Low annual frequency of HbA1c testing in people with Type 2 diabetes in primary care practices in Germany

被引:10
作者
Kostev, K. [1 ]
Jacob, L. [2 ]
Lucas, A. [3 ]
Rathmann, W. [4 ]
机构
[1] IQVIA, Epidemiol, Frankfurt, Germany
[2] Univ Paris 05, Fac Med, Paris, France
[3] Univ Marburg, Fac Med, Marburg, Germany
[4] Heinrich Heine Univ, Inst Biometr & Epidemiol, German Diabet Ctr, Leibniz Ctr Diabet Res, Dusseldorf, Germany
关键词
MANAGEMENT; COMPLICATIONS; ASSOCIATION; PREVALENCE; IMPACT;
D O I
10.1111/dme.13556
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims To analyse the annual frequency of HbA(1c) testing, as well as the factors associated with higher or lower testing frequency, in people with Type 2 diabetes mellitus in general practices and specialist diabetes practices in Germany. Methods A total of 43 509 people diagnosed with Type 2 diabetes between January 2016 and December 2016 in 557 medical practices (51% of all practices) were included in this study. The primary outcome was the annual recorded frequency of HbA(1c) testing in 2016. Multivariable logistic regression analyses were performed to identify variables associated with the odds of HbA(1c) concentration being tested at least twice in 2016, using predefined demographic and clinical variables. Results The mean (sd) number of reported HbA(1c) tests was 2.7 (1.6) in 2016. Overall, 74% of individuals had at least two annual HbA(1c) measurements. The likelihood of receiving 2 HbA(1c) tests was inversely associated with stroke (odds ratio 0.81, 95% CI 0.74-0.89), shorter diabetes duration (1 year: odds ratio 0.77, 95% CI 0.70-0.84) and higher mean HbA(1c) concentration (8.5%: odds ratio 0.85, 95% CI 0.76-0.94) and was positively associated with specialist diabetes care (odds ratio 1.24, 95% CI 1.14-1.36), hypertension (odds ratio 1.10, 95% CI 1.04-1.17), hyperlipidaemia (odds ratio 1.48, 95% CI 1.41 to 1.55), renal complications (odds ratio 1.41, 95% CI 1.32 to 1.50), neuropathy (odds ratio 1.27, CI 1.20 to 1.35) and retinopathy (odds ratio 1.38, 95% CI 1.25 to 1.52). Conclusions Only three out of four individuals with Type 2 diabetes underwent at least two HbA(1c) tests in Germany in 2016, which means that 25% of individuals underwent fewer tests than required by German guidelines.
引用
收藏
页码:249 / 254
页数:6
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