title: Treatment outcomes in a cohort of Palestine refugees with diabetes mellitus followed through use of E-Health over 3 years in Jordan.
abstract: OBJECTIVE
  The aim of this study was to use E-Health to report on 12-month, 24-month and 36-month outcomes and late-stage complications of a cohort of Palestine refugees with diabetes mellitus (DM) registered in the second quarter of 2010 in a primary healthcare clinic in Amman, Jordan.
  
  
  METHODS
  Retrospective cohort study with treatment outcomes censored at 12-month time points using E-Health in UNRWA's Nuzha Primary Health Care Clinic.
  
  
  RESULTS
  Of 119 newly registered DM patients, 61% were female, 90% were aged ≥40 years, 92% had type 2 DM with 73% of those having hypertension and one-third of patients were newly diagnosed. In the first 3 years of follow-up, the proportion of clinic attendees decreased from 72% to 64% and then to 61%; the proportion lost to-follow-up increased from 9% to 19% and then to 29%. At the three time points of follow-up, 71-78% had blood glucose ≤180 mg/dl; 63-74% had cholesterol <200 mg/dl; and about 90% had blood pressure <140/90 mmHg. Obesity remained constant at 50%. The proportion of patients with late-stage complications increased from 1% at baseline to 7% at 1 year, 14% at 2 years and 15% at 3 years.
  
  
  CONCLUSIONS
  Nuzha PHC Clinic was able to monitor a cohort of DM patients for 3 years using E-Health and the principles of cohort analysis. This further endorses the use of cohort analysis for managing patients with DM and other non-communicable diseases.
authors.affiliation: United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan.
authors.forename: Ali
authors.initials: A
authors.lastname: Khader
authors.forename: Ghada
authors.initials: G
authors.lastname: Ballout
authors.forename: Yousef
authors.initials: Y
authors.lastname: Shahin
authors.forename: Majed
authors.initials: M
authors.lastname: Hababeh
authors.forename: Loai
authors.initials: L
authors.lastname: Farajallah
authors.forename: Wafaa
authors.initials: W
authors.lastname: Zeidan
authors.forename: Ishtaiwi
authors.initials: I
authors.lastname: Abu-Zayed
authors.forename: Arata
authors.initials: A
authors.lastname: Kochi
authors.forename: Anthony D
authors.initials: AD
authors.lastname: Harries
authors.forename: Rony
authors.initials: R
authors.lastname: Zachariah
authors.forename: Anil
authors.initials: A
authors.lastname: Kapur
authors.forename: Irshad
authors.initials: I
authors.lastname: Shaikh
authors.forename: Akihiro
authors.initials: A
authors.lastname: Seita
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D018912:Arabs; D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure; D002784:Cholesterol / Q000097:blood; D015331:Cohort Studies; D048909:Diabetes Complications / Q000453:epidemiology*; D003920:Diabetes Mellitus / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000209:etiology; D007597:Jordan / Q000453:epidemiology; D008297:Male; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D011320:Primary Health Care; D012036:Refugees; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D002784:Cholesterol
keywords: Jordan; Palestine refugees; cohort reports; diabetes mellitus; survival analysis