose of this study is to assess the extent to which smoking status registration was recorded for patients in Nuuk, Greenland over a thirty-month study period. Additionally, smoking prevalence among patients within the same time frame was estimated. Design:The study was performed as an observational cross-sectional register study based on a review of the electronic medical record for all patients in Nuuk ≥ 18 years old. Method:Smoking status registration for all patients at Queen Ingrid Health Care Center between January 1st 2011-June 15th, 2013 was identifed using a search module in the electronic medical record. Proportion of smokers and non-smokers was determined among the registered population using the population in Nuuk as baseline. Quitting rates were calculated for patients with more than one smoking status registration.Results: Among the population in Nuuk, 15.9% had smoking status registered during the study period. Smoking prevalence was calculated as 50.7%. During the study period, 10.6% of the study population who were smokers quit smoking. Conclusion:The implementation of smoking status registration as an intervention to promote smoking cessation can be performed even in a small, geographically isolated population such as Greenland. While smoking status registration is used as a tool in the clinical setting in Nuuk, opportunities remain to increase the frequency of registration. Smoking prevalence among the study population was less frequent than previously reported among the general population.

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Quality criteria/key components for high quality of diabetes management to avoid diabetes-related complications

Rothe

Manuwald

Kügler

et al. 2020

J Public Health (Berl.)

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Aim The aim of this review shoud be to map data and to identify quality indicators for good practices for diabetes management and secondary prevention, specifically of type 2 diabetes. Methods To achieve this aim we performed the following steps: (i) a literature review on evaluation criteria, (ii) selection of quality criteria and key components for high quality of care, (iii) creation of a checklist to identify the best practice of diabetes management based on the detected criteria. Results The literature search about the quality indicators for diabetes care resulted in the following: identifying of key components and quality indicators for structure, process and outcome quality. Conclusions The set of quality criteria will be discussed and used to identify the best practice diabetes management programs for secondary prevention of type 2 diabetes.

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Improvement of diabetes care in a small but geographically widely spread population in Greenland. Effects of a national diabetes care programme

Abstract: Along with an increasing prevalence of diagnosed Type 2 diabetes, all six process quality indicators increased. It is strongly recommended that focus on the quality of diabetes care in Greenland should be maintained in order to benefit from the programme in the longer term.

Cited by 14 publications

References 25 publications

Use of glycosylated haemoglobin as diagnostic tool in Greenland: prevalence of diagnosed diabetes mellitus

Use of glycosylated haemoglobin as diagnostic tool in Greenland: prevalence of diagnosed diabetes mellitus

Smoking among patients in the primary health care system in Nuuk, Greenland

Quality criteria/key components for high quality of diabetes management to avoid diabetes-related complications

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