Metabolic control and quality of data in medical records for subjects with type 2 diabetes in Swedish primary care: improvement between 1995 and 2001.
OBJECTIVE
To compare the registering of diabetic complications and metabolic control in type 2 diabetic subjects in primary health care in 1995 and 2001.


METHODS
Cross-sectional surveys of medical records.


METHODS
Two primary health care centres in Stockholm County.


METHODS
Diabetic patients aged 35-64 years; in 1995, 59 men and 42 women and in 2001, 80 men and 80 women.


METHODS
Rate of notified examinations in medical records, diabetic complications and metabolic control.


RESULTS
Increased rates between 1995 and 2001 were found regarding examinations for neuropathy (46% vs 79%), albuminuria (74% vs 91%), micro-albuminuria (11% vs 59%), BMI (33% vs 66%), HbA1c (88% vs 99%), cholesterol (69% vs 92%) and LDL cholesterol (42% vs 89%) (p < 0.001). Increased rates of perceived treatment goals between 1995 and 2001 were found regarding HbA1c (< 6.5%) (28% vs 57%) and cholesterol (< 5.0 mmol/l) (23% vs 36%) (p < 0.001), and also regarding LDL cholesterol (30% vs 36%) (p < 0.01). In men, the number of subjects with any macrovascular complication decreased between 1995 and 2001 (34% vs 17%) (p < 0.01), and in women the number of subjects with coronary heart disease decreased (26% vs 6%) (p < 0.01).


CONCLUSIONS
Documented examination rates and metabolic control improved between 1995 and 2001.
Wändell
Per E
PE
Family Medicine Stockholm, Karolinska Institutet, Stockholm, Sweden. Per.Wändell@klinvet.ki.se
Gåfvels
Catharina
C
D000328:Adult; D000419:Albuminuria / Q000175:diagnosis; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000517:prevention & control*; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data*; D005260:Female; D006302:Health Services Research; D006801:Humans; D008297:Male; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D010808:Physical Examination / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000592:standards*; D011787:Quality of Health Care; D012307:Risk Factors; D013548:Sweden
D001786:Blood Glucose