One-Year Course of Patients with Poorly Controlled Type 2 Diabetes
DOI: 10.3238/zfa.2017.0161-0165german translation / full article
Background: Patients with poorly controlled diabetes (HbA1c 9) were studied for the years 2013 til 2015 in a retrospective documentation-study published in ZFA. One year after publishing this first study, the family doctors who had taken part in the first study, decided to document their patients again in a second retrospective analysis for one year from 2015 to 2016.
Methods: Retrospective and primarily not planned analysis by documentation (prepared documentation sheet) of the patients included in the first study with the intention to analyze further developments of HbA1c and the therapeutic activities of the caring family doctors after the end of the first study.
Results: 14 of the primarily 19 Family doctors participated and reported on the left 100 of their patients. A third of the patients with a HbA1c 9 in 2013 now had one ? 7.5 and another third had one between 7.5 and 9. The last third stayed with 9. Even in the last year, analysed in this paper, a third of the patients reached a better HbA1c than at the end of the first study. Nearly no one got a worse HbA1c. Only a fifth of the patients were, again, referred to a specialized doctor. The results of their treatment on HbA1c was comparable to that of the patients not being referred.
Conclusions: Even without any intervention, just only by taking part in a study analysing data of their own patients, it seems possible to come to a respectable lowering the HbA1c in those patients with a poorly controlled diabetes. This is the effect attributed to taking part in “quality circles”.