Coronary artery disease screening in diabetic patients: how good is guideline adherence?

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Version: Final published version
Serval ID
serval:BIB_B3B2C3D5C730
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Coronary artery disease screening in diabetic patients: how good is guideline adherence?
Journal
Swiss Medical Weekly
Author(s)
Hurni C.A., Perret S., Monbaron D., Gaillard R., Ruiz J.
ISSN
1424-7860
Publication state
Published
Issued date
2007
Peer-reviewed
Oui
Volume
137
Number
13-14
Pages
199-204
Language
english
Abstract
INTRODUCTION: Diabetic patients are at high risk for coronary artery disease (CAD), which is the leading cause of death in this population. The Swiss Society of Endocrinology-Diabetology (SSED) recommends CAD screening for diabetic patients with > or = 2 additional cardiovascular risk factors (CVRF), by stress echocardiography (SE) or myocardial perfusion imaging (MPI). The aim of this study was to assess the application of these guidelines and the treatment of CVRF in the diabetes outpatient clinics of the five Swiss University Hospitals. METHODS: The study was initiated in Lausanne and the study questionnaires were circulated to the endocrinologists of the five Swiss University Hospitals. Practitioners were asked to include consecutive patients attending the diabetes outpatient clinics over one month. Prevalence of CAD, screening methods for CAD, prevalence of CVRF, biological analyses over the last 6 months and medical therapy were recorded. RESULTS: A total of 302 subjects were included. The mean age was 53 +/- 14 years, 68% had type 2 diabetes, 27% type 1 and 5% other types. Among T2DM with > or = 2 CVRF, 45% were screened for CAD according to SSED guidelines. In T2DM 25% had blood pressure < or = 130/80 mm Hg, 15% a lipid profile within target, 23% HbA1c < or = 7.0%. Overall, 2% achieved all 3 targets. CONCLUSIONS: Only 45% of T2DM with > or = 2 CVRF were screened for CAD according to SSED guidelines and 2% of T2DM had proper control over all CVRF. Efforts are still necessary to improve CAD prevention and screening of diabetic patients in Swiss University Hospitals.
Keywords
Adult, Coronary Artery Disease, Diabetic Angiopathies, Female, Guideline Adherence, Hospitals, University, Humans, Male, Middle Aged, Outpatient Clinics, Hospital, Practice Guidelines as Topic, Quality of Health Care, Retrospective Studies, Risk Factors, Switzerland
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Web of science
Create date
15/02/2008 16:57
Last modification date
20/08/2019 15:22
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