ArticleCanadian family physician Medecin de famille canadien2010
Attainment of Canadian Diabetes Association recommended targets in patients with type 2 diabetes: a study of primary care practices in St John's, Nfld.
Article in Canadian family physician Medecin de famille canadien, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Benchmarking is associated with improved quality of care in type 2 diabetes: the OPTIMISE randomized, controlled trial.Diabetes care · 2013Trial
- Trial
- Factors Associated with Adherence to Clinical Practice Guidelines for Patients with Type 2 Diabetes Mellitus: Results of a Spanish Delphi Consensus.Journal of diabetes research · 2021Article
- Effect of physician characteristics and knowledge on the quality of dyslipidemia management and LDL-C target goal achievement in China: Subgroup analysis of the Dyslipidemia International Study.Journal of global health · 2017Observational
- Article
- Quality of diabetes care at the largest outpatient clinics in Vilnius.Acta medica Lituanic · 2016Article
- Addressing unmet medical needs in type 2 diabetes: a narrative review of drugs under development.Current diabetes reviews · 2015Review
- Clinical audit of diabetes care in the bahrain defence forces hospital.Sultan Qaboos University medical journal · 2013Article
- Use of natural health products in children: experiences and attitudes of family physicians in Newfoundland and Labrador.Canadian family physician Medecin de famille canadien · 2013Article
- Care for patients with type 2 diabetes in a random sample of community family practices in ontario, Canada.International journal of family medicine · 2012Article
- Hypertension and type 2 diabetes: what family physicians can do to improve control of blood pressure--an observational study.BMC family practice · 2011Article
- International challenges without borders: a descriptive study of family physicians' educational needs in the field of diabetes.BMC family practice · 2011Article
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the degree to which targets for diabetes (blood pressure [BP], glycated hemoglobin [HbA1c], and low-density lipoprotein cholesterol [LDL-C]) are achieved in family practices and how these results compare with family physicians' perceptions of how well targets are being achieved.
designChart audit and physician survey.
settingNewfoundland and Labrador.
participantsPatients with type 2 diabetes and their family physicians.
interventionsThe charts of 20 patients with type 2 diabetes were randomly chosen from each of 8 family physician practices in St John's, Nfld, and data were abstracted. All family physicians in the province were surveyed using a modified Dillman method.
main outcome measuresThe most recent HbA1c, LDL-C, and BP measurements listed in each audited chart; surveyed family physicians' knowledge of the recommended targets for HbA1c, LDL-C, and BP and their estimates of what percentage of their patients were at those recommended targets.
resultsThe chart audit revealed that 20.6% of patients were at the recommended target for BP, 48.1% were at the recommended target for HbA1c, and 17.5% were at the recommended target for LDL-C. When targets were examined collectively, only 2.5% of patients were achieving targets in all 3 areas. The survey found that most family physicians were aware of the recommended targets for BP, LDL-C, and HbA1c. However, their estimates of the percentages of patients in their practices achieving these targets appeared high (59.3% for BP, 58.2% for HbA1c, and 48.4% for LDL-C) compared with the results of the chart audit.
conclusionThe findings of the chart audit are consistent with other published reports, which have illustrated that a large majority of patients with diabetes fall short of reaching recommended targets for BP, blood glucose, and lipid levels. Although family physicians are knowledgeable about recommended targets, there is a gap between knowledge and clinical outcomes. The reasons for this are likely multifactorial. Further investigation is needed to better understand this phenomenon as well as to understand the foundation for physicians' optimistic estimates of how many of their patients with diabetes were reaching target values.
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Identifiers
20090056PMC2809191W2129010395What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.