Factors associated with Prolonged Inaction in the hypoglycaemic treatment in people with non-insulin dependent Type 2 Diabetes and elevated glycated haemoglobin: A registry-based cohort study

• Prolonged Inaction (PI) is defined as the absence of antidiabetic treatment adjustments in spite of indications based on patients’ HbA1c values. • PI which is the sum of ‘True’ and ‘False’ Clinical Inertia is useful to evaluate patients’ trajectories based on routinely collected data. • PI in prim...

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Veröffentlicht in:A pilot randomized controlled trial examining the feasibility, acceptability, and efficacy of Adapted Motivational Interviewing for post-operative bariatric surgery patients. - 2016. - Amsterdam [u.a.]
1. Verfasser: Goderis, Geert (VerfasserIn)
Weitere Verfasser: Vaes, Bert (BerichterstatterIn), Van den Akker, Marjan (BerichterstatterIn), Elli, Steven (BerichterstatterIn), Mathieu, Chantal (BerichterstatterIn), Buntinx, Frank (BerichterstatterIn), Henrard, Séverine (BerichterstatterIn)
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2017transfer abstract
Zugriff auf das übergeordnete Werk:A pilot randomized controlled trial examining the feasibility, acceptability, and efficacy of Adapted Motivational Interviewing for post-operative bariatric surgery patients
Schlagworte:Clinical Inertia Type 2 Diabetes Mellitus Retrospective cohort study Oral anti-diabetic treatment
Umfang:8
Beschreibung
Zusammenfassung:• Prolonged Inaction (PI) is defined as the absence of antidiabetic treatment adjustments in spite of indications based on patients’ HbA1c values. • PI which is the sum of ‘True’ and ‘False’ Clinical Inertia is useful to evaluate patients’ trajectories based on routinely collected data. • PI in primary care is associated with both outcome indicators (lower values HbA1c values) and process indicators (higher frequency in the follow-up). • The trigger to initiate antidiabetic treatment changes in ‘real practice’ remains 7.5% or even 8%, instead of 7%. • Co-morbidities interact in a complex way, eitherer fostering PI (e.g. CKD) or fostering treatment intensification (e.g. depression).
• Prolonged Inaction (PI) is defined as the absence of antidiabetic treatment adjustments in spite of indications based on patients’ HbA1c values. • PI which is the sum of ‘True’ and ‘False’ Clinical Inertia is useful to evaluate patients’ trajectories based on routinely collected data. • PI in primary care is associated with both outcome indicators (lower values HbA1c values) and process indicators (higher frequency in the follow-up). • The trigger to initiate antidiabetic treatment changes in ‘real practice’ remains 7.5% or even 8%, instead of 7%. • Co-morbidities interact in a complex way, eitherer fostering PI (e.g. CKD) or fostering treatment intensification (e.g. depression).
Beschreibung:8
DOI:10.1016/j.pcd.2017.05.008