Differences in treatment regimes, consultation frequency and referral patterns of diabetes mellitus in general practice in five European countries

Family Practice
Gé A DonkerPeter Spreeuwenberg

Abstract

In many European countries, maturity onset diabetes mellitus (DM) is to a large extent managed in general practice. Our aim was to compare management of DM in general practice in five European countries in order to contribute to international guidelines on the management of DM by GPs. Routine monitoring of patients presenting with DM was performed during a 12 month period (1999-2000) to GPs in established sentinel practice surveillance networks in five European countries (Belgium, Croatia, England, Spain and The Netherlands). Results were stratified by age and country. The proportion of patients treated by diet only varied from 13% (The Netherlands) to 25% (Spain); diet and oral antidiabetics from 51% (England) to 62% (Belgium); a combination of diet and insulin varied from 15% (Belgium and Croatia) to 26% (The Netherlands); and a combination of diet, oral antidiabetics and insulin was <10% in all countries. In the older age groups, insulin is prescribed most frequently in The Netherlands. Spain and Croatia show high consultation rates for DM; England and The Netherlands show low rates. Referral percentages vary considerably between countries (highest in Croatia). National differences found included the use of insulin in the el...Continue Reading

Citations

May 26, 1999·Journal of General Internal Medicine·M T DonohoeN Humphries
Jan 12, 2013·Family Practice·Catharina van den DungenHans J A M van Oers
Jun 24, 2004·Journal of General Internal Medicine·Kari Swarztrauber, Barbara G Vickrey
May 17, 2007·International Journal of Clinical Practice·D Orozco-BeltránUNKNOWN Collaborative Diabetes Study Investigators
Jul 18, 2008·Primary Care Diabetes·Inge W G BobbinkUNKNOWN EUCCLID study group
Apr 23, 2015·Current Diabetes Reports·Michelle KakuDavid M Simpson
Apr 29, 2016·Journal of Community Hospital Internal Medicine Perspectives·Yacov FogelmanMargalit Goldfracht
Oct 13, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Koen MeeussenLuc Deliens
Mar 16, 2005·Pharmacoepidemiology and Drug Safety·Tom WalleyHelen Kendall
Sep 28, 2006·The European Journal of General Practice·Joan G M DeckersDouglas M Fleming
Apr 10, 2021·Diabetes, Obesity & Metabolism·Shun KohsakaToshitaka Yajima
Apr 10, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Kristina B SlåtsveTore J Berg

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