Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patients
Aim. To evaluate the real-world clinical practice implementation of modern international and national recommendations on primary and secondary prevention and pharmacotherapy of cardiovascular disease (CVD) among patients with Type 2 diabetes mellitus (DM-2) in one administrative area of Moscow City...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2008-12-01
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| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/1645 |
| _version_ | 1797882692806639616 |
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| author | R. G. Oganov V. K. Lepakhin S. B. Fitilev A. M. Levin I. I. Shkrebneva Yu. Yu. Titarova Yu. Yu. Tsiruleva |
| author_facet | R. G. Oganov V. K. Lepakhin S. B. Fitilev A. M. Levin I. I. Shkrebneva Yu. Yu. Titarova Yu. Yu. Tsiruleva |
| author_sort | R. G. Oganov |
| collection | DOAJ |
| description | Aim. To evaluate the real-world clinical practice implementation of modern international and national recommendations on primary and secondary prevention and pharmacotherapy of cardiovascular disease (CVD) among patients with Type 2 diabetes mellitus (DM-2) in one administrative area of Moscow City (2004-2006).Material and methods. Cross-sectional retrospective analysis of ambulatory medical card data was performed among 1146 DM-2 patients attending one out of three Moscow City South-West Area policlinics (2004-2006). Quality of primary and secondary prevention and pharmacotherapy was assessed by compliance with modern international and national standards. The following data from ambulatory medical cards were analyzed: general information on the patient, main risk factors (RFs), comorbidities, instrumental and laboratory tests and their results, number of hospitalizations and sick-leaves, administered therapy.Results. Ambulatory cards contained inadequate information on RFs and recommendations on RF correction. Alcohol consumption and smoking were mentioned only in 0,53 % and 6,19 % of the cases, respectively. Recommendations on reducing alcohol consumption were recorded for 0,70 %, smoking cessation - for 1,83 %, and salt intake reduction - for 2,44 %. Body weight control was recommended in 1,05 % of the cases only, despite overweight and obesity prevalence of 30 % and >45 %, respectively. The levels of blood pressure (BP), lipids, fasting glucose, glycated hemoglobin (HbAlc) were higher than respective target levels stated in national and international recommendations. Target level of BP was achieved in 4,36 % of DM-2 patients, low-density lipoprotein cholesterol - in 18,35 %, fasting glucose - in 27,67 %, and HbAlc - in 24,80 %.Conclusion. Real-world clinical practice of ambulatory treatment of DM-2 patients was not consistent with modern international and national standards of CVD prevention and therapy. |
| first_indexed | 2024-04-10T03:39:49Z |
| format | Article |
| id | doaj.art-b91e16c41b404993820e5d43c43d4456 |
| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2024-04-10T03:39:49Z |
| publishDate | 2008-12-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-b91e16c41b404993820e5d43c43d44562023-03-13T07:23:15Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252008-12-01779141363Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patientsR. G. Oganov0V. K. Lepakhin1S. B. Fitilev2A. M. Levin3I. I. Shkrebneva4Yu. Yu. Titarova5Yu. Yu. Tsiruleva6ФГУ Государственный научно-исследовательский центр профилактической медицины РосмедтехнологииРоссийский университет дружбы народов, г. МоскваРоссийский университет дружбы народов, г. МоскваРоссийский университет дружбы народов, г. МоскваРоссийский университет дружбы народов, г. МоскваРоссийский университет дружбы народов, г. МоскваРоссийский университет дружбы народов, г. МоскваAim. To evaluate the real-world clinical practice implementation of modern international and national recommendations on primary and secondary prevention and pharmacotherapy of cardiovascular disease (CVD) among patients with Type 2 diabetes mellitus (DM-2) in one administrative area of Moscow City (2004-2006).Material and methods. Cross-sectional retrospective analysis of ambulatory medical card data was performed among 1146 DM-2 patients attending one out of three Moscow City South-West Area policlinics (2004-2006). Quality of primary and secondary prevention and pharmacotherapy was assessed by compliance with modern international and national standards. The following data from ambulatory medical cards were analyzed: general information on the patient, main risk factors (RFs), comorbidities, instrumental and laboratory tests and their results, number of hospitalizations and sick-leaves, administered therapy.Results. Ambulatory cards contained inadequate information on RFs and recommendations on RF correction. Alcohol consumption and smoking were mentioned only in 0,53 % and 6,19 % of the cases, respectively. Recommendations on reducing alcohol consumption were recorded for 0,70 %, smoking cessation - for 1,83 %, and salt intake reduction - for 2,44 %. Body weight control was recommended in 1,05 % of the cases only, despite overweight and obesity prevalence of 30 % and >45 %, respectively. The levels of blood pressure (BP), lipids, fasting glucose, glycated hemoglobin (HbAlc) were higher than respective target levels stated in national and international recommendations. Target level of BP was achieved in 4,36 % of DM-2 patients, low-density lipoprotein cholesterol - in 18,35 %, fasting glucose - in 27,67 %, and HbAlc - in 24,80 %.Conclusion. Real-world clinical practice of ambulatory treatment of DM-2 patients was not consistent with modern international and national standards of CVD prevention and therapy.https://cardiovascular.elpub.ru/jour/article/view/1645сердечно-сосудистые заболеваниясахарный диабетпрофилактикалечение |
| spellingShingle | R. G. Oganov V. K. Lepakhin S. B. Fitilev A. M. Levin I. I. Shkrebneva Yu. Yu. Titarova Yu. Yu. Tsiruleva Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patients Кардиоваскулярная терапия и профилактика сердечно-сосудистые заболевания сахарный диабет профилактика лечение |
| title | Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patients |
| title_full | Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patients |
| title_fullStr | Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patients |
| title_full_unstemmed | Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patients |
| title_short | Quality of ambulatory prevention and treatment of cardiovascular disease and its complications among Туре 2 diabetes mellitus patients |
| title_sort | quality of ambulatory prevention and treatment of cardiovascular disease and its complications among туре 2 diabetes mellitus patients |
| topic | сердечно-сосудистые заболевания сахарный диабет профилактика лечение |
| url | https://cardiovascular.elpub.ru/jour/article/view/1645 |
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