Real life treatment of diabetes mellitus type 2 patients: An analysis based on a large sample of 394,828 German patients
| Autor: | Ulf Maywald, Andreas Fuchs, L. Seitz, Thomas Wilke, A Groth, Rainer Lundershausen, Joachim Kienhöfer |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
endocrine system diseases Endocrinology Diabetes and Metabolism medicine.medical_treatment Psychological intervention Datasets as Topic Comorbidity Detailed data Cohort Studies Diabetes Complications Endocrinology Germany Internal medicine Diabetes mellitus Prevalence Internal Medicine medicine Humans Aged Event (probability theory) business.industry nutritional and metabolic diseases Type 2 Diabetes Mellitus Stent Health Care Costs General Medicine Middle Aged medicine.disease Large sample Hospitalization Treatment Outcome Blood pressure Diabetes Mellitus Type 2 Physical therapy Female business |
| Zdroj: | Diabetes Research and Clinical Practice. 106:275-285 |
| ISSN: | 0168-8227 |
| DOI: | 10.1016/j.diabres.2014.08.002 |
| Popis: | Objectives The aim of this claims-based data analysis was to describe the care of German T2DM patients and to determine which subgroups could be differentiated in terms of the achieved T2DM-related treatment results, the underlying comorbidities, and the achieved comorbidity-related treatment results. Methods We included all T2DM patients insured by a large sickness fund in 2010/2011. We defined 12 subgroups according to observed HbA 1 C , blood pressure and Charlson Comorbidity Index (CCI). For each subgroup, available sociodemographic and clinical information were reported. Different treatment variables were described. T2DM-related events leading to acute hospitalisations were reported. Results We included 394,828 T2DM patients in our analysis; for 228,703 patients’ detailed data as basis for subgroup classification were available. For 4.5% of these patients, a HbA 1C >9% was observed. 21,833 of the T2DM patients were affected by a T2DM-related event; the risk was 5.53% per patient year; 1.74% of the patients suffered from more than one event. Most frequent event types were hospitalisation with T2DM as primary diagnosis (2.39%), vascular interventions/stent implantations (1.92%), and ischaemic stroke (1.19%). There were significant differences between the observed subgroups in terms of T2DM-related event risk. Conclusion Overall, our data indicate that the typically treated T2DM patient has a number of comorbidities and thus treatment focused solely on T2DM is neither possible nor clinically meaningful. Particularly those patients who reached HbA 1 C goals, but had also achieved relevant additional treatment goals reached low yearly T2DM event rates whereas subgroups failing to achieve one or several treatment goals are facing much higher event risks. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect