DIABCARE quality control of diabetes management: Results of a pilot multicentre study in Hungary

G. Tamas, Z. Kerenyi, J. Fovenyi, P. Turbucz, I. Filiczky, G. Szoverffy, K. Piwernetz

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Abstract

To assess quality of care of diabetes management and the feasibility of the WHO/IDF DIABCARE Program quality and risk indicators of 183 diabetic patients in 3 diabetes centres have been evaluated and compared in a pilot study in Hungary, After a learning-phase of approx. 10 patients filling in both the program-screen and Basic Information Sheet (BIS) responses lasted 4-13 min for all the 5 participating physicians. Completeness of the records concerning demographic data and history was 84-100%. Investigational rate of risk indicators varied between 63 and 96% depending on indicator and centre response, except albumin excretion rate (AER) which was determined in 22% (ranging 2 and 48%) of the patients only; 61/183 (33%) of the records contained no data on the examination of the retina. Thirty-five percent of the patients had retinopathy, 12% hypertension (>=160/95); 31% of the patients had a blood pressure above 140/90 mmHg, HbA(1C) value >8% was found in 34% of the diabetic subjects. Evaluation of the St. Vincent Declaration targets (SVD) showed 1/143 (0.7%) blindness, 1/152 (0.7%) end stage renal failure, 3/97 (3.1%) myocardial infarction in the history and no amputation in this material. According to the results WHO/IDF DIABCARE Program and BIS have both been proved to be a user friendly tool for evaluating diabetes care. BIS, however, have to be filled in more carefully and the quality control should be repeated regularly and more completely. To reach the SVD targets AER determinations and eye examinations have to be performed in all cases.

Original languageEnglish
Pages (from-to)329-332
Number of pages4
JournalDiabetes, Nutrition and Metabolism - Clinical and Experimental
Volume6
Issue number6
Publication statusPublished - Dec 1 1993

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Keywords

  • Basic information sheet
  • DIABCARE
  • Quality control
  • Risk indicators
  • St Vincent Declaration

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine (miscellaneous)
  • Food Science
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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