Treatment of diabetes mellitus--physicians' adherence to clinical guidelines in Norway

Scandinavian Journal of Primary Health Care
I HetlevikK Midthjell

Abstract

To assess general practitioners' current adherence to the Norwegian clinical guidelines for the treatment of diabetes mellitus. Descriptive, retrospective registration of information from patient records of one year; 7 November 1993 to 7 November 1994. In addition, mailed questionnaire to examine the representativeness of the participating doctors. General practice in Sør- and Nord-Trøndelag counties in Norway, 380,000 inhabitants. In one year 1119 patients were registered with the diagnosis of diabetes mellitus in the records of 56 general practitioners. The patients were 53% women and 47% men; 51% were 70 years or older. Levels of HbA1c and blood pressure in accordance with the recommendations of the Norwegian clinical guidelines for diabetes mellitus. Fractions of patients with a measured HbA1c, blood pressure, and serum cholesterol in one year. At least one HbA1c was recorded in 77% of the diabetic patients during the specified year. In patients under 70 years of age, 56% had HbA1c above the recommended treatment level of 7.5%. In patients 70 years of age or older, 36% were above the recommended limit of 8.5%. At least one blood pressure was recorded in 79% of the patients during the specified year. In patients under 70 yea...Continue Reading

Citations

Oct 27, 2001·BMJ : British Medical Journal·N F OlivariusP A Pedersen
Aug 17, 2005·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Homoud Al-ZuabiMai H Al-Suwayan
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