MOREHOUSE CCRE PP2- METABOLIC SYNDROME WITHIN AN UNDERSERVED COMMUNITY

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 这项研究的目的有三个方面：1)评估“现实世界”中的临床医生是否经常建立可诊断代谢综合征(METS)的必要记录；2)评估当前诊断标准在初级保健环境中诊断METS的临床实用性；3)确定在城市、服务不足的少数族裔社区的初级保健实践中METS的患病率。假设：1)初级保健实践中的大多数医疗记录都不包含诊断METS所必需的特定临床数据，2)METS的患病率因诊断标准而异，3)与美国普通人群相比，METS在服务不足的少数族裔诊所人群中的患病率更高。具体目标：1)评估电子病历系统在多医生初级保健实践中诊断甲型肝炎的实用性。2)确定在一个流动的、大都市的、以少数民族为主的、多医生执业诊所诊断METS所需的各种临床参数。3)根据ATPIII标准、国际糖尿病联合会(IDF)对METS的新定义或对ATPIII标准的临床实践修改来确定METS的患病率。这项研究将提供反映缺乏服务的社区中METS实际护理的数据，并为进一步研究和设计干预措施奠定基础，这些干预措施将提高初级保健医生早期诊断、干预和治疗METS的能力，作为降低这一高危人群心血管疾病发病率和死亡率的一种手段。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The purpose of this study is three-fold: 1) to evaluate whether clinicians in the 'real world' routinely establish the necessary record in which the metabolic syndrome (MetS) could be diagnosed, 2) to assess the clinical utility of the current diagnostic criteria for the diagnosis of the MetS in the primary care setting, and 3) to define the prevalence of the MetS in a primary care practice within an urban, underserved, minority community. Hypothesis: 1) most medical records in primary care practice do not contain the specific clinical data that are necessary for making the diagnosis of the MetS, 2) the prevalence of MetS varies accordingly diagnostic criteria, and 3) compared to the general population in the United States, the prevalence of MetS is higher in an underserved, minority clinic population. Specific aims: 1) Assess the utility of the electronic medical record system for diagnosis of MetS in a multi-physician primary care practice. 2) Define various clinical parameters necessary for the diagnosis of the MetS in an ambulatory, metropolitan, predominately racial minority, multi-physician practice clinic. 3) Determine the prevalence of the MetS based on ATP III criteria, the new definition of MetS from the International Diabetes Federation (IDF), or a clinical practice modification of the ATP III criteria in an ambulatory, metropolitan, predominately minority-serving, multi-physician primary care practice clinic.The study will provide the data that reflect the 'real' practice care of MetS in the underserved community and set up the basis for further study and design of interventions that will enhance the capacity of primary care physicians to diagnose early, intervene, and treat the MetS as a means of reducing the morbidity and mortality of CVD in this high risk population.