Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Article
Objective: To evaluate the impact of physicians’ adherence to the guidelines developed by the Diabetes Study Group of The Society of Endocrinology and Metabolism of Turkey (SEMT) on glycemic control in diabetes mellitus.Materials and Methods: This was a multi-center, retrospective, and non-intervent...
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Turkiye Klinikleri
2010-09-01
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doaj-ded0b2f2102249cf918f8acbab895a2b2020-11-25T01:46:42ZengTurkiye KlinikleriTurkish Journal of Endocrinology and Metabolism1301-21932010-09-011436672Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Articleİlhan SatmanŞazi İmamoğluCandeğer YılmazADMIRE Study GroupObjective: To evaluate the impact of physicians’ adherence to the guidelines developed by the Diabetes Study Group of The Society of Endocrinology and Metabolism of Turkey (SEMT) on glycemic control in diabetes mellitus.Materials and Methods: This was a multi-center, retrospective, and non-interventional study. The medical records of 1.790 patients with type 2 diabetes followed by 180 physicians during the last 12 months were reviewed. Adherence of physicians to the SEMT guidelines was scored between 0-10 (0 for non-adherence, 10 for full adherence). Results: Follow-up procedures were ≥75% in adherence to the guidelines in 52% of patients. Medical history was taken in full adherence to the guidelines for 69.8% of patients, but physical examination was in full adherence only for 8.3% of patients. The degree of guideline adherence for physical examination was inversely correlated with glycated hemoglobin A1c (A1C), fasting blood glucose (FBG), and 2-hour postprandial blood glucose (PPBG) levels. The minimum levels of A1C, FBG, and PPBG were significantly associated with the degree of general adherence to the guidelines (P<0.05). Conclusions: Physician adherence to the SEMT guidelines is suboptimal. Training of physicians would increase their adherence providing standardization of care and improving patients’ outcome. Turk Jem 2010; 14: 66-72http://turkjem.org/eng/yazilar.asp?yaziid=666&sayiid=Diabetes Mellitusguideline adherencephysiciansdrug therapydiabetes management |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
İlhan Satman Şazi İmamoğlu Candeğer Yılmaz ADMIRE Study Group |
spellingShingle |
İlhan Satman Şazi İmamoğlu Candeğer Yılmaz ADMIRE Study Group Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Article Turkish Journal of Endocrinology and Metabolism Diabetes Mellitus guideline adherence physicians drug therapy diabetes management |
author_facet |
İlhan Satman Şazi İmamoğlu Candeğer Yılmaz ADMIRE Study Group |
author_sort |
İlhan Satman |
title |
Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Article |
title_short |
Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Article |
title_full |
Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Article |
title_fullStr |
Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Article |
title_full_unstemmed |
Physician Adherence to the SEMT Guidelines for the Management of Type 2 Diabetes in Turkey: ADMIRE Study -Original Article |
title_sort |
physician adherence to the semt guidelines for the management of type 2 diabetes in turkey: admire study -original article |
publisher |
Turkiye Klinikleri |
series |
Turkish Journal of Endocrinology and Metabolism |
issn |
1301-2193 |
publishDate |
2010-09-01 |
description |
Objective: To evaluate the impact of physicians’ adherence to the guidelines developed by the Diabetes Study Group of The Society of Endocrinology and Metabolism of Turkey (SEMT) on glycemic control in diabetes mellitus.Materials and Methods: This was a multi-center, retrospective, and non-interventional study. The medical records of 1.790 patients with type 2 diabetes followed by 180 physicians during the last 12 months were reviewed. Adherence of physicians to the SEMT guidelines was scored between 0-10 (0 for non-adherence, 10 for full adherence). Results: Follow-up procedures were ≥75% in adherence to the guidelines in 52% of patients. Medical history was taken in full adherence to the guidelines for 69.8% of patients, but physical examination was in full adherence only for 8.3% of patients. The degree of guideline adherence for physical examination was inversely correlated with glycated hemoglobin A1c (A1C), fasting blood glucose (FBG), and 2-hour postprandial blood glucose (PPBG) levels. The minimum levels of A1C, FBG, and PPBG were significantly associated with the degree of general adherence to the guidelines (P<0.05). Conclusions: Physician adherence to the SEMT guidelines is suboptimal. Training of physicians would increase their adherence providing standardization of care and improving patients’ outcome. Turk Jem 2010; 14: 66-72 |
topic |
Diabetes Mellitus guideline adherence physicians drug therapy diabetes management |
url |
http://turkjem.org/eng/yazilar.asp?yaziid=666&sayiid= |
work_keys_str_mv |
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