- Email: [email protected]
Diabetes register in a primary care odontology clinics
p r i m a r y c a r e d i a b e t e s 1 ( 2 0 0 7 ) 1–13
interventions (74.6% vs. 64.6%, p < 0.05) and an increase in the practice of blood glucose self-monitoring in patients treated with insulin (61.4% vs. 84.6%, p < 0.05) was observed. Conclusion: A significant increase in the prevalence of diabetes was observed. Patients were seen more frequently by nurses than doctors with a significant decline in the number of visits probably related to the increase in the number of patients being cared for. While the number of nurse visits decreased during this period, the educational interventions increased. doi:10.1016/j.pcd.2007.10.038
Epidemiological data from a diabetes register in a Spanish primary care centre: The baseline data for a follow-up complications cohort study M. Mata a,∗ , J. Casermeiro, C. De Prado, S. Javalera, V. Salido, ´ E. Fernandez-Bertol´ ın a Institut Catala de la Salut, Rambla Poblenou 29, 5 B, Barcelona, Spain E-mail address: [email protected] (M. Mata).
Aim: To determine the trends in the incidence and prevalence of type 2 diabetes mellitus (T2DM) and the cardiovascular risk factors related to cardiovascular disease at diagnosis. Methods: Retrospective longitudinal study in an urban primary care centre between 1991 and 2000. Review of clinical records from an electronic register of cardiovascular risk factors. Results: Five hundred and ninety-eight cases of T2DM were diagnosed (mean age (S.D.): 59.8 (11.4); 51.3% women). The main reasons for diagnosis were: previous hyperglycaemia (64.7%) and the follow-up of other cardiovascular risk factors (12.4%). The mean annual incidence was 37.9 per 10,000 (IC 95%: 34.9–40.9), without significant differences between the sexes. The prevalence of DM2 increased from 4.4 (IC 95%: 2.0–4.8) to 5.5% (IC 95%: 5.2–5.9) (25% relative increase). The analysis of trends did not show a progressive increase in the incidence. The prevalence of cardiovascular risk factors was: obesity 58.5%, hypertension 68.2%, hypercholesterolemia 49.5%, hypertriglicerydemia 35.5% and present or previous smoking habit 41.5%. 95.9% of them presented at least one of the studied cardiovascular risk factors and 51% three or more. Eighty-eight patients (14.7%; CI 95%: 11.9–17.9) had cardiovascular at diagnosis (men 19.2% and women 10.4%). The prevalence of cardiovascular disease increased progressively with the number of cardiovascular risk factors. Conclusions: A progressive increase in the prevalence of diabetes with a high incidence of the disease was observed. The high prevalence of cardiovascular disease could be related to the high prevalence of cardiovascular risk factors. The long-term follow-up of this cohort might offer data about the incidence of diabetes related complications. doi:10.1016/j.pcd.2007.10.039
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Diabetes register in a primary care odontology clinics Baseline data ˜ M.D. Gutierrez-Villar, S. Cano-Perez, E. Pelaez de Lono, M. Villanueva-Villanueva, R. Pozav a,∗ , F.X. Cos-Claramunt a Institute Catala de la Salut, C/NAPOLS 94 4ART 2A, 08013 Barcelona, Spain E-mail address: [email protected] (R. Pozav).
Primary Care in the Catalonian National Health System is structured by a different number of professional working together as a team (general practitioners, pc nurses, paediatricians, social worker and odontologist). Odontology clinics used to care: preventive oral health in the center and also at the community level (primary and secondary schools and elderly centres), oral pathology and surgery. Oral health is major problem in Diabetic patients due to its high prevalence of caries and periodontal disease. Aims: To create an odontology diabetes register (ODR) of all patients visited in primary care odontology clinics of an urban area. Intervention method Cross sectional study of all type 2 diabetic patients (T2DM) visited between 1 January 2006 and 30 May 2007. Setting: Low economical area (40133 inhabitants) in the city Barcelona with a high percentage of minorities (Pakistan, India, Morocco and South America). Studied variables: Age, sex, ethnic group, type of diabetes, treatment (diet, oral agents, insulin, . . .), HbA1c, CPOD index, Edentolous proportions and normal number of teeth. Results: During the study period the ODR include 511 type 2 diabetic patients (31.5% of all diabetes patients register in the centre). Age 64.1 (13.5) y/o. (54.6% men). Ethnicity (%): 9.8 Pakistan, 4.1 Morocco, 2.7 India, 2.7 Philippines and 1.6 Bangladesh. Treatment: diet 20.8%, oral agent 61.8%, combined teraphy (O + Ins) 8.4% and 8% insulin. HbA1c 7.1 (2). CPOD index 16.8 (10). Edentulous 13,43% and 6.21 with 32 teeth. Conclusions: Thanks to this register we have a general view of the oral health of type 2 diabetes patients in our Area. This data lets us establish new research project to assess relations between oral health and prevention intervention in these populations. A new group of professionals will start with this register in their centres creating a network of odonlogist and producing valuable data for a future projects. doi:10.1016/j.pcd.2007.10.040
interventions (74.6% vs. 64.6%, p < 0.05) and an increase in the practice of blood glucose self-monitoring in patients treated with insulin (61.4% vs. 84.6%, p < 0.05) was observed. Conclusion: A significant increase in the prevalence of diabetes was observed. Patients were seen more frequently by nurses than doctors with a significant decline in the number of visits probably related to the increase in the number of patients being cared for. While the number of nurse visits decreased during this period, the educational interventions increased. doi:10.1016/j.pcd.2007.10.038
Epidemiological data from a diabetes register in a Spanish primary care centre: The baseline data for a follow-up complications cohort study M. Mata a,∗ , J. Casermeiro, C. De Prado, S. Javalera, V. Salido, ´ E. Fernandez-Bertol´ ın a Institut Catala de la Salut, Rambla Poblenou 29, 5 B, Barcelona, Spain E-mail address: [email protected] (M. Mata).
Aim: To determine the trends in the incidence and prevalence of type 2 diabetes mellitus (T2DM) and the cardiovascular risk factors related to cardiovascular disease at diagnosis. Methods: Retrospective longitudinal study in an urban primary care centre between 1991 and 2000. Review of clinical records from an electronic register of cardiovascular risk factors. Results: Five hundred and ninety-eight cases of T2DM were diagnosed (mean age (S.D.): 59.8 (11.4); 51.3% women). The main reasons for diagnosis were: previous hyperglycaemia (64.7%) and the follow-up of other cardiovascular risk factors (12.4%). The mean annual incidence was 37.9 per 10,000 (IC 95%: 34.9–40.9), without significant differences between the sexes. The prevalence of DM2 increased from 4.4 (IC 95%: 2.0–4.8) to 5.5% (IC 95%: 5.2–5.9) (25% relative increase). The analysis of trends did not show a progressive increase in the incidence. The prevalence of cardiovascular risk factors was: obesity 58.5%, hypertension 68.2%, hypercholesterolemia 49.5%, hypertriglicerydemia 35.5% and present or previous smoking habit 41.5%. 95.9% of them presented at least one of the studied cardiovascular risk factors and 51% three or more. Eighty-eight patients (14.7%; CI 95%: 11.9–17.9) had cardiovascular at diagnosis (men 19.2% and women 10.4%). The prevalence of cardiovascular disease increased progressively with the number of cardiovascular risk factors. Conclusions: A progressive increase in the prevalence of diabetes with a high incidence of the disease was observed. The high prevalence of cardiovascular disease could be related to the high prevalence of cardiovascular risk factors. The long-term follow-up of this cohort might offer data about the incidence of diabetes related complications. doi:10.1016/j.pcd.2007.10.039
13
Diabetes register in a primary care odontology clinics Baseline data ˜ M.D. Gutierrez-Villar, S. Cano-Perez, E. Pelaez de Lono, M. Villanueva-Villanueva, R. Pozav a,∗ , F.X. Cos-Claramunt a Institute Catala de la Salut, C/NAPOLS 94 4ART 2A, 08013 Barcelona, Spain E-mail address: [email protected] (R. Pozav).
Primary Care in the Catalonian National Health System is structured by a different number of professional working together as a team (general practitioners, pc nurses, paediatricians, social worker and odontologist). Odontology clinics used to care: preventive oral health in the center and also at the community level (primary and secondary schools and elderly centres), oral pathology and surgery. Oral health is major problem in Diabetic patients due to its high prevalence of caries and periodontal disease. Aims: To create an odontology diabetes register (ODR) of all patients visited in primary care odontology clinics of an urban area. Intervention method Cross sectional study of all type 2 diabetic patients (T2DM) visited between 1 January 2006 and 30 May 2007. Setting: Low economical area (40133 inhabitants) in the city Barcelona with a high percentage of minorities (Pakistan, India, Morocco and South America). Studied variables: Age, sex, ethnic group, type of diabetes, treatment (diet, oral agents, insulin, . . .), HbA1c, CPOD index, Edentolous proportions and normal number of teeth. Results: During the study period the ODR include 511 type 2 diabetic patients (31.5% of all diabetes patients register in the centre). Age 64.1 (13.5) y/o. (54.6% men). Ethnicity (%): 9.8 Pakistan, 4.1 Morocco, 2.7 India, 2.7 Philippines and 1.6 Bangladesh. Treatment: diet 20.8%, oral agent 61.8%, combined teraphy (O + Ins) 8.4% and 8% insulin. HbA1c 7.1 (2). CPOD index 16.8 (10). Edentulous 13,43% and 6.21 with 32 teeth. Conclusions: Thanks to this register we have a general view of the oral health of type 2 diabetes patients in our Area. This data lets us establish new research project to assess relations between oral health and prevention intervention in these populations. A new group of professionals will start with this register in their centres creating a network of odonlogist and producing valuable data for a future projects. doi:10.1016/j.pcd.2007.10.040