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

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • Lise Juul
  • Annelli Sandbæk
  • Anders Foldspang, Danmark
  • Morten Frydenberg, Danmark
  • Knut Borch-Johnsen, Institut for Folkesundhed, Afdeling for Almen Medicin, AU, Steno Diabetes Center, Gentofte, Danmark
  • Torsten Lauritzen
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.
OriginalsprogEngelsk
TidsskriftScandinavian Journal of Primary Health Care
Vol/bind27
Nummer4
Sider (fra-til)223-31
Antal sider9
ISSN0281-3432
DOI
StatusUdgivet - 2009

Se relationer på Aarhus Universitet Citationsformater

Projekter

ID: 85004561