Show simple item record

dc.contributor.authorBakke, Åsneen_US
dc.contributor.authorThue, Geiren_US
dc.contributor.authorCarlsen, Sirien_US
dc.contributor.authorDalen, Ingvilden_US
dc.contributor.authorSkeie, Sveinen_US
dc.contributor.authorLøvaas, Karianne Fjelden_US
dc.contributor.authorMadsen, Tone Vonheimen_US
dc.contributor.authorOord, Ellen Renateen_US
dc.contributor.authorBerg, Tore Julsruden_US
dc.contributor.authorClaudi, Toren_US
dc.contributor.authorGjelsvik, Bjørn E.en_US
dc.contributor.authorTran, Anh Thien_US
dc.contributor.authorJenum, Anne Karenen_US
dc.contributor.authorSandberg, Sverreen_US
dc.contributor.authorCooper, John Grahamen_US
dc.PublishedBakke Å, Thue G, Carlsen S, Dalen I, Skeie S, Løvaas KF, Madsen, Oord ER, Berg TJ, Claudi T, Gjelsvik BE, Tran AT, Jenum AK, Sandberg S, Cooper JG. Type 2 diabetes in general practice in Norway 2005-2015: moderate improvements in risk factor control, but still major gaps in complication screening . BMJ Open Diabetes Research & Care. 2017;5:e000459eng
dc.description.abstractObjective: To assess the status of type 2 diabetes care in general practice and changes in the quality of care between 2005 and 2014, and to identify areas of diabetes care requiring improvement. Research design and methods: Two cross-sectional surveys were performed that included patients with type 2 diabetes in selected areas (n=9464 in 2014, n=5463 in 2005). Quality of care was assessed based on key recommendations in national guidelines. Differences in clinical performance between 2005 and 2014 were assessed in regression models adjusting for age, sex, counties and clustering within general practices. Results: Treatment targets were achieved in a higher proportion of patients in 2014 compared with 2005: hemoglobin A1c ≤7.0% (≤53 mmol/mol) in 62.8% vs 54.3%, blood pressure ≤135/80 mm Hg in 44.9% vs 36.6%, and total cholesterol ≤4.5 mmol/L in 49.9% vs 33.5% (all adjusted P≤0.001). Regarding screening procedures for microvascular complications, fewer patients had recorded an eye examination (61.0% vs 71.5%, adjusted P<0.001), whereas more patients underwent monofilament test (25.9% vs 18.7%, adjusted P<0.001). Testing for albuminuria remained low (30.3%) in 2014. A still high percentage were current smokers (22.7%). Conclusions: We found moderate improvements in risk factor control for patients with type 2 diabetes in general practice during the last decade, which are similar to improvements reported in other countries. We report major gaps in the performance of recommended screening procedures to detect microvascular complications. The proportion of daily smokers remains high. We suggest incentives to promote further improvements in diabetes care in Norway.en_US
dc.rightsAttribution CC BY-NCeng
dc.titleType 2 diabetes in general practice in Norway 2005-2014: moderate improvements in risk factor control, but still major gaps in complication screeningen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2017 The Author(s)
dc.source.journalBMJ Open Diabetes Research & Care

Files in this item


This item appears in the following Collection(s)

Show simple item record

Attribution CC BY-NC
Except where otherwise noted, this item's license is described as Attribution CC BY-NC