Contacting dropouts from type 2 diabetes care in public primary health care : description of the patient population

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http://hdl.handle.net/10138/167977

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Kauppila , T , Laine , M K , Honkasalo , M , Raina , M & Eriksson , J G 2016 , ' Contacting dropouts from type 2 diabetes care in public primary health care : description of the patient population ' , Scandinavian Journal of Primary Health Care , vol. 34 , no. 3 , pp. 267-273 . https://doi.org/10.1080/02813432.2016.1207144

Titel: Contacting dropouts from type 2 diabetes care in public primary health care : description of the patient population
Författare: Kauppila, Timo; Laine, Merja K.; Honkasalo, Mikko; Raina, Marko; Eriksson, Johan G.
Medarbetare: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Datum: 2016
Språk: eng
Sidantal: 7
Tillhör serie: Scandinavian Journal of Primary Health Care
ISSN: 0281-3432
Permanenta länken (URI): http://hdl.handle.net/10138/167977
Abstrakt: Objective: To characterize dropouts from type-2 diabetes (T2D) care in communal primary health care. Design: An observational study. Setting: In a Finnish city, patients with T2D who had not contacted the public primary health care system during the past 12 months were identified with a computer based search and contacted by a trained diabetes nurse. Subjects: Dropouts from T2D treatment. Main outcome measures: Demographic factors, laboratory parameters, examinations, medications, and comorbidities. Results: Of the patients with T2D, 10% (n=356) were dropouts and 60% of them were men. Median HbA(1c) was 6.5 (QR for 25% and 75%: 6.0, 7.7) %, (45 [42,61] mmol/mol). Of the dropouts, 14% had HbA(1c)9.0% (75mmol/mol), and these patients were younger than the other dropouts (mean age 54.4 [SD 10.8] years vs. 60.6 [9.4] years, p Conclusions: Ten percent of T2D patients were dropouts of whom those with a poor glycaemic control were younger than the other dropouts. BP and LDL cholesterol concentrations were non-optimal among the majority of the dropouts. Metformin was prescribed less frequently to the dropouts than is usual for T2D patients. The comorbidities were equally common among the dropouts as among the other T2D patients.
Subject: Characteristics
comorbidities
dropout
Finland
general practice
type 2 diabetes
PREVALENCE
COHORT
3121 Internal medicine
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