کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2676156 1141838 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Screening for type 2 diabetes and pre-diabetes in general practice: A descriptive study of Maltese practices
ترجمه فارسی عنوان
غربالگری برای دیابت نوع 2 و پیش دیابت در عمل کلی: مطالعه توصیفی از شیوه مالتی
کلمات کلیدی
IDF، فدراسیون بین المللی دیابت؛ IFG، اختلال گلوکز ناشتا؛ IGT، اختلال تحمل گلوکز؛ FCWB، کلسترول مویرگی ناشتا؛ RCWB، کلسترول خون شهری تصادفی FVP، پلاسمای خون ناشتا؛ RVP، پلاسمای وریدی تصادفی HbA1c، hemo glycated
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

ObjectiveThe aim of this research study was to ascertain the awareness of Maltese family doctors to the prevalence and significance of impaired glucose regulation and early diagnosis of type 2 diabetes and whether practices were influenced by employment status, post-graduate training in diabetes or years since graduation.MethodsA specially constructed questionnaire was distributed by mail to all the 298 family doctors listed as Specialists in Family Medicine in the Maltese Medical Council register. Participants had to be practising family medicine in Malta. Results were analysed using SPSS 20.0 aiming for a significance criterion of 0.05 and a power of 80%.ResultsValid replies were received from 154 GPs (51.7%). 93.2% claimed to offer their patients some form of screening. Screening levels reached up to 95.9% in the presence of specific risk factors (e.g. high previous HbA1c levels) but fell to between 46.2% and 58.7% in patients over 50, the physically inactive and those who suffer from polycystic ovarian syndrome. Screening using capillary glucose is widespread (70.8%) as opposed to the oral glucose tolerance test (23.4%). Results also show a high use of urinalysis in screening (53.2%) and a paradoxical lack of use of HbA1c in screening by young doctors and by those with recent extra training in diabetes.ConclusionsThe need for a structured screening programme in Malta and its viability need to be evaluated by further studies. Educational support to GPs together with logistic support for GPs needs to be improved.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Primary Care Diabetes - Volume 8, Issue 3, October 2014, Pages 224–230
نویسندگان
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