ArticleScandinavian journal of primary health care2016
Prevalence of comorbidity in primary care patients with type 2 diabetes and its association with elevated HbA1c: A cross-sectional study in Croatia.
Article in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Global prevalence of multimorbidity among people living with type 2 diabetes: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Homebound status and glycemic control among older adults: results from a national survey.GeroScience · 2026Article
- The Relationship Between Postrelease Social Determinants of Health and Glycemic Control in African Americans With Criminal Legal Involvement and Type 2 Diabetes.Journal of diabetes research · 2026Article
- Independent Relationship between Incarceration Factors and Glycemic Control in African Americans with Criminal Legal Involvement and Type 2 Diabetes.Journal of health care for the poor and underserved · 2026Article
- Glycaemic control and complications in haemodialysis patients: the TURK-HEMODIAB Study.Clinical kidney journal · 2026Article
- Article
- Correlates of Glycemic Control Among Patients With Type 2 Diabetes in Eastern Ethiopia: A Hospital-Based Cross-Sectional Study.Frontiers in endocrinology · 2022Article
- Association of Higher Rates of Type 2 Diabetes (T2DM) Complications with Psychological and Demographic Variables: Results of a Cross-Sectional Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022Article
- Clustering Inflammatory Markers with Sociodemographic and Clinical Characteristics of Patients with Diabetes Type 2 Can Support Family Physicians' Clinical Reasoning by Reducing Patients' Complexity.Healthcare (Basel, Switzerland) · 2021Article
- Multimorbidity and achievement of treatment goals among patients with type 2 diabetes: a primary care, real-world study.BMC health services research · 2021Article
- How Patient Work Changes Over Time for People With Multimorbid Type 2 Diabetes: Qualitative Study.Journal of medical Internet research · 2021Article
- The effect of comorbidities on glycemic control among Colombian adults with diabetes mellitus: a longitudinal approach with real-world data.BMC endocrine disorders · 2021Article
- MorbiNet: multimorbidity networks in adult general population. Analysis of type 2 diabetes mellitus comorbidity.Scientific reports · 2020Article
- Binge Eating Disorder in Patients with Type 2 Diabetes: Diagnostic and Management Challenges.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020Review
- Differences between diabetic and non-diabetic patients with community-acquired pneumonia in primary care in Spain.BMC infectious diseases · 2019Article
- The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo the authors' knowledge, there are few valid data that describe the prevalence of comorbidity in type 2 diabetes mellitus (T2DM) patients seen in family practice. This study aimed to investigate the prevalence of comorbidities and their association with elevated (≥ 7.0%) haemoglobin A1c (HbA1c) using a large sample of T2DM patients from primary care practices.
designA cross-sectional study in which multivariate logistic regression was applied to explore the association of comorbidities with elevated HbA1c.
settingPrimary care practices in Croatia. SUBJECTS: Altogether, 10 264 patients with diabetes in 449 practices.
main outcome measuresComorbidities and elevated HbA1c.
resultsIn total 7979 (77.7%) participants had comorbidity. The mean number of comorbidities was 1.6 (SD 1.28). Diseases of the circulatory system were the most common (7157, 69.7%), followed by endocrine and metabolic diseases (3093, 30.1%), and diseases of the musculoskeletal system and connective tissue (1437, 14.0%). After adjustment for age and sex, the number of comorbidities was significantly associated with HbA1c. The higher the number of comorbidities, the lower the HbA1c. The prevalence of physicians' inertia was statistically significantly and negatively associated with the number of comorbidities (Mann-Whitney U test, Z = -12.34; p < 0.001; r = -0.12).
conclusionThere is a high prevalence of comorbidity among T2DM patients in primary care. A negative association of number of comorbidities and HbA1c is probably moderated by physicians' inertia in treatment of T2DM strictly according to guidelines. KEY POINTS: There is a high prevalence of comorbidity among T2DM patients in primary care. Patients with breast cancer, obese patients, and those with dyslipidaemia and ischaemic heart disease were more likely to have increased HbA1c. The higher the number of comorbidities, the lower the HbA1c.
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