[Quality indicators for type 2 diabetes at referral to diabetes centre].
BACKGROUND
The Danish National Board of Health recommends graduated care of type 2 diabetes patients based on risk stratification. This requires a systematic monitoring of indicators for the development of complications.


METHODS
Retrospective evaluation of type 2 diabetes patients referred from general practice in the 2004-2007 period.


METHODS
1) Diabetes duration = two years, 2) Diabetes control exclusively handled in primary care in the previous two years, 3) Referred from general practice to outpatient assessment by the diabetes centre, 4) The physician used a laboratory affiliated to the Aarhus County laboratory database, 5) Written referral could be found. Data was gathered by reviewing records, searching the laboratory database and register of diabetic eye care service.


RESULTS
A total of 97 patients were included. By the time at referral (mean): Age 61.5 years, diabetes duration 8.4 years, body mass index 31.7 kg/m2. In the last two years before referral, the following percentage had at least one p-lipid measurement: 85%, eye examination: 61% and measurement of microalbuminuria: 53%. HbA1c at referral was 9.0% (n = 97), 9.1% (n = 93) seven months before and 8.7% (n = 82) 20 months before referral.


CONCLUSIONS
Glycaemic control was poor 20 months before referral. The prerequisites for the recommendation of The Danish National Board of Health was not present since eye examination was not performed in 39% and assessment of microalbuminuria was not performed in 47% of the patients in the previous two years before referral.
Møller
Fie Gregersen
FG
Regionshospitalet Silkeborg, Medicinsk Afdeling, Denmark. fiegregersen@hotmail.com
Lykke
Rune
R
Kaersvang
Lone
L
Vildhøj
Morten
M
Vildhøj
Sara
S
Bendtsen
Charlotte Melchior
CM
Andersen
Trine
T
Nielsen
Rikke Lund
RL
Hansen
Klavs Würgler
KW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000419:Albuminuria; D003718:Denmark; D048909:Diabetes Complications / Q000175:diagnosis / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005194:Family Practice; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D019984:Quality Indicators, Health Care; D012017:Referral and Consultation; D012189:Retrospective Studies
D006442:Glycated Hemoglobin