The European EUCCLID pilot study on care and complications in an unselected sample of people with type 2 diabetes in primary care.
BACKGROUND
European studies on quality of diabetes care in an unselected primary care diabetes population are scarce.


OBJECTIVE
To test the feasibility of the set-up and logistics of a cross-sectional EUropean study on Care and Complications in patients with type 2 diabetes (T2DM) in Primary Care (EUCCLID) in 12 European countries.


METHODS
One rural and one urban practice from each country participated. The central coordinating centre randomly selected five patients from each practice. Patient characteristics were assessed including medical history, anthropometric measures, quality indicators, UKPDS-risk engine, psychological and general well-being.


RESULTS
We included 103 participants from 22 GPs in 11 countries. Central data and laboratory samples were successfully collected. Of the participants 54% were female, mean age was 66 years and mean duration of diabetes was 9.6 years. Besides, 18% were using insulin, 31% had a history of cardiovascular disease, mean HbA1c was 7.1% (range 6.6-8.0), mean systolic blood pressure was 133.7 mmHg (range 126.1-144.4) and mean total cholesterol was 4.9 mmol/l (range 4.0-6.2).


CONCLUSIONS
A European study on care and complications in a random selection of people with T2DM is feasible. There are large differences in indicators of metabolic control and wellbeing between countries.
Gorter
Kees J
KJ
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands. K.J.Gorter@umcutrecht.nl
Wens
Johan
J
Khunti
Kamlesh
K
Claramunt
Xavier Cos
XC
Topsever
Pinar
P
Drivsholm
Thomas
T
Jenum
Anne Karen
AK
Berkhout
Christophe
C
Khalangot
Mykola
M
Goldfracht
Margalit
M
Rurik
Imre
I
Lionis
Christos
C
Rutten
Guy E H M
GE
D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000628:therapy*; D005060:Europe; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D010865:Pilot Projects; D011320:Primary Health Care / Q000592:standards*; D016896:Treatment Outcome