{"title":"预约就诊可以预测糖尿病患者的血糖控制水平","authors":"Barbara M Rohland MD (Commentry Author)","doi":"10.1016/j.ehbc.2004.05.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Question</h3><p>Do people who miss scheduled healthcare appointments have poorer management of their diabetes?</p></div><div><h3>Study design</h3><p>Retrospective cross-sectional cohort study.</p></div><div><h3>Main results</h3><p>During the year 2000, 12% of participants missed >30% of scheduled appointments, 52% missed 1–30% and 35% missed none. Glycaemic control was poorer in those who missed most appointments (<em>p</em><0.0001), irrespective of how diabetes was controlled (diet, oral agent or insulin). The adjusted mean glycosylated haemoglobin level (HbA<sub>1c</sub>) was higher in people attending appointments compared with people missing >30% of appointments (<em>p</em><0.0001). Daily self-monitoring was associated with a fewer missed appointments (OR 1.8, 95% CI 1.7 to 1.9). People with inadequate medication ⩾20% of the time were more likely to miss appointments (OR 1.5, <em>p</em><0.0001). Living in a poverty area, pharmacologic control of diabetes, use of antidepressants and having fewer scheduled appointments were significantly associated with missing >30% of scheduled appointments.</p></div><div><h3>Authors’ conclusions</h3><p>People with diabetes who frequently miss appointments are likely to have poorer glycaemic control and less frequent self-monitoring. Level of attendance could be monitored and used for clinical risk stratification.</p></div>","PeriodicalId":100512,"journal":{"name":"Evidence-based Healthcare","volume":"8 4","pages":"Pages 195-196"},"PeriodicalIF":0.0000,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehbc.2004.05.015","citationCount":"1","resultStr":"{\"title\":\"Appointment attendance predicts level of glycaemic control in people with diabetes\",\"authors\":\"Barbara M Rohland MD (Commentry Author)\",\"doi\":\"10.1016/j.ehbc.2004.05.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Question</h3><p>Do people who miss scheduled healthcare appointments have poorer management of their diabetes?</p></div><div><h3>Study design</h3><p>Retrospective cross-sectional cohort study.</p></div><div><h3>Main results</h3><p>During the year 2000, 12% of participants missed >30% of scheduled appointments, 52% missed 1–30% and 35% missed none. Glycaemic control was poorer in those who missed most appointments (<em>p</em><0.0001), irrespective of how diabetes was controlled (diet, oral agent or insulin). The adjusted mean glycosylated haemoglobin level (HbA<sub>1c</sub>) was higher in people attending appointments compared with people missing >30% of appointments (<em>p</em><0.0001). Daily self-monitoring was associated with a fewer missed appointments (OR 1.8, 95% CI 1.7 to 1.9). People with inadequate medication ⩾20% of the time were more likely to miss appointments (OR 1.5, <em>p</em><0.0001). Living in a poverty area, pharmacologic control of diabetes, use of antidepressants and having fewer scheduled appointments were significantly associated with missing >30% of scheduled appointments.</p></div><div><h3>Authors’ conclusions</h3><p>People with diabetes who frequently miss appointments are likely to have poorer glycaemic control and less frequent self-monitoring. Level of attendance could be monitored and used for clinical risk stratification.</p></div>\",\"PeriodicalId\":100512,\"journal\":{\"name\":\"Evidence-based Healthcare\",\"volume\":\"8 4\",\"pages\":\"Pages 195-196\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2004-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ehbc.2004.05.015\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Evidence-based Healthcare\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1462941004000956\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evidence-based Healthcare","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1462941004000956","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Appointment attendance predicts level of glycaemic control in people with diabetes
Question
Do people who miss scheduled healthcare appointments have poorer management of their diabetes?
Study design
Retrospective cross-sectional cohort study.
Main results
During the year 2000, 12% of participants missed >30% of scheduled appointments, 52% missed 1–30% and 35% missed none. Glycaemic control was poorer in those who missed most appointments (p<0.0001), irrespective of how diabetes was controlled (diet, oral agent or insulin). The adjusted mean glycosylated haemoglobin level (HbA1c) was higher in people attending appointments compared with people missing >30% of appointments (p<0.0001). Daily self-monitoring was associated with a fewer missed appointments (OR 1.8, 95% CI 1.7 to 1.9). People with inadequate medication ⩾20% of the time were more likely to miss appointments (OR 1.5, p<0.0001). Living in a poverty area, pharmacologic control of diabetes, use of antidepressants and having fewer scheduled appointments were significantly associated with missing >30% of scheduled appointments.
Authors’ conclusions
People with diabetes who frequently miss appointments are likely to have poorer glycaemic control and less frequent self-monitoring. Level of attendance could be monitored and used for clinical risk stratification.