Predictive factors of follow-up non-attendance and mortality among adults with type 2 diabetes mellitus- an analysis of the Malaysian Diabetes Registry 2009

This study examined the factors associated with follow-up non-attendance (FUNA) and mortality among the adult patients with type 2 diabetes mellitus (T2DM). Data on 57780 T2DM patients from the 2009 diabetes registry were analyzed using multinomial logistic mixed model. Out of 57780 patients, 3140 (...

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Bibliographic Details
Main Authors: Chew, Boon How, Lee, Ping Yein, Ghazali, Sazlina Shariff, Cheong, Ai Theng, Ismail, Mastura, Taher, Sri Wahyu
Format: Article
Language:English
Published: Bentham Science Publishers 2015
Online Access:http://psasir.upm.edu.my/id/eprint/45934/1/Predictive%20factors%20of%20follow-up%20non-attendance%20and%20mortality%20among%20adults%20with%20type%202%20diabetes%20mellitus-%20an%20analysis%20of%20the%20Malaysian%20Diabetes%20Registry%202009.pdf
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Summary:This study examined the factors associated with follow-up non-attendance (FUNA) and mortality among the adult patients with type 2 diabetes mellitus (T2DM). Data on 57780 T2DM patients from the 2009 diabetes registry were analyzed using multinomial logistic mixed model. Out of 57780 patients, 3140 (5.4%) were lost to follow-up and 203 (0.4%) patients had died. Compared with patients who were under active follow-up, men (OR 1.37), neither on insulin (OR 1.72), nor on antiplatelet agents (OR 1.47), having higher HbA1c (OR 1.15), higher LDL-C (OR 1.18) and complications (OR 1.33) were associated with FUNA. Older age (OR 1.09) and higher LDL-C (OR 2.27) have higher mortality. Across the four different health facilities, medication use (insulin and anti-platelet agents) to achieve better disease control in the younger age when diabetes complication is absent would not cause FUNA and might reduce mortality.