Key result
Patients with severe mental illness had significantly lower rates of cardiometabolic screening across four parameters compared to patients with diabetes (74.7% vs 97.3%, p<.001).
Why the study?
Are patients with severe mental illness screened for cardiometabolic risk factors at the same rate as patients with diabetes in primary care?
Observational (n=2,911,914)
Yes
Are patients with severe mental illness screened for cardiometabolic risk factors at the same rate as patients with diabetes in primary care?
Absolute Event Rate: 74.7% vs 97.3%
p-value: p=<.001
Patients with severe mental illness are significantly less likely to receive comprehensive cardiometabolic screening in primary care compared to patients with diabetes, highlighting a critical gap in preventive care.
Lower cardiometabolic screening in SMI highlights care gaps; leaves open whether targeted interventions reduce disparities.
OBJECTIVE: People with severe mental illness have a higher risk of developing cardiovascular disease and die sooner than the general population. This study of a national sample of primary care patients in the United Kingdom compared screening for cardiometabolic risk factors among patients with severe mental illness and diabetes. METHODS: Screening for cardiovascular disease among 2,488,948 patients with diabetes (2010-2011) and 422,966 patients with severe mental illness (2011-2012) at 8,123 primary care practices was compared. RESULTS: The percentage of patients who received screening across four parameters (body mass index, blood pressure, blood glucose, and cholesterol) in the previous 15 months was higher among patients with diabetes than among those with severe mental illness (97.3% versus 74.7%, p<.001). CONCLUSIONS: The proportion of patients in primary care who were given screening for cardiometabolic risk was much lower among those with severe mental illness than among those with diabetes.
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Mitchell et al. (2013) conducted an observational in Severe mental illness and diabetes (n=2,911,914). Severe mental illness vs. Diabetes was evaluated on Screening across four parameters (body mass index, blood pressure, blood glucose, and cholesterol) in the previous 15 months (p=<.001). Patients with severe mental illness had significantly lower rates of cardiometabolic screening across four parameters compared to patients with diabetes (74.7% vs 97.3%, p<.001).
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