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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1 Pt 2
|
| pubmed:dateCreated |
1993-7-29
|
| pubmed:abstractText |
To assure health care quality requires a tool for establishing the feedback between parameters of patient management and related standards. To assess the current situation and to evaluate the DIABCARE system as a potential monitoring instrument, a retrospective study was performed in 85 randomly assigned insulin-treated patients (72% type 2) who were regularly attending the diabetes outpatient unit (total of 3,595 patients) in a township of approximately 90,000 inhabitants. 1,195 records of sequential medical visits during the years 1987 and 1990 were analyzed. -Selected results (averages in 1987 vs. 1990): (1) Visits per year 6.9 vs 7.1; (2) intensified insulin treatment in 14 vs. 27% of all patients, they were on 4.0 vs. 4.5 injections per day applying doses of 0.8 vs. 0.6 IU kg-1 d-1; (3) glycaemic control: random blood glucose 6.0 vs. 5.8 mmol/l on conventional and 6.4 vs. 5.7 mmol/l on intensified regimes, HbA1 regular measurements in 2 vs. 21% of the patients; (4) body mass index 26.4 vs. 26.6 (conventional) and 24.7 vs. 25.9 (intensified) kg/(m)2; (5) retinopathy prevalence 30 vs. 29%, in 4 vs. 29% of the patients no information; (6) nephropathy prevalence 7 vs. 11%, in 75 vs. 68% of the patients no information; (7) foot complications prevalence 6 vs. 9%, in 91 vs. 84% of the patients no pathological findings. -The DIABCARE monitor proved appropriate but too laborious. The general level of care showed a tendency towards improvement between the two investigated periods but dit not yet meet the standards which must be attained to attain the St. Vincent Declaration.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0338-1684
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
19
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
188-94
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:8314425-Adult,
pubmed-meshheading:8314425-Aged,
pubmed-meshheading:8314425-Body Mass Index,
pubmed-meshheading:8314425-Community Health Services,
pubmed-meshheading:8314425-Diabetes Mellitus,
pubmed-meshheading:8314425-Diabetes Mellitus, Type 1,
pubmed-meshheading:8314425-Diabetes Mellitus, Type 2,
pubmed-meshheading:8314425-Diabetic Nephropathies,
pubmed-meshheading:8314425-Diabetic Retinopathy,
pubmed-meshheading:8314425-Germany,
pubmed-meshheading:8314425-Hemoglobin A, Glycosylated,
pubmed-meshheading:8314425-Humans,
pubmed-meshheading:8314425-Hypertension,
pubmed-meshheading:8314425-Medical Records,
pubmed-meshheading:8314425-Middle Aged,
pubmed-meshheading:8314425-Patient Care Team,
pubmed-meshheading:8314425-Prevalence,
pubmed-meshheading:8314425-Primary Health Care,
pubmed-meshheading:8314425-Retrospective Studies
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
Primary health care of diabetic patients in a specialized outpatient setting: a DIABCARE-based analysis.
|
| pubmed:affiliation |
Gerhardt Katsch Institute of Diabetes Research, University of Greifswald, Karlsburg, Germany.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|