Use of Diabetes Registry Data for Comparing Indices of Diabetes Management: A Comparison of 2 Urban Sites in Canada and Colombia

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• 作者：Stewart Harris ; MD ; MPH ; FCFP ; FACPM^a ; ^{Stewart.Harris@schulich.uwo.ca" class="auth_mail" title="E-mail the corresponding author} ; Pablo Aschner ; MD ; MSc^b ; Selam Mequanint ; BSc ; MTech^a ; Jim Esler ; BSc^a
• 关键词：diabetes in Canada ; diabetes in Colombia ; diabetes registry ; diabetes-related complications ; type 2 diabetes mellitus
• 刊名：Canadian Journal of Diabetes
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：39
• 期：6
• 页码：496-501
• 全文大小：267 K

文摘

To demonstrate the use of a multinational diabetes registry for comparing indices of diabetes management among countries with differing levels of income, healthcare systems and ethnic backgrounds.

Methods

A cross-sectional study was conducted among 1742 people with type 2 diabetes attending diabetes clinics in London, Ontario, Canada, and Bogota, Colombia. The data were extracted from the Global Registry and Surveillance System for Diabetes (GRAND).

Results

Canadian patients were diagnosed with diabetes at significantly younger ages than Colombian patients (49 years and 53 years, respectively) and were heavier (body mass indices of 33 and 28, respectively). The Colombian patient population had significantly higher mean glycated hemoglobin (A1C) levels (9.4% vs. 8.6%) and fewer patients (22% vs. 26%) at the glycemic target (A1C <7.0%) than Canadian patients. In Colombia, 1 or more diabetes-related complications were present in 51% of the study population compared with 37% in Canada. Newly diagnosed Colombians had higher mean A1C levels (9.1% vs. 8.7%) and low-density lipoprotein-C levels (3.3 mmol/L vs. 2.5 mmol/L) than did newly diagnosed Canadians.

Conclusions

A multination diabetes registry collecting standardized data facilitates transnational comparison of diabetes clinical parameters for the purpose of identifying potential gaps in care.