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Title
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Optimizing diabetes care regarding cardiovascular targets at general practice level: Direct@GP
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Author
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Abstract
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| Aims The objective of this study was to assess the adherence to national guidelines on cardiovascular (CV) prevention and target attainment for patients with type 2 diabetes mellitus followed-up in general practice. Methods Non-interventional, cross-sectional survey. Results Type 2 diabetes patients remain undertreated with statins (63% treated), even so those with a cardiovascular history (80% treated). Although more patients received antihypertensive treatment (82%) compared to hypolipidemic medication (69%), the proportion of patients attaining targets for total cholesterol (TC) (35%), HDL-cholesterol (HDL-C) (65%), and LDL-cholesterol (LDL-C) (42%) exceeded far those attaining blood pressure control (13%). The primary endpoint of reaching the goal for LDL-cholesterol (<100 mg/dL; 2.59 mmol/L) was attained by 42% of patients, of which only 13% reached the more stringent target of LDL-C < 70 mg/dL (1.81 mmol/L). About half of the patients (49%) attained glycemic control (HbA1c < 7%) and 55% had triglycerides < 150 mg/dL (1.69 mmol/L). Conclusions The majority of type 2 diabetes patients are treated for hypercholesterolemia and hypertension, although, there is still under treatment, especially in patients with CV disease. Only 42% of patients were on target for LDL-cholesterol and 13% for blood pressure. Therefore, wider implementation of process and outcome indicators, which proved to be related, and continuous evaluation of their result, is needed. |
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Language
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English
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Source (journal)
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Primary care diabetes. - Place of publication unknown
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Publication
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Place of publication unknown
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2011
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ISSN
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1751-9918
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DOI
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10.1016/J.PCD.2010.09.006
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Volume/pages
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5
:1
(2011)
, p. 19-24
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ISI
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000304128200003
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Full text (Publisher's DOI)
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