Registry of people with diabetes in three Latin American countries: a suitable approach to evaluate the quality of health care provided to people with type 2 diabetes. Issue 12 (December 2013)

• Record Type: Journal Article
• Authors: Commendatore, V.; Dieuzeide, G.; Faingold, C.; Fuente, G.; Luján, D.; Aschner, P.; Lapertosa, S.; Villena Chávez, J.; Elgart, J.; Gagliardino, J. J.
• Is Part Of: International journal of clinical practice. Volume 67:Issue 12(2013)
• Page Start: 1261
• Page End: 1266
• Publication Date: 2013-12
• Subjects: Clinical medicine -- Periodicals; Medicine -- Periodicals; 610.5
• DOI: 10.1111/ijcp.12208
• Languages: English
• ISSNs: 1368-5031

Abstract

<abstract abstract-type="main" id="ijcp12208-abs-0001"> <title>Summary</title> <sec id="ijcp12208-sec-0001" sec-type="section"> <title>Aims</title> <p>To implement a patient registry and collect data related to the care provided to people with type 2 diabetes in six specialized centers of three Latin American countries, measure the quality of such care using a standardized form (QUALIDIAB) that collects information on different quality of care indicators, and analyze the potential of collecting this information for improving quality of care and conducting clinical research.</p> </sec> <sec id="ijcp12208-sec-0002" sec-type="section"> <title>Methods</title> <p>We collected data on clinical, metabolic and therapeutic indicators, micro‐ and macrovascular complications, rate of use of diagnostic and therapeutic elements and hospitalization of patients with type 2 diabetes in six diabetes centers, four in Argentina and one each in Colombia and Peru.</p> </sec> <sec id="ijcp12208-sec-0003" sec-type="section"> <title>Results</title> <p>We analyzed 1157 records from patients with type 2 diabetes (Argentina, 668; Colombia, 220; Peru, 269); 39 records were discarded because of data entry errors or inconsistencies. The data demonstrated frequency performance deficiencies in several procedures, including foot and ocular fundus examination and various cardiovascular screening tests. In contrast, HbA<sub>1c</sub> and cardiovascular risk factor assessments were performed with a greater frequency than recommended by international guidelines. Management of insulin therapy was sub‐optimal, and deficiencies were also noted among diabetes education indicators.</p> </sec> <sec id="ijcp12208-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Patient registry was successfully implemented in these clinics following an interactive educational program. The data obtained provide useful information as to deficiencies in care and may be used to guide quality of care improvement efforts.</p> </sec> </abstract>