Adherence to clinical practice guidelines and outcomes in diabetic patients
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Oh S.-W. | - |
dc.contributor.author | Lee H.J. | - |
dc.contributor.author | Chin H.J. | - |
dc.contributor.author | Hwang J.-I. | - |
dc.date.available | 2020-11-03T04:46:42Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 1353-4505 | - |
dc.identifier.issn | 1464-3677 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/14137 | - |
dc.description.abstract | Objective. To examine the level of adherence to clinical practice guidelines and its relationship to outcomes in patients with diabetes. Design. Retrospective cohort study. Setting. A tertiary teaching hospital in Korea. Participants. Patients aged ≥18 years with diabetes (n = 4994) who visited the study hospital once or more during 2004. Main Outcome Measures. The outcomes were mortality from the database of the Statistics Korea and end-stage renal disease (ESRD) incidence from ESRD registry in the Korean Society of Nephrology until December 2009. Results. Testing rates for blood pressure, eye examination, HbA1c, renal function and lipid profiles were 93.9, 32.8, 84.9, 33.5 and 45.9%, respectively. The percentage of patients achieving each treatment goal was 27.8% for blood pressure, 44.2% for HbA1c and 49.4% for low-density lipoprotein (LDL) cholesterol. There were 11.7% patients with composite outcome (death and/or ESRD). Male gender, level of HbA1c (<7%), presence of HbA1c data, checking eye examination, presence of data on urine albumin-to-creatinine ratio (UACR) and having anti-platelet medication were associated with better outcome. Conclusions. The adherence to recommendations was unsatisfactory, especially in checking eye examination, testing UACR and LDL cholesterol, and achieving a target goal for each parameter. Guideline adherence was positively related to better prognosis. Active strategies to apply the guidelines to clinical practice should be developed to improve patient outcomes. © The Author 2011. Published by Oxford University Press in association with the International Society for Quality in Health Care; All rights reserved. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.title | Adherence to clinical practice guidelines and outcomes in diabetic patients | - |
dc.type | Article | - |
dc.publisher.location | 영국 | - |
dc.identifier.doi | 10.1093/intqhc/mzr036 | - |
dc.identifier.scopusid | 2-s2.0-79960504880 | - |
dc.identifier.bibliographicCitation | International Journal for Quality in Health Care, v.23, no.4, pp 413 - 419 | - |
dc.citation.title | International Journal for Quality in Health Care | - |
dc.citation.volume | 23 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 413 | - |
dc.citation.endPage | 419 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.subject.keywordPlus | angiotensin receptor antagonist | - |
dc.subject.keywordPlus | antihypertensive agent | - |
dc.subject.keywordPlus | antithrombocytic agent | - |
dc.subject.keywordPlus | beta adrenergic receptor blocking agent | - |
dc.subject.keywordPlus | calcium channel blocking agent | - |
dc.subject.keywordPlus | creatinine | - |
dc.subject.keywordPlus | dipeptidyl carboxypeptidase inhibitor | - |
dc.subject.keywordPlus | diuretic agent | - |
dc.subject.keywordPlus | erythropoietin | - |
dc.subject.keywordPlus | fibric acid derivative | - |
dc.subject.keywordPlus | hemoglobin A1c | - |
dc.subject.keywordPlus | high density lipoprotein cholesterol | - |
dc.subject.keywordPlus | hydroxymethylglutaryl coenzyme A reductase inhibitor | - |
dc.subject.keywordPlus | insulin | - |
dc.subject.keywordPlus | low density lipoprotein cholesterol | - |
dc.subject.keywordPlus | oral antidiabetic agent | - |
dc.subject.keywordPlus | triacylglycerol | - |
dc.subject.keywordPlus | adult | - |
dc.subject.keywordPlus | aged | - |
dc.subject.keywordPlus | albumin to creatinine ratio | - |
dc.subject.keywordPlus | analytical parameters | - |
dc.subject.keywordPlus | antihypertensive therapy | - |
dc.subject.keywordPlus | article | - |
dc.subject.keywordPlus | blood pressure measurement | - |
dc.subject.keywordPlus | cohort analysis | - |
dc.subject.keywordPlus | controlled study | - |
dc.subject.keywordPlus | creatinine blood level | - |
dc.subject.keywordPlus | data base | - |
dc.subject.keywordPlus | diabetes mellitus | - |
dc.subject.keywordPlus | diabetic patient | - |
dc.subject.keywordPlus | diastolic blood pressure | - |
dc.subject.keywordPlus | disease registry | - |
dc.subject.keywordPlus | eye examination | - |
dc.subject.keywordPlus | female | - |
dc.subject.keywordPlus | glomerulus filtration rate | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | hypertension | - |
dc.subject.keywordPlus | insulin treatment | - |
dc.subject.keywordPlus | kidney failure | - |
dc.subject.keywordPlus | kidney function | - |
dc.subject.keywordPlus | Korea | - |
dc.subject.keywordPlus | major clinical study | - |
dc.subject.keywordPlus | male | - |
dc.subject.keywordPlus | medical society | - |
dc.subject.keywordPlus | mortality | - |
dc.subject.keywordPlus | outcome assessment | - |
dc.subject.keywordPlus | practice guideline | - |
dc.subject.keywordPlus | priority journal | - |
dc.subject.keywordPlus | prognosis | - |
dc.subject.keywordPlus | retrospective study | - |
dc.subject.keywordPlus | systolic blood pressure | - |
dc.subject.keywordPlus | teaching hospital | - |
dc.subject.keywordPlus | tertiary health care | - |
dc.subject.keywordPlus | urinalysis | - |
dc.subject.keywordPlus | Aged | - |
dc.subject.keywordPlus | Cohort Studies | - |
dc.subject.keywordPlus | Databases, Factual | - |
dc.subject.keywordPlus | Diabetes Mellitus | - |
dc.subject.keywordPlus | Diagnostic Tests, Routine | - |
dc.subject.keywordPlus | Female | - |
dc.subject.keywordPlus | Guideline Adherence | - |
dc.subject.keywordPlus | Hospitals, Teaching | - |
dc.subject.keywordPlus | Humans | - |
dc.subject.keywordPlus | Male | - |
dc.subject.keywordPlus | Middle Aged | - |
dc.subject.keywordPlus | Outcome Assessment (Health Care) | - |
dc.subject.keywordPlus | Practice Guidelines as Topic | - |
dc.subject.keywordPlus | Republic of Korea | - |
dc.subject.keywordPlus | Retrospective Studies | - |
dc.subject.keywordAuthor | Clinical practice guideline | - |
dc.subject.keywordAuthor | Diabetes | - |
dc.subject.keywordAuthor | Guideline adherence | - |
dc.subject.keywordAuthor | Outcome | - |
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