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Risk factor management of type 2 diabetic patients in primary care in the Scandinavian countries between 2003 and 2015

Knudsen, Søren Tang ; Bodegård, Johan ; Birkeland, Kåre I. ; Furuseth, Kristian ; Thuresson, Marcus ; Lindh, Anders ; Nilsson, Peter M. LU ; Alvarsson, Michael ; Jørgensen, Marit Eika and Søndergaard, Jens , et al. (2020) In Primary Care Diabetes
Abstract

Aims: To observe and report population demography, comorbidities, risk factor levels and risk factor treatment in a sample of individuals treated for type 2 diabetes in primary care in Norway, Sweden and Denmark. Methods: Retrospective observational cohort using extraction of data from electronic medical records linked with national health care registries. Results: Sixty primary care clinics participated with annual cross-sectional data (2003 to 2015). In 2015 the sample consisted of 31,632 individuals. Mean age (64.5–66.8 years) and proportion of women (43–45%) were similar. The prevalence of cardiovascular disease in 2015 was 40.7%, 41.6% and 38.0% for Norway, Sweden and Denmark, respectively and 84% to 89% of patients were receiving... (More)

Aims: To observe and report population demography, comorbidities, risk factor levels and risk factor treatment in a sample of individuals treated for type 2 diabetes in primary care in Norway, Sweden and Denmark. Methods: Retrospective observational cohort using extraction of data from electronic medical records linked with national health care registries. Results: Sixty primary care clinics participated with annual cross-sectional data (2003 to 2015). In 2015 the sample consisted of 31,632 individuals. Mean age (64.5–66.8 years) and proportion of women (43–45%) were similar. The prevalence of cardiovascular disease in 2015 was 40.7%, 41.6% and 38.0% for Norway, Sweden and Denmark, respectively and 84% to 89% of patients were receiving a pharmacological anti-diabetic treatment. More Danish patients reached targets for HbA1c and LDL cholesterol, while more patients in Sweden and Denmark met the blood pressure target of <130/80 mmHg as compared to Norway. Conclusions: In three comparable public primary health care systems we found a high prevalence of cardiovascular disease and differences in risk factor treatment and attainment of risk factor goals. With recent guideline changes there is potential for further prevention of diabetes complications in primary care in the future.

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organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Blood pressure, Cholesterol, HbA, Primary care, Treatment, Type 2 diabetes
in
Primary Care Diabetes
publisher
Elsevier
external identifiers
  • scopus:85092164643
  • pmid:33032936
ISSN
1751-9918
DOI
10.1016/j.pcd.2020.09.006
language
English
LU publication?
yes
id
78c51a05-15da-4c0e-b63f-39f6e1459513
date added to LUP
2020-11-19 15:14:55
date last changed
2021-02-17 03:45:48
@article{78c51a05-15da-4c0e-b63f-39f6e1459513,
  abstract     = {<p>Aims: To observe and report population demography, comorbidities, risk factor levels and risk factor treatment in a sample of individuals treated for type 2 diabetes in primary care in Norway, Sweden and Denmark. Methods: Retrospective observational cohort using extraction of data from electronic medical records linked with national health care registries. Results: Sixty primary care clinics participated with annual cross-sectional data (2003 to 2015). In 2015 the sample consisted of 31,632 individuals. Mean age (64.5–66.8 years) and proportion of women (43–45%) were similar. The prevalence of cardiovascular disease in 2015 was 40.7%, 41.6% and 38.0% for Norway, Sweden and Denmark, respectively and 84% to 89% of patients were receiving a pharmacological anti-diabetic treatment. More Danish patients reached targets for HbA<sub>1c</sub> and LDL cholesterol, while more patients in Sweden and Denmark met the blood pressure target of &lt;130/80 mmHg as compared to Norway. Conclusions: In three comparable public primary health care systems we found a high prevalence of cardiovascular disease and differences in risk factor treatment and attainment of risk factor goals. With recent guideline changes there is potential for further prevention of diabetes complications in primary care in the future.</p>},
  author       = {Knudsen, Søren Tang and Bodegård, Johan and Birkeland, Kåre I. and Furuseth, Kristian and Thuresson, Marcus and Lindh, Anders and Nilsson, Peter M. and Alvarsson, Michael and Jørgensen, Marit Eika and Søndergaard, Jens and Persson, Frederik},
  issn         = {1751-9918},
  language     = {eng},
  publisher    = {Elsevier},
  series       = {Primary Care Diabetes},
  title        = {Risk factor management of type 2 diabetic patients in primary care in the Scandinavian countries between 2003 and 2015},
  url          = {http://dx.doi.org/10.1016/j.pcd.2020.09.006},
  doi          = {10.1016/j.pcd.2020.09.006},
  year         = {2020},
}