A patient-based study on the adherence of physicians to guidelines for the management of type 2 diabetes in Turkey
Date
2012-10
Authors
Satman, İlhan
Yılmaz, Candeğer
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier Ireland
Abstract
Aims: To evaluate physicians' adherence to guidelines by Diabetes Study Group of The Society of Endocrinology and Metabolism of Turkey (SEMT). Methods: The medical records of 1790 patients with type 2 diabetes (mean age, 58.7 +/- 10.9 years; diabetes duration, 7.7 perpendicular to 7.5 years) followed by 180 physicians during last 12 months were reviewed. Adherence to SEMT guidelines was analysed under medical history, physical examination and laboratory evaluations subheadings, each scored on a 10-point scale. Effects of patients' age, gender, diabetes duration, body mass index, chronic complications, physicians' specialty and institution on guideline adherence were evaluated. Results: Follow-up procedures were >75% compliant for 52% of patients. Full adherence to medical history, physical examination and laboratory aspects of SEMT guidelines were met in 68.6%, 8.3% and 19.2% of patients, respectively. Older patients and males fared better for laboratory evaluations. All aspects of guideline adherence were poor in patients with short duration of diabetes and in the absence of chronic complications. State institutions and family practitioners had lower adherence scores for physical examination and laboratory evaluation. Conclusions: Overall guideline adherence of physicians was suboptimal. Educational programs emphasizing the preventive aspect of diabetes management, targeted towards family practitioners and state institutions, may improve guideline adherence and patient outcome.
Description
Some results of the study are presented in several meet- ings, i.e. European Congress of Endocrinology (ECE), American Diabetes Association (ADA), and the annual meeting of The Endocrine Society (ENDO) in 2009, Congress of Endocrinology and Metabolism Diseases of Turkey (TEMD) in 2010, and World Diabetes Congress (WDC), ECE, ADA, and ENDO in 2011.
Keywords
Endocrinology & metabolism, Adherence, Type 2 diabetes, Physician, Guidelines, Primary-care, Glycemic control, Quality, Epidemiology, Outpatient, Providers
Citation
Satman, İ. vd. (2012). "A patient-based study on the adherence of physicians to guidelines for the management of type 2 diabetes in Turkey". Diabetes Research and Clinical Practice, 98(1), 75-82.