Diagnosis and treatment of type 2 diabetes in three Belgian regions. Registration via a network of sentinel general practices
Diagnosis and treatment of type 2 diabetes in three Belgian regions. Registration via a network of sentinel general practices
复制标题
比利时三个地区 2 型糖尿病的诊断和治疗。
DOI：
10.1023/a:1015627912556
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发表时间：
2004
影响因子：
13.6
通讯作者：
J. Denekens
中科院分区：
文献类型：
--
作者：
J. Wens;V. van Casteren;E. Vermeire;P. Van Royen;L. Pas;J. Denekens
背景资料：本描述性研究的目的是调查2型糖尿病的发病率在哨兵一般做法在比利时的三个地区，并描述患者的特点和诊断后的医疗管理的开始。方法：连续两年对新诊断的2型糖尿病患者进行登记。入选后两周，注册医生完成了一份广泛的问卷调查。该问卷涉及危险因素、生化参数、现有并发症和治疗。结果：根据这项研究，比利时2型糖尿病的年发病率为每10万居民231人。虽然生化参数（BMI，HbA1c，血清胆固醇和甘油三酯）在该国的三个地区没有差异，但在糖尿病及其合并症的治疗方面存在相当大的差异。在弗兰德斯，治疗通常以磺脲类药物开始，在瓦隆省则以双胍类药物开始。在后一地区，也更频繁地开始降血脂治疗。在弗兰德斯，新诊断的糖尿病患者中有51.4%患有高血压，高于其他地区。然而，在接受高血压治疗的糖尿病患者人数方面，不同地区之间没有差异。结论：参与自愿登记的哨点医生网络可有助于计算健康问题的发病率，特别是全科医疗中的2型糖尿病。哨兵网络还可以作为描述病人特征和显示医生如何处理健康问题的工具。所描述的医疗方法的区域差异需要进一步调查，主要是关于它们对患者结局的影响。
Background: The objective of this descriptive study is to investigate the incidence of type 2 diabetes in sentinel general practices in three regions in Belgium and to describe the patient characteristics and the start of the medical management after diagnosis. Methods: For two successive years all patients who were newly diagnosed with type 2 diabetes were registered. Two weeks after inclusion, the registering physician completed an extensive questionnaire. This questionnaire dealt with risk factors, biochemical parameters, existing complications and treatment. Results: According to this study, the yearly incidence of type 2 diabetes in Belgium is 231 per 100,000 inhabitants. Though the biochemical parameters (BMI, HbA1c, serum cholesterol and triglycerides) do not differ in the three regions of the country being investigated, there are considerable differences in the treatment prescribed for diabetes and its co-morbidity. In Flanders, treatment is usually started with sulphonylurea, in the Walloon provinces with biguanides. Hypolipaemic treatment is also started more frequently in the latter region. In Flanders, hypertension is registered in 51.4% of the newly diagnosed patients with diabetes, which is higher than in the other regions. However, no difference is noted between the different regions in the number of patients with diabetes who are treated for hypertension. Conclusion: A network of sentinel physicians, taking part in voluntary registration, can be helpful in calculating the incidence of a health problem, in particular type 2 diabetes in general practice. The sentinel net can also serve as an instrument for describing patient characteristics and showing how physicians deal with health problems. The regional differences in medical approach that are described require further investigation, mainly with respect to their impact on the patients' outcome.