Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia?
Evidence shows that even with the implementation of evidence-based medicine, the attainment of optimal glycaemic control is difficult and challenging for both patients and healthcare providers. This study was a one-year retrospective chart review with data collected during the period October 2010 to...
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AOSIS
2017-10-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/4634 |
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| author | Romona Devi Govender Prem Gathiram Miljenko Panajatovic |
| author_facet | Romona Devi Govender Prem Gathiram Miljenko Panajatovic |
| author_sort | Romona Devi Govender |
| collection | DOAJ |
| description | Evidence shows that even with the implementation of evidence-based medicine, the attainment of optimal glycaemic control is difficult and challenging for both patients and healthcare providers. This study was a one-year retrospective chart review with data collected during the period October 2010 to December 2010 of patients with Type 2 diabetes mellitus (T2DM) who attended the outpatients’ department at the Port Shepstone Regional Hospital (PSRH), South Africa (SA). The total study population was 360 patients with 51% Black African, 32% Indian, 16% White and 1% Coloured. Of the 111 patients’ charts only 78 had two consecutive HbA1c levels recorded. Of the 78/111 patients, only 10 patients had the target HbA1c level of < 7% at visit 1. By visit two, 15.4% (n = 12) had achieved the target HbA1c level. Over the one-year chart review only 3/111 (2.7%) maintained their HbA1c level of < 7% and 5/111 patients whose treatment was revised according to the 2009 SEMDSA guidelines reached HbA1c < 7% by visit 2 whilst 4/111 patients, whose treatment schedule was not modified according to the 2009 SEMDSA guidelines, also reached HbA1c < 7% at visit 2. However, this one-year chart review showed that glycaemia was poorly managed at this hospital, which may be explained by clinical inertia.
(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)
S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1307909 |
| format | Article |
| id | doaj-art-77a5f9ce8067497f8ea4a070dfa1d804 |
| institution | DOAJ |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2017-10-01 |
| publisher | AOSIS |
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| series | South African Family Practice |
| spelling | doaj-art-77a5f9ce8067497f8ea4a070dfa1d8042025-08-20T03:06:53ZengAOSISSouth African Family Practice2078-61902078-62042017-10-0159510.4102/safp.v59i5.46343790Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia?Romona Devi Govender0Prem Gathiram1Miljenko Panajatovic2University of KwaZulu-NatalUniversity of KwaZulu-NatalPort Shepstone Regional HospitalEvidence shows that even with the implementation of evidence-based medicine, the attainment of optimal glycaemic control is difficult and challenging for both patients and healthcare providers. This study was a one-year retrospective chart review with data collected during the period October 2010 to December 2010 of patients with Type 2 diabetes mellitus (T2DM) who attended the outpatients’ department at the Port Shepstone Regional Hospital (PSRH), South Africa (SA). The total study population was 360 patients with 51% Black African, 32% Indian, 16% White and 1% Coloured. Of the 111 patients’ charts only 78 had two consecutive HbA1c levels recorded. Of the 78/111 patients, only 10 patients had the target HbA1c level of < 7% at visit 1. By visit two, 15.4% (n = 12) had achieved the target HbA1c level. Over the one-year chart review only 3/111 (2.7%) maintained their HbA1c level of < 7% and 5/111 patients whose treatment was revised according to the 2009 SEMDSA guidelines reached HbA1c < 7% by visit 2 whilst 4/111 patients, whose treatment schedule was not modified according to the 2009 SEMDSA guidelines, also reached HbA1c < 7% at visit 2. However, this one-year chart review showed that glycaemia was poorly managed at this hospital, which may be explained by clinical inertia. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1307909https://safpj.co.za/index.php/safpj/article/view/4634type 2 diabetes mellitus control and managementclinical inertiaglycated haemoglobin |
| spellingShingle | Romona Devi Govender Prem Gathiram Miljenko Panajatovic Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia? South African Family Practice type 2 diabetes mellitus control and management clinical inertia glycated haemoglobin |
| title | Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia? |
| title_full | Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia? |
| title_fullStr | Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia? |
| title_full_unstemmed | Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia? |
| title_short | Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia? |
| title_sort | poor control and management of type 2 diabetes mellitus at an under resourced south african hospital is it a case of clinical inertia |
| topic | type 2 diabetes mellitus control and management clinical inertia glycated haemoglobin |
| url | https://safpj.co.za/index.php/safpj/article/view/4634 |
| work_keys_str_mv | AT romonadevigovender poorcontrolandmanagementoftype2diabetesmellitusatanunderresourcedsouthafricanhospitalisitacaseofclinicalinertia AT premgathiram poorcontrolandmanagementoftype2diabetesmellitusatanunderresourcedsouthafricanhospitalisitacaseofclinicalinertia AT miljenkopanajatovic poorcontrolandmanagementoftype2diabetesmellitusatanunderresourcedsouthafricanhospitalisitacaseofclinicalinertia |