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

Autores
Commendatore, V.; Dieuzeide, G.; Faingold, C.; Fuente, G.; Lujan, D.; Aschner, P.; Lapertosa, S.; Villena Chavez, Jaime; Elgart, Jorge Elgart; Gagliardino, Juan Jose; DIFAR Academic Committee
Año de publicación
2013
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Aims: 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. Methods: 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. Results: 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, HbA1c 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. Conclusions: 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.
Fil: Commendatore, V.. Servicio de Endocrinologia, Diabetes y Nutrici on; Argentina
Fil: Dieuzeide, G.. Hospital "Nuestra Sra. del Carmen". Servicio de Endocrinolog ia y Metabolismo; Argentina
Fil: Faingold, C.. Unidad Asistencial Dr. C esar Milstein. Servicio de Endocrinologia y Metabolismo; Argentina
Fil: Fuente, G.. Hospital "Carlos Durand". Unidad de Nutrici on; Argentina
Fil: Lujan, D.. Asociaci on Colombiana de Diabetes; Colombia
Fil: Aschner, P.. Asociaci on Colombiana de Diabetes; Colombia
Fil: Lapertosa, S.. Provincia de Corrientes. Ministerio de Salud Publica; Argentina
Fil: Villena Chavez, Jaime. Universidad Peruana Cayetano Heredia. Departamento de Medicina; Perú
Fil: Elgart, Jorge Elgart. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: DIFAR Academic Committee.
Materia
Chronic Disease
Diabetes
Quality of Health Care
Latin America
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/5288
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/5288
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling 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 diabetesCommendatore, V.Dieuzeide, G.Faingold, C.Fuente, G.Lujan, D.Aschner, P.Lapertosa, S.Villena Chavez, JaimeElgart, Jorge ElgartGagliardino, Juan JoseDIFAR Academic CommitteeChronic DiseaseDiabetesQuality of Health CareLatin Americahttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Aims: 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. Methods: 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. Results: 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, HbA1c 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. Conclusions: 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.Fil: Commendatore, V.. Servicio de Endocrinologia, Diabetes y Nutrici on; ArgentinaFil: Dieuzeide, G.. Hospital "Nuestra Sra. del Carmen". Servicio de Endocrinolog ia y Metabolismo; ArgentinaFil: Faingold, C.. Unidad Asistencial Dr. C esar Milstein. Servicio de Endocrinologia y Metabolismo; ArgentinaFil: Fuente, G.. Hospital "Carlos Durand". Unidad de Nutrici on; ArgentinaFil: Lujan, D.. Asociaci on Colombiana de Diabetes; ColombiaFil: Aschner, P.. Asociaci on Colombiana de Diabetes; ColombiaFil: Lapertosa, S.. Provincia de Corrientes. Ministerio de Salud Publica; ArgentinaFil: Villena Chavez, Jaime. Universidad Peruana Cayetano Heredia. Departamento de Medicina; PerúFil: Elgart, Jorge Elgart. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); ArgentinaFil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); ArgentinaFil: DIFAR Academic Committee.Wiley2013-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/5288Commendatore, V.; Dieuzeide, G.; Faingold, C.; Fuente, G.; Lujan, D.; et al.; 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; Wiley; International Journal of Clinical Practice; 67; 12; 12-2013; 1261-12661368-5031enginfo:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1111/ijcp.12208/abstractinfo:eu-repo/semantics/altIdentifier/doi/info:eu-repo/semantics/altIdentifier/doi/10.1111/ijcp.12208info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:53:23Zoai:ri.conicet.gov.ar:11336/5288instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:53:23.714CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv 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
title 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
spellingShingle 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
Commendatore, V.
Chronic Disease
Diabetes
Quality of Health Care
Latin America
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
dc.creator.none.fl_str_mv Commendatore, V.
Dieuzeide, G.
Faingold, C.
Fuente, G.
Lujan, D.
Aschner, P.
Lapertosa, S.
Villena Chavez, Jaime
Elgart, Jorge Elgart
Gagliardino, Juan Jose
DIFAR Academic Committee
author Commendatore, V.
author_facet Commendatore, V.
Dieuzeide, G.
Faingold, C.
Fuente, G.
Lujan, D.
Aschner, P.
Lapertosa, S.
Villena Chavez, Jaime
Elgart, Jorge Elgart
Gagliardino, Juan Jose
DIFAR Academic Committee
author_role author
author2 Dieuzeide, G.
Faingold, C.
Fuente, G.
Lujan, D.
Aschner, P.
Lapertosa, S.
Villena Chavez, Jaime
Elgart, Jorge Elgart
Gagliardino, Juan Jose
DIFAR Academic Committee
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Chronic Disease
Diabetes
Quality of Health Care
Latin America
topic Chronic Disease
Diabetes
Quality of Health Care
Latin America
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Aims: 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. Methods: 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. Results: 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, HbA1c 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. Conclusions: 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.
Fil: Commendatore, V.. Servicio de Endocrinologia, Diabetes y Nutrici on; Argentina
Fil: Dieuzeide, G.. Hospital "Nuestra Sra. del Carmen". Servicio de Endocrinolog ia y Metabolismo; Argentina
Fil: Faingold, C.. Unidad Asistencial Dr. C esar Milstein. Servicio de Endocrinologia y Metabolismo; Argentina
Fil: Fuente, G.. Hospital "Carlos Durand". Unidad de Nutrici on; Argentina
Fil: Lujan, D.. Asociaci on Colombiana de Diabetes; Colombia
Fil: Aschner, P.. Asociaci on Colombiana de Diabetes; Colombia
Fil: Lapertosa, S.. Provincia de Corrientes. Ministerio de Salud Publica; Argentina
Fil: Villena Chavez, Jaime. Universidad Peruana Cayetano Heredia. Departamento de Medicina; Perú
Fil: Elgart, Jorge Elgart. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: DIFAR Academic Committee.
description Aims: 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. Methods: 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. Results: 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, HbA1c 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. Conclusions: 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.
publishDate 2013
dc.date.none.fl_str_mv 2013-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/5288
Commendatore, V.; Dieuzeide, G.; Faingold, C.; Fuente, G.; Lujan, D.; et al.; 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; Wiley; International Journal of Clinical Practice; 67; 12; 12-2013; 1261-1266
1368-5031
url http://hdl.handle.net/11336/5288
identifier_str_mv Commendatore, V.; Dieuzeide, G.; Faingold, C.; Fuente, G.; Lujan, D.; et al.; 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; Wiley; International Journal of Clinical Practice; 67; 12; 12-2013; 1261-1266
1368-5031
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1111/ijcp.12208/abstract
info:eu-repo/semantics/altIdentifier/doi/
info:eu-repo/semantics/altIdentifier/doi/10.1111/ijcp.12208
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.13397

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