PMID- 22936821
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20121002
LR  - 20240318
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 2
IP  - 4
DP  - 2012
TI  - A prospective observational study of quality of diabetes care in a shared care 
      setting: trends and age differences (ZODIAC-19).
LID - 10.1136/bmjopen-2012-001387 [doi]
LID - e001387
AB  - OBJECTIVE: The Zwolle Outpatient Diabetes project Integrating Available Care 
      (ZODIAC) study was initiated in 1998 to investigate the effects of shared care 
      for patients with type 2 diabetes mellitus (T2DM) in the Netherlands, and to 
      reduce the number of diabetes-related complications. Benchmarking the performance 
      of diabetes care was and is an important aspect of this study. We aimed to 
      investigate trends in diabetes care, within the ZODIAC study for a wide variety 
      of quality indicators during a long follow-up period (1998-2008), with special 
      interest for different age groups. DESIGN: Prospective observational cohort 
      study. SETTING: Primary care, Zwolle, The Netherlands. PARTICIPANTS: Patients 
      with T2DM. METHODS: A dataset of quality measures was collected annually during 
      the patient's visit to the practice nurse or general practitioner. Linear time 
      trends from 1998 to 2008 were estimated using linear mixed models in which we 
      adjusted for age and gender. Age was included in the model as a categorical 
      variable: for each follow-up year all participants were categorised into the 
      categories <60, 60-75 and >75 years. Differences in trends between the age 
      categories were investigated by adding an interaction term to the model. RESULTS: 
      The number of patients who were reported to participate increased in the period 
      1998-2008 from 1622 to 27 438. All quality indicators improved in this study, 
      except for body mass index. The prevalence albuminuria decreased in an 
      11-year-period from 42% to 21%. No relevant differences between the trends for 
      the three age categories were observed. During all years of follow-up, mean blood 
      pressure and body mass index were the lowest and highest, respectively, in the 
      group of patients <60 years (data not shown). CONCLUSIONS: Quality of diabetes 
      care within the Dutch ZODIAC study, a shared care project, has considerably 
      improved in the period 1998-2008. There were no relevant differences between 
      trends across various age categories.
FAU - van Hateren, Kornelis J J
AU  - van Hateren KJ
AD  - Diabetes Centre, Isala Clinics, Zwolle, The Netherlands.
FAU - Drion, Iefke
AU  - Drion I
FAU - Kleefstra, Nanne
AU  - Kleefstra N
FAU - Groenier, Klaas H
AU  - Groenier KH
FAU - Houweling, Sebastiaan T
AU  - Houweling ST
FAU - van der Meer, Klaas
AU  - van der Meer K
FAU - Bilo, Henk J G
AU  - Bilo HJ
LA  - eng
PT  - Journal Article
DEP - 20120829
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
PMC - PMC3432849
EDAT- 2012/09/01 06:00
MHDA- 2012/09/01 06:01
PMCR- 2012/08/29
CRDT- 2012/09/01 06:00
PHST- 2012/09/01 06:00 [entrez]
PHST- 2012/09/01 06:00 [pubmed]
PHST- 2012/09/01 06:01 [medline]
PHST- 2012/08/29 00:00 [pmc-release]
AID - bmjopen-2012-001387 [pii]
AID - 10.1136/bmjopen-2012-001387 [doi]
PST - epublish
SO  - BMJ Open. 2012 Aug 29;2(4):e001387. doi: 10.1136/bmjopen-2012-001387. Print 2012.