Coordination Between Family Physicians and Endocrinologists for Diabetes Care
Author Information
Author(s): Duran Alejandra, Runkle Isabelle, Matía Pilar, de Miguel Maria P, Garrido Sofia, Cervera Emilio, Fernandez Maria D, Torres Pilar, Lillo Tomas, Martin Patricia, Cabrerizo Lucio, de la Torre Nuria Garcia, Calle Jose R, Ibarra Jose, Charro Aniceto L, Calle-Pascual Alfonso L
Primary Institution: Hospital Clínico San Carlos, Madrid, Spain
Hypothesis
Can coordination between family physicians and endocrinologists improve diabetes care outcomes for patients with peripheral vascular disease?
Conclusion
Improvements in metabolic control among diabetic patients with peripheral vascular disease treated at a primary health care setting are possible, reaching similar results to those treated at a specialized level.
Supporting Evidence
- More than 37% of diabetic patients treated by family physicians achieved a HbA1c < 6.5%.
- More than 50% achieved an ACR < 30 mg/g.
- More than 80% reached low risk values for cholesterol and blood pressure.
- 12% of patients remained smokers.
- Less than 45% achieved a systolic blood pressure < 130 mm Hg.
Takeaway
Doctors who work together can help diabetes patients do better, even if they see different doctors. It's like having a team to help you stay healthy.
Methodology
A controlled, prospective study over 30 months with 126 diabetic patients diagnosed with peripheral vascular disease, comparing outcomes between those treated by family physicians and those treated by endocrinologists.
Potential Biases
Potential bias due to the non-randomized nature of treatment assignment and loss to follow-up.
Limitations
The study may not be generalizable to all populations due to its specific setting and patient demographics.
Participant Demographics
126 diabetic patients with peripheral vascular disease, median age around 69-70 years, with a mix of men and women.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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