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  1. Cardiovascular risk profile of type 2 diabetic patients cared for by general practitioners or at a diabetes clinic : A population-based study.

    Article - En anglais

    The aims of this study were to compare the cardiovascular risk profiles of patients with type 2 diabetes mellitus cared for by general practitioners and those regularly attending a diabetes center.

    Out of an Italian population-based cohort of 1967 diabetic patients, 1574 (80%) were investigated.

    Patients exclusively cared for by general practitioners (23.8%) were older and showed lower prevalence of hypertension (79.0% vs 85.9%, P<0.001), poor blood glucose control (HbAlc>8.0,33.4% vs 47.9%, P<0.001) and coronary heart disease (18.1% vs 22.3%, P=0.003), and lower plasma fibrinogen (3.5 ± 0.8 vs 3.7 ± 0.9 g/L, P<0.001).

    In logistic regression analysis, they had significantly lower ORs for HbAlc>8.8% (OR 0.67,95% Cl 0.45-0.99), hypertension (OR 0.53,95% Cl 0.36-0.78), fibrinogen>4.1 g/L (OR 0.50,95% Cl 0.32-0.77), smoking (OR 0.60,95% Cl 0.36-1.00), and coronary heart disease (OR 0.65,95% Cl 0.45-0.93), after adjustment for age, sex, duration of diabetes, BMI, and antidiabetic treatment.

    Patients regularly cared for at a diabetes clinic had a higher cardiovascular risk profile, suggesting selective referral to the clinics of patients with more difficult management and/or severity of the disease.

    These findings have implications in the interpretation of morbidity and mortality clinic-based studies.

    Mots-clés Pascal : Appareil circulatoire pathologie, Risque, Profil, Diabète, Néphropathie, Médecin généraliste, Service hospitalier, Italie, Europe, Prévalence, Complication, Homme, Epidémiologie, Etude comparative, Endocrinopathie, Appareil urinaire pathologie, Personnel sanitaire

    Mots-clés Pascal anglais : Cardiovascular disease, Risk, Profile, Diabetes mellitus, Nephropathy, General practitioner, Hospital ward, Italy, Europe, Prevalence, Complication, Human, Epidemiology, Comparative study, Endocrinopathy, Urinary system disease, Health staff

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0339772

    Code Inist : 002B21E01B. Création : 14/12/1999.