Publication
Title
Achievement of guideline targets for blood pressure, lipid, and glycaemic control in type 2 diabetes : a meta-analysis
Author
Abstract
We assessed global achievement of targets recommended by the American Diabetes Association (ADA), European Association for the Study of Diabetes (EASD), and National Institute of Health and Care Excellence (NICE) for type 2 diabetes. We searched Medline, Embase, and The Cochrane Library for observational studies reporting target attainment (2006 to 2017 inclusive) for HbA1c, blood pressure, or lipids (low density lipoprotein cholesterol [LDL-C], high density lipoprotein cholesterol [HDL-C], or triglycerides). Rates were pooled using a random-effects meta-analysis. Study quality and risk of small study of bias was assessed. From 2491 screened records, 24 studies were included reporting on 369,251 people from 20 countries. The pooled target achievement rates were; 42.8% (95% CI 38.147.5%) for glycaemic control, 29.0% (22.935.9%) for blood pressure, 49.2% (39.059.4%) for LDL-C, 58.2% (51.764.4%) for HDL-C, and 61.9% (55.268.2%) for triglyceride control. A higher proportion of people achieved HbA1c targets within Europe and North America than the rest of the world. A higher proportion of people achieved blood pressure targets in North America than Europe or the rest of the world. Meta regression showed no significant improvement in rates by year for any target. The achievement of evidence-based targets is markedly suboptimal globally and not improving.
Language
English
Source (journal)
Diabetes research and clinical practice. - Amsterdam
Publication
Clare : Elsevier ireland ltd, 2018
ISSN
0168-8227
Volume/pages
137(2018), p. 137-148
ISI
000429901700016
Pubmed ID
29325774
Full text (Publisher's DOI)
Full text (open access)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 03.04.2018
Last edited 15.07.2021
To cite this reference