Multidisciplinary treatment of patients with diabetes and hypertension: experience of a Brazilian center

Jardim, Thiago Veiga; Inuzuka, Sayuri; Galvão, Luan; Negretto, Leandra Anália Freitas; Sá, Wanessa Faria; Souza, Haroldo Silva de; Sousa, Andrea Crisitina; Carneiro, P.; Barroso, Weimar Kunz Sebba; Sousa, Ana Luíza Lima; Jardim, Paulo César Veiga

doi:10.1186/s13098-017-0305-2

Cited by 9 publications

(10 citation statements)

References 33 publications

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“…Given the positive results of the present study and previous studies involving patients from the same HTN treatment center, 14,16,17,33,34 the format adopted in our service can be a model for other centers handling patients diagnosed with HTN and aiming to implement a team-based strategy.…”

Section: Discussionmentioning

confidence: 72%

“…22 In our team-based care center, this is the first time that female sex is directly associated with higher HTN control rates. 16,17 Randomized controlled trials are often considered the best scientific evidence for ascertaining efficacy and safety of a treatment. 29,30 Once the evidence is available and guidelines recommend treatments, it is important to assess how such interventions perform in a real-world setting.…”

Section: Discussionmentioning

confidence: 99%

“…All healthcare professionals directly involved in patients' care were routinely trained to complete this form, ensuring data reliability and reproducibility throughout years. 16,17…”

Section: Introductionmentioning

confidence: 99%

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Controle da Pressão Arterial e Fatores Associados em um Serviço Multidisciplinar de Tratamento da Hipertensão

Jardim¹,

Souza²,

Barroso³

et al. 2020

Arquivos Brasileiros De Cardiologia

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Background: Although team-based care is recommended for patients with hypertension, results of this intervention in a real-world setting are missing in the literature. Objective: To report the results of a real-world long-term team-based care for hypertensive patients we conducted this study. Methods: Data of hypertensive patients attending a multidisciplinary treatment center located in the Midwest region of Brazil in June 2017 with at least two follow-up visits were retrospectively assessed. Anthropometric, blood pressure (BP), follow-up time, pharmacological treatment, diabetes and lifestyle data were collected from the last visit to the service. BP values < 140 x 90 mmHg in non-diabetics and < 130 x 80 mmHg in diabetics were considered controlled. A logistic regression model was built to identify variables independently associated to BP control. Significance level adopted p < 0.05. Results: A total of 1,548 patients were included, with a mean follow-up time of 7.6 ± 7.1 years. Most patients were female (73.6%; n=1,139) with a mean age of 61.8 ±12.8 years. BP control rates in all the sample, and in non-diabetics and diabetics were 68%, 79%, and 37.9%, respectively. Diabetes was inversely associated with BP control (OR 0.16; 95%CI 0.12-0.20; p<0.001) while age ≥ 60 years (OR 1.48; 95%CI 1.15-1.91; p=0.003) and female sex (OR 1.38; 95%CI 1.05-1.82; p=0.020) were directly associated. Conclusions: A BP control rate around 70% was found in patients attending a multidisciplinary team care center for hypertension. Focus on patients with diabetes, younger than 60 years and males should be given to further improve these results.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

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Controle da Pressão Arterial e Fatores Associados em um Serviço Multidisciplinar de Tratamento da Hipertensão

Jardim¹,

Souza²,

Barroso³

et al. 2020

Arquivos Brasileiros De Cardiologia

Self Cite

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“…In addition, it is known that the number of hypertensive patients in Brazil has increased 14.2% in ten years, from 22.5% in 2006 to 25.7% in 2016, with a higher number of diagnoses in women (Ministério da Saúde, 2017). From 1990 to 2018 the diagnoses of hypertension cases increased from 50% to 75%, showing the health teams' greater performance and the population looking for these services (Jardim et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

Prevalence of hypertension and obesity in patients with type 2 Diabetes Mellitus

Cruz¹,

Silva²,

Miguez³

et al. 2022

Braz. J. Pharm. Sci.

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Faced with the increase of type 2 Diabetes mellitus (DM2) and the failure in treatment, questions have been raised about the clinical situation of these patients. The present study analyzes the prevalence of hypertension and obesity in DM2 patients. Data were collected through interviews and anamnesis of 16 participants. After the meetings, in which capillary glycemia and blood pressure were measured, the participants received guidance about glycemic monitoring, blood pressure control and changes in lifestyle. Approximately 75% of the participants were women with average age of 65 years, 87.5% were sedentary, 18.75% smoked and/or used alcoholic beverages and none performed regular blood glucose monitoring. The initial blood glucose average was 148 mg/ dL and finally decreased to 133 mg/dL. There was no significant difference in blood pressure levels. Regarding the body mass index, 89.4% of the patients were above normal standards and 100% had altered waist circumference values. There is a need for studies like this in order to promote educational practices for health and disease control, highlighting the importance of multidisciplinary teams and the pharmaceutical professional, since non-adherence to blood glucose monitoring, also associated with hypertension and obesity, can interfere with the individual's clinical condition.

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“…), work settings, social organizations, institutions and etcetera. Hence, it is necessary to pay special attention to promote dietary adherence in patients with diabetes (Jardim et al., 2018).…”

Section: Discussionmentioning

confidence: 99%

Exploring the barriers of adherence to dietary recommendations among patients with type 2 diabetes: A qualitative study in Iran

et al. 2020

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Type II diabetes (T2D) is a major global health problem (Banerjee, Nema, Dhas, & Mishra, 2017), and its prevalence is rapidly increasing throughout the world (Hu et al., 2015). According to an International Diabetes Federation (IDF) report, 382 million adults in the world had diabetes in 2013 (Han, Kim, Kim, Lee, & Cho, 2017) and this figure is expected to reach 592 million by 2035 (Guariguata et al., 2014). The mentioned statistic also suggests that most of the diabetes patients will have T2D (Han et al., 2017). Currently, more than 4 million people have diabetes in Iran and this figure triples every 15 years (Esteghamati et al., 2014; Zendehtalab, Vaghei, & Emamimoghadam, 2013). According to the experts' unofficial predictions, the diabetes population of Iran will reach nine million by 2020 (Rohani et al., 2016). However, the prevalence of T2D is estimated to be 8.6% in Iran (Nosratabadi, Halvaiepour, Yousefi, & Karimi, 2016). The increasing prevalence of diabetes leads to extensive treatment costs. In this regard, in the United States, the total cost of DM amounts to $2108/patient per year (Leon & Maddox, 2015), because diabetes is associated with an increased risk of cardiac, renal and neurological diseases, visual impairment and early mortality (Baraz,

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Multidisciplinary treatment of patients with diabetes and hypertension: experience of a Brazilian center

Cited by 9 publications

References 33 publications

Controle da Pressão Arterial e Fatores Associados em um Serviço Multidisciplinar de Tratamento da Hipertensão

Controle da Pressão Arterial e Fatores Associados em um Serviço Multidisciplinar de Tratamento da Hipertensão

Prevalence of hypertension and obesity in patients with type 2 Diabetes Mellitus

Exploring the barriers of adherence to dietary recommendations among patients with type 2 diabetes: A qualitative study in Iran

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