Key result
Patients with type 2 diabetes attending diabetes outpatient clinics had a more than 2-fold increased risk for inadequate blood pressure control compared with those treated by general practitioners.
Why the study?
Do organizational factors and care settings affect blood pressure control in patients with type 2 diabetes?
Population
3,449 patients with type 2 diabetes mellitus, of whom 1,782 were considered to have hypertension, recruited…
Comparison
Management in diabetes outpatient clinics, care… vs Management by general practitioners, care by…
Design
Cohort
Follow-up
1 year
Authors
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Diabetes clinic care linked to worse BP control in T2D; leaves open whether organizational factors or selection bias drive the association.
Cohort (n=3,449)
Yes
Do organizational factors and care settings affect blood pressure control in patients with type 2 diabetes?
Effect estimate: >2-fold increased risk
Organizational factors, such as the care setting and physician specialty, significantly impact the quality of blood pressure control in patients with type 2 diabetes, often outweighing the influence of existing guidelines.
Fabio Pellegrini (2003) conducted a cohort in Type 2 diabetes mellitus and hypertension (n=3,449). Care at diabetes outpatient clinics (DOCs) vs. Care by general practitioners (GPs) was evaluated on Poor blood pressure control (≥160/90 mm Hg) (>2-fold increased risk). Patients with type 2 diabetes attending diabetes outpatient clinics had a more than 2-fold increased risk for inadequate blood pressure control compared with those treated by general practitioners.
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