Glucose test provenance recording in UK primary care: was that fasted or random?

Diabetic Medicine : a Journal of the British Diabetic Association
A P McGovernS de Lusignan

Abstract

To describe the proportion of glucose tests with unrecorded provenance in routine primary care data and identify the impact on clinical practice. A cross-sectional analysis was conducted of blood glucose measurements from the Royal College of General Practitioner Research and Surveillance Centre database, which includes primary care records from >100 practices across England and Wales. All blood glucose results recorded during 2013 were identified. Tests were grouped by provenance (fasting, oral glucose tolerance test, random, none specified and other). A clinical audit in a single primary care practice was also performed to identify the impact of failing to record glucose provenance on diabetes diagnosis. A total of 2 137 098 people were included in the cross-sectional analysis. Of 203 350 recorded glucose measurements the majority (117 893; 58%) did not have any provenance information. The most commonly reported provenance was fasting glucose (75 044; 37%). The distribution of glucose values where provenance was not recorded was most similar to that of fasting samples. The glucose measurements of 256 people with diabetes in the audit practice (size 11 514 people) were analysed. The initial glucose measurement had no provenanc...Continue Reading

References

Nov 26, 2008·Annals of the Rheumatic Diseases·A J ElliotD M Fleming
Sep 16, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·A-R SadekS de Lusignan
Nov 3, 2012·BMJ : British Medical Journal·Andrew Farmer
Feb 26, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Andrew McGovernSimon de Lusignan
Jun 24, 2014·Methods of Information in Medicine·J-F EthierA Burgun

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Citations

Sep 29, 2018·Lipids in Health and Disease·Jordan GaineyThomas I Nathaniel
Jan 17, 2020·Diabetes/metabolism Research and Reviews·Avivit CahnItamar Raz

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