A patient-based study on the adherence of physicians to guidelines for the management of type 2 diabetes in Turkey

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dc.contributor.authorSatman, İlhan
dc.contributor.authorYılmaz, Candeğer
dc.contributor.buuauthorİmamoğlu, Şazi
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/İç Hastalıkları Anabilim Dalı/Endokrinoloji ve Metabolizma Bölümü.tr_TR
dc.contributor.scopusid6602297533tr_TR
dc.date.accessioned2022-04-01T07:38:25Z
dc.date.available2022-04-01T07:38:25Z
dc.date.issued2012-10
dc.descriptionSome 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.en_US
dc.description.abstractAims: 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.en_US
dc.description.sponsorshipSanofi-Aventisen_US
dc.identifier.citationSatman, 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.en_US
dc.identifier.endpage82tr_TR
dc.identifier.issn0168-8227
dc.identifier.issn1872-8227
dc.identifier.issue1tr_TR
dc.identifier.pubmed22652276tr_TR
dc.identifier.scopus2-s2.0-84867399555tr_TR
dc.identifier.startpage75tr_TR
dc.identifier.urihttps://doi.org/10.1016/j.diabres.2012.05.003
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0168822712001647
dc.identifier.urihttp://hdl.handle.net/11452/25506
dc.identifier.volume98tr_TR
dc.identifier.wos000311026100015tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherElsevier Irelanden_US
dc.relation.collaborationYurt içitr_TR
dc.relation.journalDiabetes Research and Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndocrinology & metabolismen_US
dc.subjectAdherenceen_US
dc.subjectType 2 diabetesen_US
dc.subjectPhysicianen_US
dc.subjectGuidelinesen_US
dc.subjectPrimary-careen_US
dc.subjectGlycemic controlen_US
dc.subjectQualityen_US
dc.subjectEpidemiologyen_US
dc.subjectOutpatienten_US
dc.subjectProvidersen_US
dc.subject.emtreeGlucoseen_US
dc.subject.emtreeHigh density lipoprotein cholesterolen_US
dc.subject.emtreeInsulinen_US
dc.subject.emtreeLow density lipoprotein cholesterolen_US
dc.subject.emtreeOral antidiabetic agenten_US
dc.subject.emtreeTriacylglycerolen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeAgingen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeAtherosclerosisen_US
dc.subject.emtreeBlood pressureen_US
dc.subject.emtreeBody massen_US
dc.subject.emtreeClinical practiceen_US
dc.subject.emtreeClinical studyen_US
dc.subject.emtreeComorbidityen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeCoronary artery diseaseen_US
dc.subject.emtreeDiet restrictionen_US
dc.subject.emtreeDisease durationen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeFollow upen_US
dc.subject.emtreeGlycemic controlen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeHypertensionen_US
dc.subject.emtreeHypoglycemiaen_US
dc.subject.emtreeLipid analysisen_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMedical historyen_US
dc.subject.emtreeMedical specialisten_US
dc.subject.emtreeMicroalbuminuriaen_US
dc.subject.emtreeNon insulin dependent diabetes mellitusen_US
dc.subject.emtreeObesityen_US
dc.subject.emtreePeripheral occlusive artery diseaseen_US
dc.subject.emtreePhysical examinationen_US
dc.subject.emtreePhysicianen_US
dc.subject.emtreePhysician attitudeen_US
dc.subject.emtreePostprandial stateen_US
dc.subject.emtreePractice guidelineen_US
dc.subject.emtreeRetrospective studyen_US
dc.subject.emtreeScoring systemen_US
dc.subject.emtreeSex differenceen_US
dc.subject.emtreeTreatment durationen_US
dc.subject.emtreeTurkey (republic)en_US
dc.subject.emtreeWaist circumferenceen_US
dc.subject.meshAdulten_US
dc.subject.meshAttitude of health personnelen_US
dc.subject.meshDiabetes mellitus, type 2en_US
dc.subject.meshDisease managementen_US
dc.subject.meshFamily practiceen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-up studiesen_US
dc.subject.meshGuideline adherenceen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMedical recordsen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshPhysical examinationen_US
dc.subject.meshPhysician's practice patternsen_US
dc.subject.meshPhysiciansen_US
dc.subject.meshPractice guidelines as topicen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshRetrospective studiesen_US
dc.subject.meshRisk factorsen_US
dc.subject.meshTurkeyen_US
dc.subject.scopusRenal Replacement Therapy; Nephrology; Cardiovascular Diseaseen_US
dc.subject.wosEndocrinology & metabolismen_US
dc.titleA patient-based study on the adherence of physicians to guidelines for the management of type 2 diabetes in Turkeyen_US
dc.typeArticle
dc.wos.quartileQ2en_US

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