[The National Diabetes Registry 1996-2003. Quality assessment shows improved diabetic care].
The Swedish National Diabetes Register presents results during the period 1996-2003. Quality of care data from more than 75,000 diabetic patients (2003) treated at medical departments and primary health care centres are evaluated concerning national goals of HbA1c < 6.5% and BP < 140/85 mm Hg, the prevalence of lipid treatment, smoking etc. The national goals of HbA1c and BP were reached with increasing degree in cross-sectional analysis during the period, and were achieved by 33% and 71% at medical departments, and by 61% and 48% in primary health care in 2003. A similar tendency was also seen in longitudinal analysis of subgroups 1996-2003. The use of antihypertensive and lipid-lowering drugs was also considerably increased. This should imply a reduction of the risk for diabetic complications. As the national goals are still difficult to reach, individual goals should be set for the treatment.
Gudbjörnsdottir
Soffia
S
Diabetescentrum, Sahlgrenska Universitetssjukhuset, Göteborg. soffia.gudbjornsdottir@medic.gu.se
Cederholm
Jan
J
Nilsson
Peter M
PM
Eliasson
Björn
B
Berne
Christian
C
Adamson
Ulf
U
D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006441:Hemoglobin A / Q000032:analysis; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D011785:Quality Assurance, Health Care; D012042:Registries; D012307:Risk Factors; D012737:Sex Factors; D013548:Sweden / Q000453:epidemiology; D016896:Treatment Outcome
D006441:Hemoglobin A