Document Detail


Patient profiles at a centralized, urban, diabetes education centre.
MedLine Citation:
PMID:  12516994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Little is known about the characteristics of patients attending diabetes education centres (DECs). To address this knowledge gap, we examined the clinical characteristics of patients referred to a centralized urban DEC. METHODS: Using a clinically detailed patient registry, we studied the profiles of 1459 patients seen in an urban DEC, and compared patients referred to the DEC by family physicians (FPs) to those referred by other physicians (usually specialists), and patients referred to the DEC for the first time to those who had been referred a number of times (multiply-referred patients). RESULTS: Among patients with a known source of referral, 73% were referred by their FP and 27% by a physician other than the FP. Eighty-seven percent of patients were being referred for the first time, and 13% had previous referrals. Blood glucose control at the time of referral was poorer for non-FP referrals and for multiply-referred patients. Patients in the former subgroup were more likely taking insulin when referred (38% v. 12%, p < 0.000), to have type 1 diabetes (19% v. 8%, p < 0.000) and to be referred for insulin initiation (12% v. 2%, p < 0.000) than were FP referrals. Meanwhile, multiply-referred patients were younger (51.9 v. 56.1 yr, p < 0.000) and were more likely to be female (59% v. 46%, p = 0.001) than were patients referred only once. INTERPRETATION: Source of referral (FP v. non-FP) and presence or absence of previous referrals define unique DEC patient subgroups. Attention to the relative size and service needs of these subgroups is relevant to the planning of diabetes services.
Authors:
Dellano D Fernandes; Alun L Edwards; Erik T Larsen; Peter Norton; Peter M Sargious; Hude Quan; William A Ghali
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical and investigative medicine. Médecine clinique et experimentale     Volume:  25     ISSN:  0147-958X     ISO Abbreviation:  Clin Invest Med     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-01-08     Completed Date:  2003-06-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7804071     Medline TA:  Clin Invest Med     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  236-42     Citation Subset:  IM    
Affiliation:
Department of Medicine, Faculty of Medicine, University of Calgary, Calgary, Alta.
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MeSH Terms
Descriptor/Qualifier:
Aged
Alberta
Diabetes Mellitus* / therapy
Diabetes Mellitus, Type 1 / therapy
Diabetes Mellitus, Type 2 / therapy
Female
Humans
Male
Middle Aged
Patient Education as Topic*
Physicians, Family
Referral and Consultation
Urban Health Services*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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