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Variability in the control of type 2 diabetes in primary care and its association with hospital admissions for vascular events. The APNA study
dc.creator | Guillén Aguinaga, Sara | es_ES |
dc.creator | Forga, Lluís | es_ES |
dc.creator | Brugos Larumbe, Antonio | es_ES |
dc.creator | Guillén Grima, Francisco | es_ES |
dc.creator | Guillén Aguinaga, Laura | es_ES |
dc.creator | Aguinaga Ontoso, Inés | es_ES |
dc.date.accessioned | 2022-04-12T08:44:44Z | |
dc.date.available | 2022-04-12T08:44:44Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 2077-0383 | |
dc.identifier.uri | https://hdl.handle.net/2454/42706 | |
dc.description.abstract | Type 2 diabetes (T2D) is associated with increased cardiovascular morbidity, mortality, and hospital admissions. This study aimed to analyze how the differences in delivered care (variability of glycosylated hemoglobin (HbA1c) achieved targets) affect hospital admissions for cardiovascular events (CVEs) in T2D patients. Methods: We analyzed the electronic records in primary care health centers at Navarra (Spain) and hospital admission for CVEs. We followed 26,435 patients with T2D from 2012 to 2016. The variables collected were age, sex, health center, general practitioner practice (GPP), and income. The clinical variables were diagnosis of T2D, weight, height, body mass index (BMI), blood pressure (BP), HbA1c, low-density lipoprotein cholesterol (LDL-C), smoking, and antecedents of CVEs. We calculated, in each GPP practice, the proportion of patients with HbA1c ≥ 9. A non-hierarchical K-means cluster analysis classified GPPs into two clusters according to the level of compliance with HbA1C ≥ 9% control indicators. We used logistic and Cox regressions. Results: T2D patients had a higher probability of admission for CVEs when they belonged to a GPP in the worst control cluster of HbA1C ≥ 9% (HR = 1.151; 95% CI, 1.032–1.284). | en |
dc.description.sponsorship | Menarini supported this study with an unconditional sponsored research grant. DM2-12-2017. | en |
dc.format.extent | 11 p. | |
dc.format.mimetype | application/pdf | en |
dc.language.iso | eng | en |
dc.publisher | MDPI | en |
dc.relation.ispartof | Journal of Clinical Medicine, 2021, 10, 5854 | en |
dc.rights | © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license. | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Cohort | en |
dc.subject | Diabetes mellitus | en |
dc.subject | Healthcare disparities | en |
dc.subject | Primary health care | en |
dc.subject | Type 2 | en |
dc.subject | Vascular diseases | en |
dc.title | Variability in the control of type 2 diabetes in primary care and its association with hospital admissions for vascular events. The APNA study | en |
dc.type | info:eu-repo/semantics/article | en |
dc.type | Artículo / Artikulua | es |
dc.contributor.department | Ciencias de la Salud | es_ES |
dc.contributor.department | Osasun Zientziak | eu |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | en |
dc.rights.accessRights | Acceso abierto / Sarbide irekia | es |
dc.identifier.doi | 10.3390/jcm10245854 | |
dc.relation.publisherversion | https://doi.org/10.3390/jcm10245854 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | en |
dc.type.version | Versión publicada / Argitaratu den bertsioa | es |