DeepDyve – unlimited articles from the top peer-reviewed journals – Just $9.99/month.

Stay on top of your field and complete your research – Get started with a Free Trial. Signup only takes 60 seconds!

Adherence to guidelines in people with screen-detected type 2 diabetes, ADDITION, Denmark

Details

Publisher
Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)
Copyright
© Informa UK Ltd
Subject
ORIGINAL ARTICLE
ISSN
0281-3432
eISSN
1502-7724
D.O.I.
10.3109/02813430903279117
Publisher site
See Article on Publisher Site

Preview Only

Expand Tray Hide Tray

Adherence to guidelines in people with screen-detected type 2 diabetes, ADDITION, Denmark

Abstract

Objective. In people with screen-detected type 2 diabetes in primary care, (1) to assess adherence to guidelines, recommending consultation with the GP every three months and treatment initiation with an ACE inhibitor or an angiotensin-II receptor antagonist when systolic BP was > 120 mmHg and/or diastolic BP was > 80 mmHg, and (2) to identify predictors for adherence. Design. Prospective follow-up of a fixed cohort of patients. Setting. Fifty-four Danish general practices. Subjects and main outcome measures. A total of 361 people with screen-detected type 2 diabetes were followed up for 410 days to assess planned consultations with their GP and recording of BP. Some 226 people, with BP recorded above guideline threshold(s) and where treatment was not already initiated, were followed for up to 410 days to monitor prescription redemption. Results. At 3, 6, 9 and 12 months 80%, 77%, 74%, and 73% of the cohort attended a consultation. A total of 89% of the cohort attended two of the four planned consultations. The probability of redeemed prescriptions for an ACE inhibitor or an angiotensin-II receptor antagonist according to the guideline during the first year following diagnosis was 51%. High initial BP was associated with prescription redemption. No other analysed individual or organisational characteristics were found to be associated with treatment initiation. Conclusion. The consultation attendance was reasonably high, and treatment initiation with an ACE inhibitor or an angiotensin-II receptor antagonist according to the guideline was found in half of the cases. High initial BP increased the probability of treatment initiation.
Loading next page...

Preview Only. This article cannot be rented because we do not currently have permission from the publisher.

 
/lp/informa-healthcare/adherence-to-guidelines-in-people-with-screen-detected-type-2-diabetes-BKlKmPMN6F