Sex and age differences in the achievement of control targets in patients with type 2 diabetes: results from a population-based study in a South European region

BMC Family Practice

Research Article

O. Lecea¹  M. J. Ariz¹  F. Aizpuru²  C. Moreno-Iribas³  L. Forga⁴  A. Galbete⁵  K. Cambra⁶  B. Ibañez⁶ 

[1] Gerencia de Atención Primaria, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain;Health Services Research on Chronic Patients Network (REDISSEC), Pamplona, Spain;Hospital de Txagorritxu, Servicio Vasco de Salud-Osakidetza, Vitoria Gasteiz, Spain;Health Services Research on Chronic Patients Network (REDISSEC), Pamplona, Spain;IdiSNA, Pamplona, Spain;Instituto de Salud Pública y Laboral de Navarra, Pamplona, Spain;IdiSNA, Pamplona, Spain;Complejo Hospitalario de Navarra, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain;Navarrabiomed-FMS, C/ Irunlarrea 8, Recinto CHN, 31008, Pamplona, Spain;Health Services Research on Chronic Patients Network (REDISSEC), Pamplona, Spain;Navarrabiomed-FMS, C/ Irunlarrea 8, Recinto CHN, 31008, Pamplona, Spain;Health Services Research on Chronic Patients Network (REDISSEC), Pamplona, Spain;IdiSNA, Pamplona, Spain;

关键词: Type 2 diabetes;    Control targets;    Health inequalities;    Glycemic control;    Cardiovascular risk factors;   

DOI  :  10.1186/s12875-016-0533-9

 received in 2016-05-26, accepted in 2016-09-10,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundWe aimed to determine the degree to which control targets of glycaemia and cardiovascular risk factors were achieved among patients with type 2 diabetes and to investigate sex- and age-related differences in this population.MethodsThis cross-sectional, population-based study was conducted in Spain. Glycated hemoglobin (HbA1c), blood pressure, LDL-c, HDL-c, triglycerides, BMI, and smoking history were obtained from electronic clinical primary care records (n = 32,638 cases). The proportions of patients who met control targets were determined according to sex and age groups. Comparisons between groups were conducted with t-tests for continuous variables, tests for trends in proportions for categorical and ordinal variables, and Pearson’s chi-square tests and binary logistic regression models for categorical variables.ResultsThe overall proportions of patients with type 2 diabetes who met the target objectives for HbA1c (<7 %, 53 mmol/mol), blood pressure (130/80 mmHg), and LDL-cholesterol (100 mg/dl) were 60, 40 and 41 %, respectively. Women were less likely than men to meet the control targets of HbA1c (59 vs 61 %), LDL (35 vs 45 %), and HDL (58 vs 78 %). Patients under 65 years of age presented poorer control than older age groups. Only a minority of patients with type 2 diabetes met the composite target objectives for glycemic control, blood pressure, and LDL.ConclusionsThere are differential gaps in the control results of female patients and younger patients, which should prompt improvements in case management and care. There is room for further improvement in the cardiometabolic control of patients with type 2 diabetes.

【 授权许可】

CC BY   
© The Author(s). 2016