ArticleBMC family practice2005
Trends in the prevalence and management of diagnosed type 2 diabetes 1994-2001 in England and Wales.
Article in BMC family practice, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Post-war (1946-2017) population health change in the United Kingdom: A systematic review.PloS one · 2019Pooled it
- Parental risk factors and anorectal malformations: systematic review and meta-analysis.Orphanet journal of rare diseases · 2011Pooled it
- Confidence and quality in managing CKD compared with other cardiovascular diseases and diabetes mellitus: a linked study of questionnaire and routine primary care data.BMC family practice · 2011Trial
- Letter to the editor: alarming prevalence of comorbid conditions in adults with type 2 diabetes in Iran.Journal of diabetes and metabolic disorders · 2023Article
- Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Systematic Review.JMIR medical informatics · 2019Review
- Behavioral interventions to improve self-management in Iranian adults with type 2 diabetes: a systematic review and meta-analysis.Journal of diabetes and metabolic disorders · 2018Article
- Non-alcohol fatty liver disease in Asia: Prevention and planning.World journal of hepatology · 2015Article
- Article
- Structuring clinical workflows for diabetes care: an overview of the OntoHealth approach.Applied clinical informatics · 2014Article
- Therapeutic implications of curcumin in the prevention of diabetic retinopathy via modulation of anti-oxidant activity and genetic pathways.International journal of physiology, pathophysiology and pharmacology · 2013Review
- The challenges and future considerations regarding pregnancy-related outcomes in women with pre-existing diabetes.Current diabetes reports · 2013Review
- Diabetes distress and its association with depression in patients with type 2 diabetes in iran.International journal of preventive medicine · 2013Article
- Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study.BMC public health · 2013Article
- Prevalence of diabetic complications in rural goa, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2011Article
- An evaluation of Birmingham Own Health telephone care management service among patients with poorly controlled diabetes. A retrospective comparison with the General Practice Research Database.BMC public health · 2011Article
- Methods to identify the target population: implications for prescribing quality indicators.BMC health services research · 2010Article
- Blood pressure recording bias during a period when the Quality and Outcomes Framework was introduced.Journal of human hypertension · 2009Article
- Pay for perfomance and the quality of diabetes management in individuals with and without co-morbid medical conditions.Journal of the Royal Society of Medicine · 2009Article
- The darkening cloud of diabetes: do trends in cardiovascular risk management provide a silver lining?Diabetes care · 2008Article
- Validation of two generic patient-reported outcome measures in patients with type 2 diabetes.Health and quality of life outcomes · 2007Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundType 2 diabetes is an important cause of morbidity and mortality. Its prevalence appears to be increasing. Guidelines exist regarding its management. Recommendations regarding drug therapy have changed. Little is known about the influence of these guidelines and changed recommendations on the actual management of patients with type 2 diabetes. This study aims to document trends in the prevalence, drug treatment and recording of measures related to the management of type 2 diabetes; and to assess whether recommended targets can be met.
methodsThe population comprised subjects registered between 1994 and 2001 with 74 general practices in England and Wales which routinely contribute to the Doctors' Independent Network database. Approximately 500,000 patients and 10,000 type 2 diabetics were registered in each year.
resultsType 2 diabetes prevalence rose from 17/1000 in 1994 to 25/1000 in 2001. Drug therapy has changed: use of long acting sulphonylureas is falling while that of short acting sulphonylureas, metformin and newer therapies including glitazones is increasing. Electronic recording of HbA1c, blood pressure, cholesterol and weight have risen steadily, and improvements in control of blood pressure and cholesterol levels have occurred. However, glycaemic control has not improved, and obesity has increased. The percentage with a BMI under 25 kg/m2 fell from 27.0% in 1994 to 19.4% in 2001 (p < 0.001).
conclusionPrevalence of type 2 diabetes is increasing. Its primary care management has changed in accordance with best evidence. Monitoring has improved, but further improvement is possible. Despite this, glycaemic control has not improved, while the prevalence of obesity in the diabetic population is rising.
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