Comorbidity and glycemia control among patients with type 2 diabetes in primary care

被引:9
作者
Hudon, Catherine [1 ,3 ]
Fortin, Martin [1 ,3 ]
Dubois, Marie-France [2 ]
Almirall, Jose [3 ]
机构
[1] Sherbrooke Univ, Dept Family Med, Sherbrooke, PQ, Canada
[2] Sherbrooke Univ, Dept Community Hlth Sci, Sherbrooke, PQ, Canada
[3] Ctr Sante & Serv Sociaux Chicoutimi, Chicoutimi, PQ, Canada
来源
DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY | 2008年 / 1卷
关键词
glycemia control; type 2 diabetes mellitus; comorbidity; primary care;
D O I
10.2147/DMSO.S4193
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Reports on the relationship between comorbidity and glycemia control in diabetic patients are conflicting and the method of measuring comorbidity varies widely among studies. The aim of the present study was to evaluate the relationship between diabetes control and comorbidity, taking into account all comorbidities and their severity, in a primary care setting. We performed a retrospective descriptive study based on chart review of 96 randomly selected type 2 diabetic patients. Comorbidity was measured with the cumulative illness rating scale (CIRS), an exhaustive comorbidity index. Diabetes was considered as controlled if the mean value of two measurements of glycosylated hemoglobin A (HbA(1c)) was less than 7%. Taking diabetes control as the dependent variable, its relationship with the CIRS score, age, sex, diabetes duration, and diabetes-related complications was explored. Diabetes control was not significantly related with the CIRS score, age, sex or diabetes severity. Diabetes duration was the only variable signifi cantly related to diabetes control. Our study suggests that comorbidity measured with the CIRS in patients with type 2 diabetes is not a factor that prevents the achievement of a good glycemia control.
引用
收藏
页码:33 / 37
页数:5
相关论文
共 39 条
  • [1] [ADA] American Diabetes Association, 2008, TYP 2 DIAB COMPL
  • [2] Executive summary: Standards of medical care in diabetes 2008
    不详
    [J]. DIABETES CARE, 2008, 31 : S5 - S11
  • [3] Outcomes for general medical inpatients with diabetes mellitus and new hyperglycaemia
    Baker, Scott T.
    Chiang, Cherie Y.
    Zajac, Jeffrey D.
    Bach, Leon A.
    Jerums, George
    Maclsaac, Richard J.
    [J]. MEDICAL JOURNAL OF AUSTRALIA, 2008, 188 (06) : 340 - 343
  • [4] Comparing the national economic burden of five chronic conditions
    Druss, BG
    Marcus, SC
    Olfson, M
    Tanielian, T
    Elinson, L
    Pincus, HA
    [J]. HEALTH AFFAIRS, 2001, 20 (06) : 233 - 241
  • [5] Effect of comorbid chronic diseases on prevalence and odds of depression in adults with diabetes
    Egede, LE
    [J]. PSYCHOSOMATIC MEDICINE, 2005, 67 (01): : 46 - 51
  • [6] Comorbidity and glycemic control in patients with type 2 diabetes
    El-Kebbi, IM
    Ziemer, DC
    Cook, CB
    Miller, CD
    Gallina, DL
    Phillips, LS
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2001, 161 (10) : 1295 - 1300
  • [7] Relationship between multimorbidity and health-related quality of life of patients in primary care
    Fortin, M
    Bravo, G
    Hudon, C
    Lapointe, L
    Almirall, J
    Dubois, MF
    Vanasse, A
    [J]. QUALITY OF LIFE RESEARCH, 2006, 15 (01) : 83 - 91
  • [8] Prevalence of multimorbidity among adults seen in family practice
    Fortin, M
    Bravo, G
    Hudon, C
    Vanasse, A
    Lapointe, L
    [J]. ANNALS OF FAMILY MEDICINE, 2005, 3 (03) : 223 - 228
  • [9] Comparative assessment of three different indices of multimorbidity for studies on health-related quality of life
    Fortin M.
    Hudon C.
    Dubois M.-F.
    Almirall J.
    Lapointe L.
    Soubhi H.
    [J]. Health and Quality of Life Outcomes, 3 (1)
  • [10] Psychological distress and multimorbidity in primary care
    Fortin, Martin
    Bravo, Gina
    Hudon, Catberine
    Lapointe, Lise
    Dubois, Marie-France
    Almirall, Jose
    [J]. ANNALS OF FAMILY MEDICINE, 2006, 4 (05) : 417 - 422