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Proportion of Brazilian diabetes patients that achieve treatment goals: implications for better quality of care

Overview of attention for article published in Diabetology & Metabolic Syndrome, December 2015
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Title
Proportion of Brazilian diabetes patients that achieve treatment goals: implications for better quality of care
Published in
Diabetology & Metabolic Syndrome, December 2015
DOI 10.1186/s13098-015-0107-3
Pubmed ID
Authors

Deise Regina Baptista, Rubia Daniela Thieme, Walleri Christini Torelli Reis, Roberto Pontarolo, Cassyano Januário Correr

Abstract

Diabetes and its complications are substantial causes of morbidity and mortality, and caused approximately 5.1 million deaths worldwide in 2013. Early detection and treatment of diabetes complications can prevent their progression. This study compared the proportions of patients with type 1 and 2 diabetes mellitus (T1DM and T2DM, respectively) who achieved the goals of good clinical control. Adults and elderly patients with T1DM and T2DM at a public outpatient endocrinology service in Brazil were retrospectively evaluated between 2012 and 2013. Clinical and socio demographic data were obtained from medical records and evaluated in accordance with the Brazilian Diabetes Society Guidelines. Care process measures, outcomes indicators, and supporting process measures were evaluated. A total of 1031 records were analyzed: 29 and 71 % of patients had T1DM and T2DM, respectively. T2DM patients had significantly higher BMI than T1DM patients (overweight and obesity in 85.1 vs. 47.5 %, p < 0.01). The follow-up periods for diabetes and number of clinical visits to the endocrinology service were significantly greater among T1DM patients than T2DM patients (p < 0.01). However, T2DM patients required significantly more other (i.e., non-endocrinological) healthcare services (p < 0.01). HbA1c was significantly lower in T2DM patients (p < 0.01). Moreover, blood pressure and triglycerides were significantly higher in T2DM patients (p < 0.01), whereas total cholesterol and low-density lipoprotein were significantly lower in T2DM patients (p < 0.01). Only 0.5 % of the patients achieved all targets, and 1.1 % did not achieve any. The achievement of goals of good clinical practice varies among the parameters evaluated. Almost no patients achieved all targets. Many patients are overweight and do not achieve targets for HbA1c, lipid profile, or blood pressure control.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 58 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 3%
New Zealand 1 2%
Unknown 55 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 17%
Unspecified 6 10%
Researcher 6 10%
Student > Ph. D. Student 5 9%
Student > Bachelor 4 7%
Other 14 24%
Unknown 13 22%
Readers by discipline Count As %
Medicine and Dentistry 12 21%
Unspecified 6 10%
Nursing and Health Professions 4 7%
Pharmacology, Toxicology and Pharmaceutical Science 4 7%
Engineering 3 5%
Other 10 17%
Unknown 19 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 December 2015.
All research outputs
#20,655,488
of 25,373,627 outputs
Outputs from Diabetology & Metabolic Syndrome
#563
of 796 outputs
Outputs of similar age
#292,166
of 396,091 outputs
Outputs of similar age from Diabetology & Metabolic Syndrome
#15
of 21 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 796 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
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We're also able to compare this research output to 21 others from the same source and published within six weeks on either side of this one. This one is in the 4th percentile – i.e., 4% of its contemporaries scored the same or lower than it.