Itsuko Miyazawa1, Aya Kadota2,3, Motozumi Okamoto4, Katsuyuki Miura2,3, Hiroshi Maegawa1, Atsuo Ohnishi5,6. 1. 1Department of Medicine, Shiga University of Medical Science, Seta, Otsu, Shiga 520-2192 Japan. 2. 2Department of Public Health, Shiga University of Medical Science, Otsu, Shiga Japan. 3. 3Center for Epidemiologic Research in Asia, Shiga University of Medical Science, Otsu, Shiga Japan. 4. Japanese Red Cross Otsu Hospital, Otsu, Shiga Japan. 5. Ohnishi Clinic, Kusatsu, Shiga Japan. 6. The Shiga Medical Association, Ritto, Shiga Japan.
Abstract
AIMS: This study aimed to clarify trends in clinical performance in diabetic patients over a 12-year period in primary care clinics and hospitals in Japan. MATERIALS AND METHODS: The Shiga Diabetes Clinical Survey records medical performance in diabetic patients in primary care clinics and hospitals in Shiga Prefecture, Japan. In this study, laboratory data, modality of treatment for diabetes, and status of examination for diabetic complications were examined using results of surveys in 2000, 2006, and 2012. The study included 17,870, 18,398, and 24,219 patients for those years, respectively. RESULTS: Mean glycated hemoglobin (HbA1c) level significantly improved over 12 years and was significantly lower in the primary care clinics group than the hospitals group (7.3 ± 1.5 vs. 7.4 ± 1.4 % in 2000, 7.2 ± 1.2 vs. 7.4 ± 1.3 % in 2006, and 6.9 ± 1.0 vs. 7.1 ± 1.1 % in 2012). With regard to diabetic treatment modality, patients treated in hospitals used insulin more frequently than those in primary care clinics. The proportion of patients examined for diabetic complications increased but did not reach 50 % in 2012. Mean blood pressure and low-density lipoprotein cholesterol levels were lowered, but blood pressure control was worse than that of low-density lipoprotein cholesterol. CONCLUSIONS: This study shows that glycemic control in both primary care clinics and hospitals has improved and was almost acceptable. However, examinations for diabetic complications and the control of blood pressure were still insufficient.
AIMS: This study aimed to clarify trends in clinical performance in diabetic patients over a 12-year period in primary care clinics and hospitals in Japan. MATERIALS AND METHODS: The Shiga Diabetes Clinical Survey records medical performance in diabetic patients in primary care clinics and hospitals in Shiga Prefecture, Japan. In this study, laboratory data, modality of treatment for diabetes, and status of examination for diabetic complications were examined using results of surveys in 2000, 2006, and 2012. The study included 17,870, 18,398, and 24,219 patients for those years, respectively. RESULTS: Mean glycated hemoglobin (HbA1c) level significantly improved over 12 years and was significantly lower in the primary care clinics group than the hospitals group (7.3 ± 1.5 vs. 7.4 ± 1.4 % in 2000, 7.2 ± 1.2 vs. 7.4 ± 1.3 % in 2006, and 6.9 ± 1.0 vs. 7.1 ± 1.1 % in 2012). With regard to diabetic treatment modality, patients treated in hospitals used insulin more frequently than those in primary care clinics. The proportion of patients examined for diabetic complications increased but did not reach 50 % in 2012. Mean blood pressure and low-density lipoprotein cholesterol levels were lowered, but blood pressure control was worse than that of low-density lipoprotein cholesterol. CONCLUSIONS: This study shows that glycemic control in both primary care clinics and hospitals has improved and was almost acceptable. However, examinations for diabetic complications and the control of blood pressure were still insufficient.
Entities:
Keywords:
Clinical survey; Diabetes mellitus; Japanese; Medical performance
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