Analysis of typical approaches to outpatient management of type 2 diabetes mellitus

Aim. To analyze typical outpatient management approaches to type 2 diabetes mellitus (T2DM).Materials and Methods. We analyzed 211 files from 7 outpatient clinics, containing case records of patients, regularly examined during2009. VEN, ABC- and frequency analyses were conducted. Results. Prescri...

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Autores principales:	Irina Evgen'evna Sapozhnikova, Ekaterina Iosifovna Tarlovskaya, Maria Vladimirovna Avksent'eva, Anastasia Vital'evna Sanatova
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2012
Materias:	diabetes mellitus type 2 clinico-economical analysis efficaecy Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/decf37086e804d1e9bde72a0e35864cb
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spelling	oai:doaj.org-article:decf37086e804d1e9bde72a0e35864cb2021-11-14T09:00:17ZAnalysis of typical approaches to outpatient management of type 2 diabetes mellitus2072-03512072-037810.14341/2072-0351-6090https://doaj.org/article/decf37086e804d1e9bde72a0e35864cb2012-09-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6090https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To analyze typical outpatient management approaches to type 2 diabetes mellitus (T2DM).Materials and Methods. We analyzed 211 files from 7 outpatient clinics, containing case records of patients, regularly examined during2009. VEN, ABC- and frequency analyses were conducted. Results. Prescription percentage for medications with proved prognosis improvement did not substantially differ from recommendedlevel. Main direct expenditures were related to antihyperglycemic, antihypertensive and hypolipidemic agents (class V). Inexpensivemedications without proven efficiency (class N) were prescribed more frequently than those with capacity to improve quality of life(class E). Testing for HbA1c level was found to be of inadequate frequency and thus complicated assessment of antihyperglycemic treatmentefficacy. Number of patients with improvement in arterial hypertension showed an increase, but treatment goals were not achievedin 2/3 of patients (according to office measurement). Prescription frequency of statins, though growing in the course of year, remainedinsufficient; rare testing for LDL complicated assessment of hypolipidemic treatment adequacy. Conclusion. Structure of pharmacological treatment is fairly adequate, but goals of multifactor therapy are not achieved in a significantpercentage of patients, which may be explained by peculiarities of diabetes pathogenesis, prescription of inadequate treatment regimensand doses and insufficient dynamic control.Irina Evgen'evna SapozhnikovaEkaterina Iosifovna TarlovskayaMaria Vladimirovna Avksent'evaAnastasia Vital'evna SanatovaEndocrinology Research Centrearticlediabetes mellitus type 2clinico-economical analysisefficaecyNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 15, Iss 3, Pp 81-86 (2012)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetes mellitus type 2 clinico-economical analysis efficaecy Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetes mellitus type 2 clinico-economical analysis efficaecy Nutritional diseases. Deficiency diseases RC620-627 Irina Evgen'evna Sapozhnikova Ekaterina Iosifovna Tarlovskaya Maria Vladimirovna Avksent'eva Anastasia Vital'evna Sanatova Analysis of typical approaches to outpatient management of type 2 diabetes mellitus
description	Aim. To analyze typical outpatient management approaches to type 2 diabetes mellitus (T2DM).Materials and Methods. We analyzed 211 files from 7 outpatient clinics, containing case records of patients, regularly examined during2009. VEN, ABC- and frequency analyses were conducted. Results. Prescription percentage for medications with proved prognosis improvement did not substantially differ from recommendedlevel. Main direct expenditures were related to antihyperglycemic, antihypertensive and hypolipidemic agents (class V). Inexpensivemedications without proven efficiency (class N) were prescribed more frequently than those with capacity to improve quality of life(class E). Testing for HbA1c level was found to be of inadequate frequency and thus complicated assessment of antihyperglycemic treatmentefficacy. Number of patients with improvement in arterial hypertension showed an increase, but treatment goals were not achievedin 2/3 of patients (according to office measurement). Prescription frequency of statins, though growing in the course of year, remainedinsufficient; rare testing for LDL complicated assessment of hypolipidemic treatment adequacy. Conclusion. Structure of pharmacological treatment is fairly adequate, but goals of multifactor therapy are not achieved in a significantpercentage of patients, which may be explained by peculiarities of diabetes pathogenesis, prescription of inadequate treatment regimensand doses and insufficient dynamic control.
format	article
author	Irina Evgen'evna Sapozhnikova Ekaterina Iosifovna Tarlovskaya Maria Vladimirovna Avksent'eva Anastasia Vital'evna Sanatova
author_facet	Irina Evgen'evna Sapozhnikova Ekaterina Iosifovna Tarlovskaya Maria Vladimirovna Avksent'eva Anastasia Vital'evna Sanatova
author_sort	Irina Evgen'evna Sapozhnikova
title	Analysis of typical approaches to outpatient management of type 2 diabetes mellitus
title_short	Analysis of typical approaches to outpatient management of type 2 diabetes mellitus
title_full	Analysis of typical approaches to outpatient management of type 2 diabetes mellitus
title_fullStr	Analysis of typical approaches to outpatient management of type 2 diabetes mellitus
title_full_unstemmed	Analysis of typical approaches to outpatient management of type 2 diabetes mellitus
title_sort	analysis of typical approaches to outpatient management of type 2 diabetes mellitus
publisher	Endocrinology Research Centre
publishDate	2012
url	https://doaj.org/article/decf37086e804d1e9bde72a0e35864cb
work_keys_str_mv	AT irinaevgenevnasapozhnikova analysisoftypicalapproachestooutpatientmanagementoftype2diabetesmellitus AT ekaterinaiosifovnatarlovskaya analysisoftypicalapproachestooutpatientmanagementoftype2diabetesmellitus AT mariavladimirovnaavksenteva analysisoftypicalapproachestooutpatientmanagementoftype2diabetesmellitus AT anastasiavitalevnasanatova analysisoftypicalapproachestooutpatientmanagementoftype2diabetesmellitus
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Analysis of typical approaches to outpatient management of type 2 diabetes mellitus

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