Inercia terapéutica en el manejo de pacientes con diabetes mellitus tipo 2 en el ámbito de la Atención Primaria. Vernet Vernet, M., Sender Palacios, M. J., Bautista Galí, L., Larrosa Sàez, P., & Vargas Sánchez, J. Semergen / Sociedad Española De Medicina Rural Y Generalista, 42(3):152–157, 2016. doi abstract bibtex OBJECTIVE: To assess therapeutic inertia (TI) in the management of type 2 diabetic patients (DM2), as regards glycemic and lipid control. MATERIALS AND METHODS: Two groups of patients were studied. Group 1: All the patients were older than 14 years, diagnosed with DM2 up to 28th February 2013, and their last determination of HbA1c was≥8.5%. Group 2: All patients, under 60 years old, diagnosed with DM2 between the 1st January 2011 and the 31st December 2012, with no chronic complications and their last determination of HbA1c was≥6.5%. RESULTS: Group 1: 253 patients were included (13% of DM2 diagnosed). TI was 43% for DM2, 83% for LDL cholesterol, and 80% for triglycerides. TI was lower (P=.037) in patients with HbA1c≥10%. There was no difference in TI as regards the management of lipid profile depending on the HbA1c levels. Group 2: All DM2 patients (n=53) who met inclusion criteria were assessed (2.7% of DM2 diagnosed). Percentage of visits of those patients that had TI: 55% for DM2, 63% for LDL cholesterol and 64% for triglycerides. A more intense therapy was observed in patients with HbA1c\textgreater7.5% in 3 of the 5 visits made. CONCLUSIONS: TI in both groups was high and there is a lack of recording the reasons for this. It is important to improve the attitude of the professionals who care for the diabetic population.
@article{vernet_vernet_inercia_2016,
title = {Inercia terapéutica en el manejo de pacientes con diabetes mellitus tipo 2 en el ámbito de la {Atención} {Primaria}},
volume = {42},
issn = {1578-8865},
doi = {10.1016/j.semerg.2015.02.013},
abstract = {OBJECTIVE: To assess therapeutic inertia (TI) in the management of type 2 diabetic patients (DM2), as regards glycemic and lipid control.
MATERIALS AND METHODS: Two groups of patients were studied. Group 1: All the patients were older than 14 years, diagnosed with DM2 up to 28th February 2013, and their last determination of HbA1c was≥8.5\%. Group 2: All patients, under 60 years old, diagnosed with DM2 between the 1st January 2011 and the 31st December 2012, with no chronic complications and their last determination of HbA1c was≥6.5\%.
RESULTS: Group 1: 253 patients were included (13\% of DM2 diagnosed). TI was 43\% for DM2, 83\% for LDL cholesterol, and 80\% for triglycerides. TI was lower (P=.037) in patients with HbA1c≥10\%. There was no difference in TI as regards the management of lipid profile depending on the HbA1c levels. Group 2: All DM2 patients (n=53) who met inclusion criteria were assessed (2.7\% of DM2 diagnosed). Percentage of visits of those patients that had TI: 55\% for DM2, 63\% for LDL cholesterol and 64\% for triglycerides. A more intense therapy was observed in patients with HbA1c{\textgreater}7.5\% in 3 of the 5 visits made.
CONCLUSIONS: TI in both groups was high and there is a lack of recording the reasons for this. It is important to improve the attitude of the professionals who care for the diabetic population.},
language = {spa},
number = {3},
journal = {Semergen / Sociedad Española De Medicina Rural Y Generalista},
author = {Vernet Vernet, M. and Sender Palacios, M. J. and Bautista Galí, L. and Larrosa Sàez, P. and Vargas Sánchez, J.},
year = {2016},
pmid = {25910605},
keywords = {Article, Atención Primaria, Diabetes mellitus tipo 2, Inercia terapéutica, Primary Health Care, Therapeutic inertia, Type 2 diabetes},
pages = {152--157},
}
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MATERIALS AND METHODS: Two groups of patients were studied. Group 1: All the patients were older than 14 years, diagnosed with DM2 up to 28th February 2013, and their last determination of HbA1c was≥8.5%. Group 2: All patients, under 60 years old, diagnosed with DM2 between the 1st January 2011 and the 31st December 2012, with no chronic complications and their last determination of HbA1c was≥6.5%. RESULTS: Group 1: 253 patients were included (13% of DM2 diagnosed). TI was 43% for DM2, 83% for LDL cholesterol, and 80% for triglycerides. TI was lower (P=.037) in patients with HbA1c≥10%. There was no difference in TI as regards the management of lipid profile depending on the HbA1c levels. Group 2: All DM2 patients (n=53) who met inclusion criteria were assessed (2.7% of DM2 diagnosed). Percentage of visits of those patients that had TI: 55% for DM2, 63% for LDL cholesterol and 64% for triglycerides. A more intense therapy was observed in patients with HbA1c\\textgreater7.5% in 3 of the 5 visits made. CONCLUSIONS: TI in both groups was high and there is a lack of recording the reasons for this. It is important to improve the attitude of the professionals who care for the diabetic population.","language":"spa","number":"3","journal":"Semergen / Sociedad Española De Medicina Rural Y Generalista","author":[{"propositions":[],"lastnames":["Vernet","Vernet"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Sender","Palacios"],"firstnames":["M.","J."],"suffixes":[]},{"propositions":[],"lastnames":["Bautista","Galí"],"firstnames":["L."],"suffixes":[]},{"propositions":[],"lastnames":["Larrosa","Sàez"],"firstnames":["P."],"suffixes":[]},{"propositions":[],"lastnames":["Vargas","Sánchez"],"firstnames":["J."],"suffixes":[]}],"year":"2016","pmid":"25910605","keywords":"Article, Atención Primaria, Diabetes mellitus tipo 2, Inercia terapéutica, Primary Health Care, Therapeutic inertia, Type 2 diabetes","pages":"152–157","bibtex":"@article{vernet_vernet_inercia_2016,\n\ttitle = {Inercia terapéutica en el manejo de pacientes con diabetes mellitus tipo 2 en el ámbito de la {Atención} {Primaria}},\n\tvolume = {42},\n\tissn = {1578-8865},\n\tdoi = {10.1016/j.semerg.2015.02.013},\n\tabstract = {OBJECTIVE: To assess therapeutic inertia (TI) in the management of type 2 diabetic patients (DM2), as regards glycemic and lipid control.\nMATERIALS AND METHODS: Two groups of patients were studied. Group 1: All the patients were older than 14 years, diagnosed with DM2 up to 28th February 2013, and their last determination of HbA1c was≥8.5\\%. Group 2: All patients, under 60 years old, diagnosed with DM2 between the 1st January 2011 and the 31st December 2012, with no chronic complications and their last determination of HbA1c was≥6.5\\%.\nRESULTS: Group 1: 253 patients were included (13\\% of DM2 diagnosed). TI was 43\\% for DM2, 83\\% for LDL cholesterol, and 80\\% for triglycerides. TI was lower (P=.037) in patients with HbA1c≥10\\%. There was no difference in TI as regards the management of lipid profile depending on the HbA1c levels. Group 2: All DM2 patients (n=53) who met inclusion criteria were assessed (2.7\\% of DM2 diagnosed). Percentage of visits of those patients that had TI: 55\\% for DM2, 63\\% for LDL cholesterol and 64\\% for triglycerides. 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