Perfil de los pacientes con diabetes mellitus tipo 2, en la Atención Primaria española

López, Pedro Benito; García-Mayor, Ricardo V.; Domingo, Manuel Puig; Manteca, Jordi Mesa; Sánchez, Laura García; Nogueras, E Faure; Mateu, R; Ferragud, M. Artés; López, José-Manuel

doi:10.1016/s0014-2565(04)71388-0

Cited by 37 publications

(6 citation statements)

References 21 publications

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“…In the present observational, descriptive and cross-sectional study, a representative sample of patients with DM2 treated in the health area of northwestern Spain was obtained through the random selection of patients with DM2, these data being similar to those found in previous studies in our country [9][10][11][12][13]. The objectives of the study were to know the main socio-demographic and clinical characteristics of patients with type 2 diabetes mellitus (DM2), as well as to obtain information on the degree of compliance with the parameters of the treatment protocol and follow-up of patients attended in primary care centers in the health area of Vigo, with special emphasis on the degree of metabolic control and classic cardiovascular risk factors or comorbidities.…”

Section: Discussionsupporting

confidence: 54%

“…The variables analyzed in this study are the indicators of quality of care in diabetes mellitus recommended by the Network of Diabetes Study Groups in Primary Health Care (redGDPS) [15], based on the Declaration of Saint Vincent [16]. The comparison with previous studies carried out in our country showed greater compliance with respect to HbA1c measurements, similar results on eye fundus examination, and lower compliance with weight control, and especially with systematic examination of the feet [11,15,[17][18][19]. As the authors of the guide of the GDPS network point out, the indicators are not a direct measure of quality, but allow to detect problems that require an in-depth analysis, in this case the reason for the low compliance of the foot scan.…”

Section: Discussionmentioning

confidence: 86%

“…Several studies in Spain have observed a high percentage of patients with DM2 with poor glycemic control [8,9]. Previous studies have shown that the prevalence of cardiovascular risk factors is higher in long-term patients compared to newly diagnosed patients [10] and that their control was insufficient [11]. More recent studies show that this situation persists [12] or shows slight improvement [13].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Fulfilment of the Therapeutic Objectives in Type 2 Diabetes People Attended in Primary Care Centres in Northwest Spain

2023

Endocrinol Diabetes Metab J

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Objective: To know the degree of fulfilment of the treatment goals for DM2 patients.Methods: Adult DM2 patients. Descriptive, observational and transversal design. Study variables: Process: % of patients with determination of BMI, abdominal perimeter, foot exploration, arterial pressure, EKG, ophthalmoscopy and HbA1c, lipid profile, microalbuminuria, glomerular filtration rate. Intermediate results: % of patients with overweight/obesity, active smokers, HbA1c value <7%, blood pressure <140/90, normal lipid profile, negative microalbuminuria. Final results: % of patients with foot ulcers, amputation, diabetic retinopathy, renal failure, coronary disease, cerebrovascular disease, peripheral arteriopathy and acute complications. Results:The study include 1,029 DM patients 55% male, mean age 67 ± 0.8 years old. The % of patients with overweight, obesity, hypertension, dyslipemia, were 32.5%, 59.4%, 63.8%, and 64% respectively. The 94% have HbA1c determination, 47% ophthalmoscopy, while only 2,2 foot examination. The percent of patients with

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Fulfilment of the Therapeutic Objectives in Type 2 Diabetes People Attended in Primary Care Centres in Northwest Spain

2023

Endocrinol Diabetes Metab J

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“…The benefits of controlling type 2 diabetes mellitus (DM) and the associated cardiovascular risk factors are well established and reflected in the current clinical practice guidelines (1–4). However, the results of several cross‐sectional studies have highlighted the difficulties in achieving the goals as well as the full implementation of the clinical recommendations (5–9). The results of consecutive cross‐sectional observational studies have shown some positive trends on both process indicators and degree of disease control (10–17).…”

Section: Introductionmentioning

confidence: 99%

“…The feedback of the indicators′ results to the health providers is considered the basis for any quality improvement intervention (21–23). In Spain, there is limited information published in this regard, mainly from cross‐sectional studies (5–9,17).…”

Section: Introductionmentioning

confidence: 99%

Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain

Mata-Cases¹,

Roura-Olmeda²,

Berengué-Iglesias

et al. 2012

International Journal of Clinical Practice

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AimsTo assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part of the Group for the Study of Diabetes in Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme in Catalonia.MethodsSequential cross-sectional studies were performed during 1993–2007. Process and outcome indicators in random samples of patients from each centre were collected. The results of each evaluation were returned to each centre to encourage the implementation of correcting interventions. Sixty-four different educational activities were performed during the study period with the participation of 2041 professionals.ResultsClinical records of 23,501 patients were evaluated. A significant improvement was observed in the determination of some annual process indicators: HbA1c (51.7% vs. 88.9%); total cholesterol (75.9% vs. 90.9%); albuminuria screening (33.9% vs. 59.4%) and foot examination (48.9% vs. 64.2%). The intermediate outcome indicators also showed significant improvements: glycemic control [HbA1c ≤ 7% (< 57 mmol/mol); (41.5% vs. 64.2%)]; total cholesterol [≤ 200 mg/dl (5.17 mmol/l); (25.5% vs. 65.6%)]; blood pressure [≤ 140/90 mmHg; (45.4% vs. 66.1%)]. In addition, a significant improvement in some final outcome indicators such as prevalence of foot ulcers (7.6% vs. 2.6%); amputations (1.9% vs. 0.6%) and retinopathy (18.8% vs. 8.6%) was observed.ConclusionsAlthough those changes should not be strictly attributed to the GCQI programme, significant improvements in some process indicators, parameters of control and complications were observed in a network of primary care centres in Catalonia.

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Anthropologic study of immigrant patients with T2DM from Morocco to Spain

Jansà

Díaz

Franch³

et al. 2010

European Diabetes Nursing

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Background: Immigration in Spain has grown exponentially, with Moroccans being the most numerous group. Aims: To determine the profile of Moroccans with type 2 diabetes mellitus (T2DM), to provide diabetes education strategies. Design/setting: Cross-sectional study in 10 rural and urban centres, Catalonia, Spain. Patients and methods: T2DM patients were interviewed using a structured, evaluated interview questionnaire, translated into Arabic. Data obtained underwent descriptive statistical analysis. Results: Forty patients, aged 50±15 years (73% females) were interviewed: 53% were illiterate; 90% lived with family; 67% lived in Catalonia >5 years; 11% used insulin; 12% used oral agents; 66% reported difficulties with diet and 44% with drugs; 54% ate Moroccan and Spanish cuisine. Self-reported causes of T2DM were: stress (38%); unknown (31%); fear (17%); inherited (14%); God (7%). Thirty-three per cent believed diabetes could be cured; 32% did not use prescribed medication; 43% did not attend appointments; 24% used alternative medicines. Language barriers were present in 60% of respondents and 80% preferred watching TV to reading. Sixty-three per cent followed Ramadan fasting. Quality-of-life ratings from 0 to 10 were >5 in 53% of respondents. Using this information, we designed and developed an educational, bilingual (Arabic/Spanish) DVD that included specific diabetes topics, Moroccan and Spanish cuisine, and recommendations for Ramadan. We also updated the carbohydrate food cup to include staple Moroccan foods. Conclusion: Linguistic and sociocultural barriers (eg low participation rates, illiteracy and poor treatment adherence) were observed. To minimise barriers, tailored educational materials were developed.

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Perfil de los pacientes con diabetes mellitus tipo 2, en la Atención Primaria española

Cited by 37 publications

References 21 publications

Evaluation of the Fulfilment of the Therapeutic Objectives in Type 2 Diabetes People Attended in Primary Care Centres in Northwest Spain

Evaluation of the Fulfilment of the Therapeutic Objectives in Type 2 Diabetes People Attended in Primary Care Centres in Northwest Spain

Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain

Anthropologic study of immigrant patients with T2DM from Morocco to Spain

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