Abstract：
AIMS:To describe the diabetic population receiving primary care from the Tshwane district public health services and to assess the quality of care of members of this population, their level of disease control and the extent of their complications. METHODS:A cluster-randomised trial was conducted in 12 primary care clinics in Tshwane district. A total of 599 diabetic patients attending these clinics for review were consecutively interviewed and clinically examined. Data on the care received was also obtained from their clinical records for the previous 12 months. Patients randomised to the active arm of the study were screened for complications. RESULTS:The mean age was 58 years and 80.5% had a body mass index (BMI) ≥25 kg/m(2). Sixty-eight percent of patients were female. Acceptable glycaemic control and LDL-cholesterol were found for only 27% and 33% of patients, respectively (HbA1c<7%; LDL<2.5 mmol/l). Despite more than 79% of patients reporting to be hypertensive, 68% of patients had a systolic blood pressure above 130 mmHg and 64% had a diastolic blood pressure above 80 mmHg. Evaluating patient records of the preceding year, screening for eye complications was only reported in 8.2%, feet complications in 6.5%, kidney complications in 21.4% and cardiovascular complications in 7.8%. The screening prevalences found were 29% for retinopathy, 22% for maculopathy, 5% for neuropathy (neurothesiometer), 7% for nephropathy (eGFR stages 3-5), 17% for possible infarction (Rose questionnaire) and 36% for severe erectile dysfunction (SHIM questionnaire). CONCLUSION:Diabetes care and screening for complications at primary care level in the Tshwane district were found to be sub-optimal. Measures should be taken to address this.
journal_name
Prim Care Diabetesjournal_title
Primary care diabetesauthors
Webb EM,Rheeder P,Van Zyl DGdoi
10.1016/j.pcd.2014.05.002subject
Has Abstractpub_date
2015-04-01 00:00:00pages
147-54issue
2eissn
1751-9918issn
1878-0210pii
S1751-9918(14)00054-0journal_volume
9pub_type
杂志文章,随机对照试验abstract：AIM:This paper determines whether patients with and without Diabetic Peripheral Neuropathy use suitable footwear, taking into account that these persons are subject to a significant loss of sensitivity in the feet. METHODS:Cross-sectional observational study was conducted of 108 participants with diabetes mellitus. In...
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journal_title：Primary care diabetes
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
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journal_title：Primary care diabetes
pub_type： 杂志文章,随机对照试验
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更新日期：2017-04-01 00:00:00
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journal_title：Primary care diabetes
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更新日期：2010-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
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更新日期：2018-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
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更新日期：2013-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2013.01.002
更新日期：2013-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2011.10.002
更新日期：2012-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pcd.2019.04.005
更新日期：2020-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2019.08.007
更新日期：2020-06-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1016/j.pcd.2012.09.001
更新日期：2013-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
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更新日期：2010-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2012.12.002
更新日期：2013-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pcd.2017.10.003
更新日期：2018-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2014.06.003
更新日期：2015-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2011.02.001
更新日期：2011-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2010.02.003
更新日期：2010-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2013.10.002
更新日期：2014-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
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更新日期：2021-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2007.12.004
更新日期：2008-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 临床试验,杂志文章
doi：10.1016/j.pcd.2018.09.003
更新日期：2019-02-01 00:00:00
