The SPACE project (Stav Pacientů Akceptovaných diabetologem Cestou Exportu/The Health Records of Patients Accepted by a Diabetologist by way of Export)

Czech version

Authors: Milan Kvapil
Authors‘ workplace: Interní klinika 2. LF UK a FN v Motole, Praha
Published in: Vnitř Lék 2016; 62(Suppl 3): 22-27
Category: Original Contributions

Overview

Introduction:
A structured care of patients with diabetes is in place in the Czech Republic and the majority of patients are followed up by a diabetologist in outpatient diabetes units. The SPACE project (The Health Records of Patients Accepted by a Diabetologist by way of Export) was initiated to address the lack of the data which would allow for objective evaluation of how the cooperation in the care of patients with diabetes works in the real-life health care practice in the Czech Republic.

Goal:
Gaining the description of anthropometric parameters, presence of complications, the chosen therapy and metabolic state of patients registered for diabetes specialist care. Secondary goals involved identification of the average duration of diabetes at the first patient visit to the outpatient diabetes clinic, prevalence of diabetes-related complications on the registration for diabetes care, the structure of pharmacological therapy for diabetes, hypertension, hyperlipoproteinemia.

Methodology:
Retrospective collection of data for the first 20–25 patients, who were consecutively registered in diabetes outpatient clinics from 1 January 2015 onwards.

Results:
778 complete questionnaires were included in the analysis. The greatest number of patients were referred by the general practitioner (64.5 %). Over 55 % of the patients were aged 50–69, less than 10 % were up to 40 years of age. 95.6 % of all cases involved type 2 diabetes mellitus. In almost 65 % of the cases duration of diabetes before registration for diabetes care is up to 2 years. There were 433 late complications recorded in 272 patients of the total number of 778 patients. 506 patients (65 %) had no late complications. Three most frequently occurring complications were ischemic heart disease (18.6 %), diabetic neuropathy (7.8 %) and stroke (5.5 %). The analysis of pharmacotherapy shows a significant increase in the use of the followed drugs after visiting a diabetologist (74.9 % before the diabetes visit and 96.7 % after the visit). Antidiabetic drugs or insulin were taken by 48.3 % of patients before the diabetologist visit, and they were taken by 92.5 % of patients after the first diabetologist visit.

Key words:
diabetes mellitus – epidemiology of diabetes mellitus complications – glycated hemoglobin – diabetes mellitus therapy

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