Arkaitz Galbete1, Koldo Cambra2, Luis Forga3, Francisco Javier Baquedano4, Felipe Aizpuru5, Oscar Lecea6, Julián Librero7, Berta Ibáñez8. 1. Navarrabiomed-Complejo Hospitalario de Navarra-UPNA, Pamplona, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain. Electronic address: agalbetj@navarra.es. 2. Instituto de Salud Pública y Laboral de Navarra, Pamplona, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain; IdiSNA, Pamplona, Spain. Electronic address: ki.cambra.contin@navarra.es. 3. Servicio de Endocrinología y Nutrición, Complejo Hospitalario de Navarra, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain; IdiSNA, Pamplona, Spain. Electronic address: lluis.forga.llenas@cfnavarra.es. 4. Gerencia de Atención Primaria, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain. Electronic address: javier.baquedano.arriazu@navarra.es. 5. Hospital de Txagorritxu, Servicio Vasco de Salud-Osakidetza, Vitoria Gasteiz, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain. Electronic address: felipeesteban.aizpurubarandiaran@osakidetza.net. 6. Gerencia de Atención Primaria, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain. Electronic address: oscar.lecea.juarez@cfnavarra.es. 7. Navarrabiomed-Complejo Hospitalario de Navarra-UPNA, Pamplona, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain. Electronic address: julian.librero.lopez@navarra.es. 8. Navarrabiomed-Complejo Hospitalario de Navarra-UPNA, Pamplona, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain; IdiSNA, Pamplona, Spain. Electronic address: berta.ibanez.beroiz@navarra.es.
Abstract
AIMS: The main objective was to assess, using real-practice primary care records, the degree of control of cardiovascular risk factor targets. Records were stratified by the presence of previous history or cardiovascular disease (CVD), and sex differences in the fulfillment profile were analyzed. METHODS: This is a cross-sectional population-based study conducted in Spain. Type 2 diabetes patients over 20 years old (n = 32,638) were identified from primary care electronic health records, and the following information was extracted: glycated hemoglobin (HbA1c), systolic and diastolic blood pressure (SBP and DBP), LDL and HDL cholesterol levels, triglycerides, BMI and smoking history. RESULTS: Patients with CVD had worse control of HbA1c than patients without it, (HbA1c < 7% 56.9% vs. 61.2%) but better control of BP (<130/80: 43.5% vs 38.2%) and lipids. In the group without prior CVD history, women had worse control of HbA1c, LDL, HDL, BMI and triglycerides and better control of blood pressure and smoking. These differences were maintained or accentuated in the group with previous CVD. CONCLUSIONS: Women had poorer control of CV risk factors in both groups, and the sex-gap is accentuated in patients with previous CVD.
AIMS: The main objective was to assess, using real-practice primary care records, the degree of control of cardiovascular risk factor targets. Records were stratified by the presence of previous history or cardiovascular disease (CVD), and sex differences in the fulfillment profile were analyzed. METHODS: This is a cross-sectional population-based study conducted in Spain. Type 2 diabetespatients over 20 years old (n = 32,638) were identified from primary care electronic health records, and the following information was extracted: glycated hemoglobin (HbA1c), systolic and diastolic blood pressure (SBP and DBP), LDL and HDL cholesterol levels, triglycerides, BMI and smoking history. RESULTS:Patients with CVD had worse control of HbA1c than patients without it, (HbA1c < 7% 56.9% vs. 61.2%) but better control of BP (<130/80: 43.5% vs 38.2%) and lipids. In the group without prior CVD history, women had worse control of HbA1c, LDL, HDL, BMI and triglycerides and better control of blood pressure and smoking. These differences were maintained or accentuated in the group with previous CVD. CONCLUSIONS:Women had poorer control of CV risk factors in both groups, and the sex-gap is accentuated in patients with previous CVD.
Authors: Ana Lopez-de-Andres; Rodrigo Jimenez-Garcia; Valentin Hernández-Barrera; Jose M de Miguel-Yanes; Romana Albaladejo-Vicente; Rosa Villanueva-Orbaiz; David Carabantes-Alarcon; Jose J Zamorano-Leon; Marta Lopez-Herranz; Javier de Miguel-Diez Journal: Cardiovasc Diabetol Date: 2021-04-22 Impact factor: 9.951
Authors: Ana López-de-Andrés; Rodrigo Jimenez-Garcia; Valentin Hernández-Barrera; Isabel Jiménez-Trujillo; José J Zamorano-León; David Carabantes-Alarcon; Marta Lopez-Herranz; José M de Miguel-Yanes; Javier de Miguel-Diez Journal: Int J Environ Res Public Health Date: 2021-04-01 Impact factor: 3.390
Authors: Sara Guillen-Aguinaga; Luis Forga; Antonio Brugos-Larumbe; Francisco Guillen-Grima; Laura Guillen-Aguinaga; Ines Aguinaga-Ontoso Journal: J Clin Med Date: 2021-12-14 Impact factor: 4.241