Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Do guidelines matter? A population-based study of diabetes drug use during20 years
Autore:
Stalhammar, J; Berne, C; Svardsudd, K;
Indirizzi:
Uppsala Univ, Dept Publ Hlth & Caring Sci, Family Med Sect, SE-75185 Uppsala, Sweden Uppsala Univ Uppsala Sweden SE-75185 Med Sect, SE-75185 Uppsala, Sweden Uppsala Univ, Dept Publ Hlth & Caring Sci, Clin Epidemiol Sect, SE-75185 Uppsala, Sweden Uppsala Univ Uppsala Sweden SE-75185 miol Sect, SE-75185 Uppsala, Sweden Univ Hosp, Dept Med Sci, Uppsala, Sweden Univ Hosp Uppsala SwedenUniv Hosp, Dept Med Sci, Uppsala, Sweden
Titolo Testata:
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
fascicolo: 3, volume: 19, anno: 2001,
pagine: 163 - 169
SICI:
0281-3432(200109)19:3<163:DGMAPS>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRESCRIPTION; CARE;
Keywords:
diabetes mellitus; antidiabetic drug use; guidelines; pharmacoepidemiology; primary care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Stalhammar, J Uppsala Univ, Dept Publ Hlth & Caring Sci, Family Med Sect, Uppsala Sci Pk, SE-75185 Uppsala, Sweden Uppsala Univ Uppsala Sci Pk Uppsala Sweden SE-75185 Sweden
Citazione:
J. Stalhammar et al., "Do guidelines matter? A population-based study of diabetes drug use during20 years", SC J PRIM H, 19(3), 2001, pp. 163-169

Abstract

Objective-To analyse diabetes drug use in a defined population during 20 years in relation to recommendations in published guidelines. Design-From the Tierp Study Database, all medical records for diabetes patients at the primary health care centre in Tierp municipality and all prescriptions for diabetes drugs at the local pharmacies during the period 1975-1994 were collected. Data for 2125 persons were obtained, generating 13 190person-years of observation. Setting-Tierp primary health care district. Main outcome measures-Diabetes treatment. Results-The annual prevalence of diabetes mellitus increased from 2.8% (565 patients) to 3.8% (734 patients). When guidelines emphasised diet treatment, treatment with diet only increased and oral pharmacological treatment decreased. When guidelines emphasised better glycaemic control, diet only decreased and biguanide treatment increased, and when guidelines emphasised vigorous glycaemic control, treatment with diet only decreased further and sulphonylurea and insulin use increased. The substantial age and sex differences in antidiabetic drug use at the beginning of the period were partly reduced over time. Conclusions-The considerable changes in antidiabetic drug use during the study period coincided with changes in the guidelines issued. The age and sex differences in drug use became less pronounced towards the end of the period.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 16:09:13