Prevalence and control of type 2 diabetes mellitus among primary care physicians in Spain. PRISMA Study

Franch-Nadal, Josep; Bravo, José Javier Mediavilla; Mata-Cases, Manuel; Mauricio, Daniel; Asensio, D.; Sarroca, Jordi

doi:10.1016/j.endien.2017.03.008

Cited by 4 publications

(8 citation statements)

References 18 publications

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“…These data are lower compared with previously published data from our group regarding the control of blood pressure and LDL-cholesterol with CVD achieved during 2017 [ 11 ], which could be due to the different study criteria. On the other hand, compared with a previous study performed in Spain evaluating the prevalence and control of T2DM among primary care physicians in 2017 [ 57 ], the authors reported similar findings for blood pressure control (87.5%) as well as for LDL in those without CVD (88.6%). Moreover, that study reported that only 42.9% of subjects with CVD achieved good control of LDL.…”

Section: Discussionsupporting

confidence: 73%

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Vlacho,

Fernandez-Camins,

Canudas-Ventura

et al. 2024

JCM

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Background: Our study aimed to evaluate the performance of primary healthcare physicians (PCPs) in managing glycemia, lipids, and blood pressure in people with type 2 diabetes mellitus (T2DM) in Catalonia, Spain. Methods: We included 3267 PCPs with 367,132 T2DM subjects in a cross-sectional analysis of the SIDIAP (Sistema d’Informació per al Desenvolupament de la Investigació en Atenció Primària) database for the year 2017. Results: 63.1% of PCPs were female, with an average practice size of 1512 subjects. T2DM individuals had a mean (standard deviation) age of 70 (±12.2) years old, a mean body mass index (BMI) of 30.2 (±5.21) kg/m2, and a median diabetes duration of 8.8 years. Overall, 42.6% of subjects achieved target glycemic control (glycated hemoglobin < 7%). Notably, 59.2% maintained blood pressure < 140/90 mmHg during the 12-month study period. The multivariable analysis identified positive associations between glycemic control and female PCPs, practice sizes (1000–1500 people), a higher proportion of patients aged ≥ 65 years, and rural practices. Combined glycemic, lipid, and blood pressure target attainment was associated with medium-sized practices and those with a higher proportion of patients aged ≥ 65 years. Conclusions: Practice size, patient age distribution, and rurality are factors associated with the performance of PCPs in the control of glycemia, lipids, and blood pressure in T2DM subjects in primary health care centers in our region.

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Section: Discussionsupporting

confidence: 73%

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Vlacho,

Fernandez-Camins,

Canudas-Ventura

et al. 2024

JCM

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“…The minimum sample size for this study was calculated using the prevalence of DM among doctors from a previous study as 11.1%, a value of 95% confidence level and an error margin of 5% 11 . A minimum sample size of 152 was obtained, however 192 medical doctors participated in the study…”

Section: Study Sample Sizementioning

confidence: 99%

Type 2 diabetes mellitus risk assessment among doctors in Ondo state

et al. 2021

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IntroductionDiabetes Mellitus (DM) has become a disease of public health importance in Nigeria. Early identification of DM risk is important in the reduction of this disease burden. This study assessed ten-year risk of developing type 2 DM among some medical doctors in Ondo State. MethodsThis was a cross-sectional study that assessed ten-year risk of developing type 2 DM among some doctors using the Finland Diabetic Risk Score form. Known diabetics were excluded from the study. Body mass index (BMI), waist circumference (WC), blood pressure and total DM risk score were determined for each participant.Results One hundred and ninety-two doctors participated in the study with a male: female ratio of 1.3:1. Majority (92.2%) were below 55 years, 22 (11.5%) were obese, 32(16.7%) had central obesity, 46(24%) reported physical inactivity, 49(25.5%) had family history of DM, 141(73.4%) do not take fruits and vegetables regularly. Forty-three (22.4%) were found to have elevated blood pressure while 6(3.1%) had elevated blood glucose. Fifty-seven (29.7%) of the participants had increased ten-year DM risk. Significant predictors of increase DM risk were age ≥ 45 years (AOR:9.08; CI 3.13-26.33; p = <0.001 ) ; BMI ≥25kg/m2 (AOR:11.41; CI:4.14-31.45; p = <0.001) ; family history of DM (AOR:9.93; CI:3.25-30.39; p = <0.001) ; abdominal obesity (AOR:6.66; CI:2.08-21.29; p= < 0.001); and infrequent dietary intake of fruits and vegetable(AOR:3.11;CI:1.03:9.37: p = 0.04) ConclusionThere was increased 10-year DM risk in about 30% of the participants. Lifestyle modification such as physical activity and regular consumption of fruits and vegetables should be encouraged among doctors.

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“…En aquellos médicos de AP que sabían que tenían una DM el grado de control fue variable puesto que aunque el 62,5% presentaban una HbA1c < 7%, el 15% presentaban una HbA1c > 8,5%. El 87,5% de los médicos incluidos presentaban cifras de TA < 140/90 mmHg pero en aquellos que además asociaban una enfermedad macrovascular, sólo el 42,9% tenían un cLDL < 100 mg/dl 108 .…”

Section: Control Glucémico Y Del Resto De Factores De Riesgo Cardiovascularunclassified

“…En futuros análisis de tendencias de mortalidad cabe esperar que, con la llegada en los Por otra parte, varios estudios transversales han presentado estimaciones brutas de la prevalencia de las complicaciones macrovasculares en España, aunque la prevalencia es muy variable en función de las diferentes metodologías utilizadas y las distintas características clínicas de la población [100][101][102]108 . La prevalencia de cardiopatía isquémica en estos estudios oscila entre 2-11,9%, la prevalencia de enfermedad cerebrovascular entre 1-5,5% y de EAP entre 2,9-10,1% .…”

Section: Mellitusunclassified

Evolución clínica de una cohorte de pacientes con diabetes mellitus tipo 2 tras su valoración en endocrinología. Estudio a 26 semanas

Herranz-Antolín

Frutos

Torralba

2018

Endocrinología, Diabetes y Nutrición

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Prevalence and control of type 2 diabetes mellitus among primary care physicians in Spain. PRISMA Study

Cited by 4 publications

References 18 publications

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Type 2 diabetes mellitus risk assessment among doctors in Ondo state

Evolución clínica de una cohorte de pacientes con diabetes mellitus tipo 2 tras su valoración en endocrinología. Estudio a 26 semanas

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