ArticleInternational journal of clinical practice2012
Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain.
Article in International journal of clinical practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 69 citations in OpenAlex.
- Chronic kidney disease in the type 2 diabetic patients: prevalence and associated variables in a random sample of 2642 patients of a Mediterranean area.BMC nephrology · 2012Trial
- The Burden of Alzheimer's Disease and Other Dementias Attribute to Metabolic Risks in Western Europe From 1990 to 2023.Diabetes, obesity & metabolism · 2026Article
- Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study.Journal of clinical medicine · 2024Article
- Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study.Journal of clinical medicine · 2021Article
- Identification of Five Quality Needs for Rheumatology (Text Analysis and Literature Review).Frontiers in medicine · 2021Review
- Article
- [Prevalence and risk factors associated with diabetic retinopathy in Santander. Northern Spain].Atencion primaria · 2020Article
- Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Systematic Review.JMIR medical informatics · 2019Review
- INTEGRA study protocol: primary care intervention in type 2 diabetes patients with poor glycaemic control.BMC family practice · 2019Article
- Type 2 diabetes and quality of life.World journal of diabetes · 2017Review
- Direct medical costs attributable to type 2 diabetes mellitus: a population-based study in Catalonia, Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2016Article
- Pharmaceutical cost and multimorbidity with type 2 diabetes mellitus using electronic health record data.BMC health services research · 2016Observational
- Characteristics of patients with type 2 diabetes mellitus newly treated with GLP-1 receptor agonists (CHADIG Study): a cross-sectional multicentre study in Spain.BMJ open · 2016 · on this mapArticle
- Basal insulin initiation in primary vs. specialist care: similar glycaemic control in two different patient populations.International journal of clinical practice · 2016Observational
- Association of low oleic acid intake with diabetic retinopathy in type 2 diabetic patients: a case-control study.Nutrition & metabolism · 2016Article
- Comparison of different vascular risk engines in the identification of type 2 diabetes patients with high cardiovascular risk.BMC cardiovascular disorders · 2015Article
- The prevalence of diabetes-related complications and multimorbidity in the population with type 2 diabetes mellitus in the Basque Country.BMC public health · 2014Article
- Differences in the Cardiometabolic Control in Type 2 Diabetes according to Gender and the Presence of Cardiovascular Disease: Results from the eControl Study.International journal of endocrinology · 2014Article
- [An analysis of the diabetic population in a Spanish rural are: morbidity profile, use of resources, complications and metabolic control].Atencion primaria · 2013Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part of the Group for the Study of Diabetes in Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme in Catalonia.
methodsSequential cross-sectional studies were performed during 1993-2007. Process and outcome indicators in random samples of patients from each centre were collected. The results of each evaluation were returned to each centre to encourage the implementation of correcting interventions. Sixty-four different educational activities were performed during the study period with the participation of 2041 professionals.
resultsClinical records of 23,501 patients were evaluated. A significant improvement was observed in the determination of some annual process indicators: HbA(1c) (51.7% vs. 88.9%); total cholesterol (75.9% vs. 90.9%); albuminuria screening (33.9% vs. 59.4%) and foot examination (48.9% vs. 64.2%). The intermediate outcome indicators also showed significant improvements: glycemic control [HbA(1c) ≤ 7% (< 57 mmol/mol); (41.5% vs. 64.2%)]; total cholesterol [≤ 200 mg/dl (5.17 mmol/l); (25.5% vs. 65.6%)]; blood pressure [≤ 140/90 mmHg; (45.4% vs. 66.1%)]. In addition, a significant improvement in some final outcome indicators such as prevalence of foot ulcers (7.6% vs. 2.6%); amputations (1.9% vs. 0.6%) and retinopathy (18.8% vs. 8.6%) was observed.
conclusionsAlthough those changes should not be strictly attributed to the GCQI programme, significant improvements in some process indicators, parameters of control and complications were observed in a network of primary care centres in Catalonia.
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