Treatment outcomes in a cohort of Palestine refugees with diabetes mellitus followed through use of E-Health over 3 years in Jordan

Tropical Medicine & International Health : TM & IH
Ali KhaderAkihiro Seita

Abstract

The aim of this study was to use E-Health to report on 12-month, 24-month and 36-month outcomes and late-stage complications of a cohort of Palestine refugees with diabetes mellitus (DM) registered in the second quarter of 2010 in a primary healthcare clinic in Amman, Jordan. Retrospective cohort study with treatment outcomes censored at 12-month time points using E-Health in UNRWA's Nuzha Primary Health Care Clinic. Of 119 newly registered DM patients, 61% were female, 90% were aged ≥40 years, 92% had type 2 DM with 73% of those having hypertension and one-third of patients were newly diagnosed. In the first 3 years of follow-up, the proportion of clinic attendees decreased from 72% to 64% and then to 61%; the proportion lost to-follow-up increased from 9% to 19% and then to 29%. At the three time points of follow-up, 71-78% had blood glucose ≤180 mg/dl; 63-74% had cholesterol <200 mg/dl; and about 90% had blood pressure <140/90 mmHg. Obesity remained constant at 50%. The proportion of patients with late-stage complications increased from 1% at baseline to 7% at 1 year, 14% at 2 years and 15% at 3 years. Nuzha PHC Clinic was able to monitor a cohort of DM patients for 3 years using E-Health and the principles of cohort analysi...Continue Reading

References

Sep 5, 2007·Bulletin of the World Health Organization·Joseph Kwong-Leung YuAnthony D Harries
Apr 1, 2011·The New England Journal of Medicine·Dennis T VillarealKrupa Shah
Jun 28, 2011·Tropical Medicine & International Health : TM & IH·Theresa J AllainAnthony D Harries
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Oct 12, 2012·Tropical Medicine & International Health : TM & IH·Ali KhaderAkihiro Seita
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Citations

Mar 18, 2015·Tropical Medicine & International Health : TM & IH·Anthony D HarriesRony Zachariah
Sep 10, 2014·The Lancet. Diabetes & Endocrinology·Anca Lelia RizaReinout van Crevel
Jun 4, 2016·Globalization and Health·Mekitew Letebo, Fassil Shiferaw
Jun 25, 2017·BMC Health Services Research·Adrianna MurphyKiran Jobanputra
May 28, 2019·BMC Public Health·Farah NajaShadi Saleh
Mar 12, 2021·Health Policy and Planning·Michael S JaungÉimhín Ansbro
Jun 11, 2017·Diabetes & Metabolic Syndrome·Ahmad Abu Al-HalawehZiad Baradia

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