Clinical audit on assessment of non-glycemic parameters in diabetic patients by physicians.

Clinical audit diabetes care macrovascular microvascular complications outpatient care

Journal

Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082

Informations de publication

Date de publication:
May 2021
Historique:
received: 23 11 2020
revised: 24 12 2020
accepted: 04 01 2021
entrez: 1 7 2021
pubmed: 2 7 2021
medline: 2 7 2021
Statut: ppublish

Résumé

Diabetes mellitus (DM) is a major health problem in family practice causing multiple micro and macrovascular complications; the prevention of which should be the main aim of treating physicians. Lack of proper assessment can hasten the complications and a meticulous screening system is a prerequisite in every diabetic patient's evaluation. The aim of this study was to assess the pattern of screening for non-glycemic parameters in type 2 DM patients by physicians in an outpatient setting. A cross-sectional study was conducted in a teaching hospital during December 2019. A total of 254 patients with type 2 DM without any complications were randomly selected for screening as per the criteria developed by RSSDI [Research Society for the Study of Diabetes in India]. Complete history and physical examination were done by physicians in all the participants. Measurement of blood pressure at every visit was done in about 95% of patients and 90% of them were counseled for cessation of smoking. But only about 60% or less of patients were screened for microalbuminuria, diabetic retinopathy, and peripheral neuropathy. Advice on comprehensive foot care was also not a regular practice among physicians. This clinical audit showed that 90% of the patients had undergone only 4 of the 9 RSSDI recommended screening. The other parameters had been carried out in only among 40 to 60% of the patients. Thus, primary care physicians have to emphasize on the subtle but important criteria like ophthalmic examination, peripheral neuropathy and microalbuminuria during regular outpatient visits.

Sections du résumé

BACKGROUND BACKGROUND
Diabetes mellitus (DM) is a major health problem in family practice causing multiple micro and macrovascular complications; the prevention of which should be the main aim of treating physicians. Lack of proper assessment can hasten the complications and a meticulous screening system is a prerequisite in every diabetic patient's evaluation.
OBJECTIVE OBJECTIVE
The aim of this study was to assess the pattern of screening for non-glycemic parameters in type 2 DM patients by physicians in an outpatient setting.
METHODS METHODS
A cross-sectional study was conducted in a teaching hospital during December 2019. A total of 254 patients with type 2 DM without any complications were randomly selected for screening as per the criteria developed by RSSDI [Research Society for the Study of Diabetes in India].
RESULTS RESULTS
Complete history and physical examination were done by physicians in all the participants. Measurement of blood pressure at every visit was done in about 95% of patients and 90% of them were counseled for cessation of smoking. But only about 60% or less of patients were screened for microalbuminuria, diabetic retinopathy, and peripheral neuropathy. Advice on comprehensive foot care was also not a regular practice among physicians.
CONCLUSION CONCLUSIONS
This clinical audit showed that 90% of the patients had undergone only 4 of the 9 RSSDI recommended screening. The other parameters had been carried out in only among 40 to 60% of the patients. Thus, primary care physicians have to emphasize on the subtle but important criteria like ophthalmic examination, peripheral neuropathy and microalbuminuria during regular outpatient visits.

Identifiants

pubmed: 34195125
doi: 10.4103/jfmpc.jfmpc_2305_20
pii: JFMPC-10-1917
pmc: PMC8208193
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1917-1921

Informations de copyright

Copyright: © 2021 Journal of Family Medicine and Primary Care.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

S Ramya (S)

Department of Family Medicine, St Philomena's Hospital, Bangalore, Karnataka, India.

Arjun Anand (A)

Final Year MBBS, Basaweshwara Medical College, Chitradurga, Karnataka, India.

Swapna Bhaskar (S)

Department of Family Medicine, St Philomena's Hospital, Bangalore, Karnataka, India.

Shankar Prasad (S)

Department of Internal Medicine, St Philomena's Hospital, Bangalore, Karnataka, India.

Classifications MeSH