ArticleBMJ open diabetes research & care2015
Changes in diabetes care indicators: findings from German National Health Interview and Examination Surveys 1997-1999 and 2008-2011.
Article in BMJ open diabetes research & care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- Quality of Diabetes Care Among Older Adults in Germany-Results of the Study on Health of Older People 2022/2023 Compared With Previous National Health Surveys.Diabetes, obesity & metabolism · 2026Article
- In-hospital outcomes of adults with diabetes treated in certified vs. non-certified hospitals: a nationwide analysis of German DRG statistics.Frontiers in health services · 2026Article
- Trends in prevalence and number of cases of diagnosed type 2 diabetes in Germany: Projections until 2050.Journal of health monitoring · 2025Article
- A Retrospective Claims Data Analysis on the Burden of COVID-19-Related Hospitalization in Adults at High Risk for Severe Disease Progression in Germany.Infectious diseases and therapy · 2025Article
- [Development and Internal Validation of Case Definitions for Prevalence Estimation of Microvascular Complications of Diabetes in Routine Data].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024Article
- Healthcare and health situation of adults with type 2 diabetes in Germany: The study GEDA 2021/2022-Diabetes.Journal of health monitoring · 2024Article
- Site-specific trends in gastroenteropancreatic neuroendocrine neoplasms in Bavaria, Germany.Cancer medicine · 2023Article
- Health and economic impact of improved glucose, blood pressure and lipid control among German adults with type 2 diabetes: a modelling study.Diabetologia · 2023Article
- [Effectiveness and Ethical Evaluation of Nudging to Promote the Self-Management in Diabetes Mellitus Type 2].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Review
- Understanding the quality of diabetes care in Japan: a systematic review of the literature.Diabetology international · 2022Review
- Diabetes mellitus and comorbidities - A cross-sectional study with control group based on nationwide ambulatory claims data.Journal of health monitoring · 2021Article
- Self-assessed quality of care among adults with diagnosed diabetes in Germany.Journal of health monitoring · 2021Article
- Are Disability Rates among People with Diabetes Increasing in Germany? A Decomposition Analysis of Temporal Change between 2004 and 2015.Journal of aging and health · 2021Article
- Patterns and associated factors of diabetes self-management: Results of a latent class analysis in a German population-based study.PloS one · 2021Article
- Ticagrelor monotherapy in patients with concomitant diabetes mellitus and chronic kidney disease: a post hoc analysis of the GLOBAL LEADERS trial.Cardiovascular diabetology · 2020Observational
- Factors associated with undiagnosed type 2 diabetes in Germany: results from German Health Interview and Examination Survey for Adults 2008-2011.BMJ open diabetes research & care · 2020Article
- Social inequality and diabetes mellitus - developments over time among the adult population in Germany.Journal of health monitoring · 2019Article
- The risk factors of glycemic control, blood pressure control, lipid control in Chinese patients with newly diagnosed type 2 diabetes _ A nationwide prospective cohort study.Scientific reports · 2019Observational
- Patient and disease characteristics of type-2 diabetes patients with or without chronic kidney disease: an analysis of the German DPV and DIVE databases.Cardiovascular diabetology · 2019Article
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Abstract
objectivesTo investigate changes in type 2 diabetes care indicators over time in Germany.
methodsAdults aged 45-79 years with type 2 diabetes were identified from two national health examination surveys conducted in 1997-1999 (GNHIES98, n=333) and in 2008-2011 (DEGS1, n=526). We examined diabetes care indicators including treatment and preventive targets (glycemic control, blood pressure (BP), total cholesterol (TC), smoking, weight reduction, sports activity), self-management and care process measures (glucose self-monitoring, holding a diabetes passport, annual foot and eye examination; statin use), and the presence of diabetes-specific complications (diabetic nephropathy, retinopathy, neuropathy, diabetic foot, amputations) and comorbid cardiovascular disease (CVD) or chronic kidney disease (CKD). We calculated proportions of persons meeting these care indicators by survey and examined unadjusted and adjusted changes between surveys.
resultsSignificant improvement (GNHIES98 vs DEGS1) over time was observed for glycated hemoglobin (HbA1c) <7.0% (53 mmol/mol) (32.4% vs 65.4%), BP <130/80 mm Hg (32.0% vs 47.2%), TC <190 mg/dL (13.5% vs 41.9%), statin use (11.7% vs 35.9%), eye (51.1% vs 78.4%) and foot (48.0% vs 61.4%) examination within the past 12 months, diabetes-specific complications (29.7% vs 21.8%), and CVD (44.5% vs 37.1%). Blood glucose self-monitoring significantly increased (37.4% vs 62.8%), while holding a diabetes passport did not change. Current smoking did not change and obesity rose, although sports activity significantly increased over time. Proportions of adults achieving combination goals of HbA1c, BP, TC, and smoking cessation were low in both surveys in spite of significant improvement.
conclusionsIn Germany, the quality of diabetes care improved over time. There is much room for improvement, in particular regarding preventive goals and diabetes self-management.
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