Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan
Objective To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services. Method A descriptive study using quarterly and cumulative case findings,...
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| Veröffentlicht in: | Tropical medicine & international health 2012-12, Vol.17 (12), p.1569-1576 |
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| creator | Khader, Ali Farajallah, Loai Shahin, Yousef Hababeh, Majed Abu‐Zayed, Ishtaiwi Kochi, Arata Harries, Anthony D. Zachariah, Rony Kapur, Anil Venter, Wendy Seita, Akihiro |
| description | Objective To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services.
Method A descriptive study using quarterly and cumulative case findings, as well as cumulative and 12‐month analyses of cohort outcomes collected through E‐Health in UNRWA Nuzha Primary Health Care Clinic.
Results There were 55 newly registered patients with DM in quarter 1, 2012, and a total of 2851 patients with DM ever registered on E‐Health because this was established in 2009. By 31 March 2012, 70% of 2851 patients were alive in care, 18% had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow‐up. Cumulative and 12‐month cohort outcome analysis indicated deficiencies in several components of clinical care: measurement of blood pressure, annual assessments for foot care and blood tests for glucose, cholesterol and renal function. 10–20% of patients with DM in the different cohorts had serious late complications such as blindness, stroke, cardiovascular disease and amputations.
Conclusion Cohort analysis provides data about incidence and prevalence of DM at the clinic level, clinical management performance and prevalence of serious morbidity. It needs to be more widely applied for the monitoring and management of non‐communicable chronic diseases.
Objectif: Illustrer la méthode de report dans une cohorte de personnes atteintes de diabète sucré (DS) dans une clinique de soins de santé primaires à Amman, en Jordanie, au service des réfugiés de Palestine dans le but d’améliorer la qualité des services de soins pour le DS.
Méthode: Une étude descriptive utilisant des résultats trimestriels et cumulatifs des recherches de cas, ainsi que des résultats d’analyses cumulatives et de 12 mois de cohorte, enregistrés sur E‐Health dans la Clinique des soins de santé primaires de l’UNRWA à Nuzha.
Résultats: Il y avait 55 patients atteints de DS nouvellement inscrits au 1er trimestre 2012 et un total de 2.851 patients atteints de DS enregistrés sur E‐Health depuis son établissement en 2010. Au 31 mars 2012, 70% des 2851 patients étaient en vie et pris en charge, 18% avaient omis de se présenter à un agent de santé au cours des 3 derniers mois et le reste était décédés, transférés ou perdus au suivi. L’analyse des résultats cumulatifs et de 12 mois de la cohorte a i |
| doi_str_mv | 10.1111/j.1365-3156.2012.03097.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1477559645</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1477559645</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4497-52381362b93ec0d31ae621bc50a4a4c4ded91c9ea6c57d5fabfa0622a2e044563</originalsourceid><addsrcrecordid>eNqNkEtv1DAUhS0Eog_4C8gbJDYJfmeyYIFGhRa1oot2bd04Nx2PEnuwE7X99yQzQ9nWG1_J3_E95xBCOSv5fL5uSy6NLiTXphSMi5JJVlfl0xty-vLwdj-zQojKnJCznLeMMaW0eU9OhGSar3R9SvI6bmIa6RCDH2Py4YHGju4w5RgyffTjhrYeGhwx0wH73o9Tpj5QoLvkB0jPdIPQjxsHCanrffCOdjHRW-gxjz4gTdhND4h71a-YWggfyLsO-owfj_c5uf9xcbe-LK5__7xaf78unFJ1VWghV3MC0dQSHWslBzSCN04zUKCcarGtuasRjNNVqztoOmBGCBC4zynPyZfDv7sU_0yzHTv47OYQEDBO2XJVVVrXRukZXR1Ql2LOs2V7jGc5s0vldmuXZu3SrF0qt_vK7dMs_XTcMjUDti_Cfx3PwOcjANlB3yUIzuf_nDGSK7Z4-HbgHn2Pz682YO9urpZJ_gWpH53-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1477559645</pqid></control><display><type>article</type><title>Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan</title><source>MEDLINE</source><source>Wiley Online Library Free Content</source><source>IngentaConnect Free/Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library All Journals</source><creator>Khader, Ali ; Farajallah, Loai ; Shahin, Yousef ; Hababeh, Majed ; Abu‐Zayed, Ishtaiwi ; Kochi, Arata ; Harries, Anthony D. ; Zachariah, Rony ; Kapur, Anil ; Venter, Wendy ; Seita, Akihiro</creator><creatorcontrib>Khader, Ali ; Farajallah, Loai ; Shahin, Yousef ; Hababeh, Majed ; Abu‐Zayed, Ishtaiwi ; Kochi, Arata ; Harries, Anthony D. ; Zachariah, Rony ; Kapur, Anil ; Venter, Wendy ; Seita, Akihiro</creatorcontrib><description>Objective To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services.
Method A descriptive study using quarterly and cumulative case findings, as well as cumulative and 12‐month analyses of cohort outcomes collected through E‐Health in UNRWA Nuzha Primary Health Care Clinic.
Results There were 55 newly registered patients with DM in quarter 1, 2012, and a total of 2851 patients with DM ever registered on E‐Health because this was established in 2009. By 31 March 2012, 70% of 2851 patients were alive in care, 18% had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow‐up. Cumulative and 12‐month cohort outcome analysis indicated deficiencies in several components of clinical care: measurement of blood pressure, annual assessments for foot care and blood tests for glucose, cholesterol and renal function. 10–20% of patients with DM in the different cohorts had serious late complications such as blindness, stroke, cardiovascular disease and amputations.
Conclusion Cohort analysis provides data about incidence and prevalence of DM at the clinic level, clinical management performance and prevalence of serious morbidity. It needs to be more widely applied for the monitoring and management of non‐communicable chronic diseases.
Objectif: Illustrer la méthode de report dans une cohorte de personnes atteintes de diabète sucré (DS) dans une clinique de soins de santé primaires à Amman, en Jordanie, au service des réfugiés de Palestine dans le but d’améliorer la qualité des services de soins pour le DS.
Méthode: Une étude descriptive utilisant des résultats trimestriels et cumulatifs des recherches de cas, ainsi que des résultats d’analyses cumulatives et de 12 mois de cohorte, enregistrés sur E‐Health dans la Clinique des soins de santé primaires de l’UNRWA à Nuzha.
Résultats: Il y avait 55 patients atteints de DS nouvellement inscrits au 1er trimestre 2012 et un total de 2.851 patients atteints de DS enregistrés sur E‐Health depuis son établissement en 2010. Au 31 mars 2012, 70% des 2851 patients étaient en vie et pris en charge, 18% avaient omis de se présenter à un agent de santé au cours des 3 derniers mois et le reste était décédés, transférés ou perdus au suivi. L’analyse des résultats cumulatifs et de 12 mois de la cohorte a indiqué des lacunes dans plusieurs composantes des soins cliniques: la mesure de la pression artérielle, les évaluations annuelles pour les soins des pieds et les tests de glycémie, du cholestérol et de la fonction rénale. 10‐20% des patients atteints de DS dans les différentes cohortes avaient de graves complications tardives telles que la cécité, l’accident vasculaire cérébral, des maladies cardiovasculaires et des amputations.
Conclusion: L’analyse de cohorte fournit des données sur l’incidence et la prévalence du DS à l’échelle de la clinique, la performance de la prise en charge clinique et la prévalence de la morbidité grave. Elle devrait être plus largement appliquée pour la surveillance et la gestion des maladies chroniques non transmissibles.
Objetivo: Ilustrar el método del análisis de cohortes en personas con diabetes mellitus (DM) en un centro de atención primaria en Amman, Jordania, que atiende refugiados Palestinos, con el fin de mejorar la calidad de los servicios de cuidados para DM.
Método: Estudio descriptivo utilizando hallazgos de casos trimestrales y acumulativos, así como análisis acumulativos y de 12 meses de los resultados de la cohorte, recogidos a través de E‐Health en el Centro de Atención Primaria de Nuzha, de UNRWA.
Resultados: Se registraron 55 nuevos pacientes con DM durante el primer trimestre del 2012, y un total de 2,851 pacientes con DM se habían registrado en E‐Health desde que fue establecido en el 2010. A 31 de Marzo del 2012, un 70% de los 2851 pacientes estaban vivos y recibiendo atención, un 18% no se había presentado a su cita con un sanitario en los últimos 3 meses y el resto había muerto, había sido transferido o perdido durante el seguimiento. El análisis de los resultados acumulativos y de 12 meses muestran deficiencias en varios componentes de la atención clínica: la toma de la presión sanguínea, las revisiones anuales de podología y las pruebas de sangre para glucosa, colesterol y función renal. Un 10‐20% de los pacientes con DM en las diferentes cohortes presentaba complicaciones tardías serias como ceguera, ictus, enfermedad cardiovascular y amputaciones.
Conclusión: El análisis de cohortes provee datos sobre la incidencia y prevalencia de la DM a nivel clínico, el desempeño en el manejo clínico y una prevalencia de morbilidad seria. Debería aplicarse de forma más amplia para la monitorización y el manejo de enfermedades no transmisibles.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/j.1365-3156.2012.03097.x</identifier><identifier>PMID: 23051859</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; análisis de cohortes ; Arabs ; Biological and medical sciences ; cohort reports ; Cohort Studies ; diabetes mellitus ; Diabetes Mellitus - epidemiology ; Diabetes Mellitus - therapy ; Diabetes. Impaired glucose tolerance ; diabète sucré ; Electronic Health Records ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; General aspects ; Humans ; Hypertension - epidemiology ; Hypertension - therapy ; Incidence ; Jordan ; Jordan - epidemiology ; Jordania ; Jordanie ; Male ; Medical sciences ; Middle Aged ; Outcome Assessment (Health Care) - methods ; Outcome Assessment (Health Care) - statistics & numerical data ; Palestine refugees ; Population Surveillance - methods ; Prevalence ; Primary Health Care - organization & administration ; Primary Health Care - utilization ; rapports de cohortes ; Refugees ; refugiados Palestinos ; Retrospective Studies ; réfugiés de Palestine</subject><ispartof>Tropical medicine & international health, 2012-12, Vol.17 (12), p.1569-1576</ispartof><rights>2012 Blackwell Publishing Ltd</rights><rights>2014 INIST-CNRS</rights><rights>2012 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4497-52381362b93ec0d31ae621bc50a4a4c4ded91c9ea6c57d5fabfa0622a2e044563</citedby><cites>FETCH-LOGICAL-c4497-52381362b93ec0d31ae621bc50a4a4c4ded91c9ea6c57d5fabfa0622a2e044563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1417,1433,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26631405$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23051859$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khader, Ali</creatorcontrib><creatorcontrib>Farajallah, Loai</creatorcontrib><creatorcontrib>Shahin, Yousef</creatorcontrib><creatorcontrib>Hababeh, Majed</creatorcontrib><creatorcontrib>Abu‐Zayed, Ishtaiwi</creatorcontrib><creatorcontrib>Kochi, Arata</creatorcontrib><creatorcontrib>Harries, Anthony D.</creatorcontrib><creatorcontrib>Zachariah, Rony</creatorcontrib><creatorcontrib>Kapur, Anil</creatorcontrib><creatorcontrib>Venter, Wendy</creatorcontrib><creatorcontrib>Seita, Akihiro</creatorcontrib><title>Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description>Objective To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services.
Method A descriptive study using quarterly and cumulative case findings, as well as cumulative and 12‐month analyses of cohort outcomes collected through E‐Health in UNRWA Nuzha Primary Health Care Clinic.
Results There were 55 newly registered patients with DM in quarter 1, 2012, and a total of 2851 patients with DM ever registered on E‐Health because this was established in 2009. By 31 March 2012, 70% of 2851 patients were alive in care, 18% had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow‐up. Cumulative and 12‐month cohort outcome analysis indicated deficiencies in several components of clinical care: measurement of blood pressure, annual assessments for foot care and blood tests for glucose, cholesterol and renal function. 10–20% of patients with DM in the different cohorts had serious late complications such as blindness, stroke, cardiovascular disease and amputations.
Conclusion Cohort analysis provides data about incidence and prevalence of DM at the clinic level, clinical management performance and prevalence of serious morbidity. It needs to be more widely applied for the monitoring and management of non‐communicable chronic diseases.
Objectif: Illustrer la méthode de report dans une cohorte de personnes atteintes de diabète sucré (DS) dans une clinique de soins de santé primaires à Amman, en Jordanie, au service des réfugiés de Palestine dans le but d’améliorer la qualité des services de soins pour le DS.
Méthode: Une étude descriptive utilisant des résultats trimestriels et cumulatifs des recherches de cas, ainsi que des résultats d’analyses cumulatives et de 12 mois de cohorte, enregistrés sur E‐Health dans la Clinique des soins de santé primaires de l’UNRWA à Nuzha.
Résultats: Il y avait 55 patients atteints de DS nouvellement inscrits au 1er trimestre 2012 et un total de 2.851 patients atteints de DS enregistrés sur E‐Health depuis son établissement en 2010. Au 31 mars 2012, 70% des 2851 patients étaient en vie et pris en charge, 18% avaient omis de se présenter à un agent de santé au cours des 3 derniers mois et le reste était décédés, transférés ou perdus au suivi. L’analyse des résultats cumulatifs et de 12 mois de la cohorte a indiqué des lacunes dans plusieurs composantes des soins cliniques: la mesure de la pression artérielle, les évaluations annuelles pour les soins des pieds et les tests de glycémie, du cholestérol et de la fonction rénale. 10‐20% des patients atteints de DS dans les différentes cohortes avaient de graves complications tardives telles que la cécité, l’accident vasculaire cérébral, des maladies cardiovasculaires et des amputations.
Conclusion: L’analyse de cohorte fournit des données sur l’incidence et la prévalence du DS à l’échelle de la clinique, la performance de la prise en charge clinique et la prévalence de la morbidité grave. Elle devrait être plus largement appliquée pour la surveillance et la gestion des maladies chroniques non transmissibles.
Objetivo: Ilustrar el método del análisis de cohortes en personas con diabetes mellitus (DM) en un centro de atención primaria en Amman, Jordania, que atiende refugiados Palestinos, con el fin de mejorar la calidad de los servicios de cuidados para DM.
Método: Estudio descriptivo utilizando hallazgos de casos trimestrales y acumulativos, así como análisis acumulativos y de 12 meses de los resultados de la cohorte, recogidos a través de E‐Health en el Centro de Atención Primaria de Nuzha, de UNRWA.
Resultados: Se registraron 55 nuevos pacientes con DM durante el primer trimestre del 2012, y un total de 2,851 pacientes con DM se habían registrado en E‐Health desde que fue establecido en el 2010. A 31 de Marzo del 2012, un 70% de los 2851 pacientes estaban vivos y recibiendo atención, un 18% no se había presentado a su cita con un sanitario en los últimos 3 meses y el resto había muerto, había sido transferido o perdido durante el seguimiento. El análisis de los resultados acumulativos y de 12 meses muestran deficiencias en varios componentes de la atención clínica: la toma de la presión sanguínea, las revisiones anuales de podología y las pruebas de sangre para glucosa, colesterol y función renal. Un 10‐20% de los pacientes con DM en las diferentes cohortes presentaba complicaciones tardías serias como ceguera, ictus, enfermedad cardiovascular y amputaciones.
Conclusión: El análisis de cohortes provee datos sobre la incidencia y prevalencia de la DM a nivel clínico, el desempeño en el manejo clínico y una prevalencia de morbilidad seria. Debería aplicarse de forma más amplia para la monitorización y el manejo de enfermedades no transmisibles.</description><subject>Adult</subject><subject>Aged</subject><subject>análisis de cohortes</subject><subject>Arabs</subject><subject>Biological and medical sciences</subject><subject>cohort reports</subject><subject>Cohort Studies</subject><subject>diabetes mellitus</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diabetes Mellitus - therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>diabète sucré</subject><subject>Electronic Health Records</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - therapy</subject><subject>Incidence</subject><subject>Jordan</subject><subject>Jordan - epidemiology</subject><subject>Jordania</subject><subject>Jordanie</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Outcome Assessment (Health Care) - statistics & numerical data</subject><subject>Palestine refugees</subject><subject>Population Surveillance - methods</subject><subject>Prevalence</subject><subject>Primary Health Care - organization & administration</subject><subject>Primary Health Care - utilization</subject><subject>rapports de cohortes</subject><subject>Refugees</subject><subject>refugiados Palestinos</subject><subject>Retrospective Studies</subject><subject>réfugiés de Palestine</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtv1DAUhS0Eog_4C8gbJDYJfmeyYIFGhRa1oot2bd04Nx2PEnuwE7X99yQzQ9nWG1_J3_E95xBCOSv5fL5uSy6NLiTXphSMi5JJVlfl0xty-vLwdj-zQojKnJCznLeMMaW0eU9OhGSar3R9SvI6bmIa6RCDH2Py4YHGju4w5RgyffTjhrYeGhwx0wH73o9Tpj5QoLvkB0jPdIPQjxsHCanrffCOdjHRW-gxjz4gTdhND4h71a-YWggfyLsO-owfj_c5uf9xcbe-LK5__7xaf78unFJ1VWghV3MC0dQSHWslBzSCN04zUKCcarGtuasRjNNVqztoOmBGCBC4zynPyZfDv7sU_0yzHTv47OYQEDBO2XJVVVrXRukZXR1Ql2LOs2V7jGc5s0vldmuXZu3SrF0qt_vK7dMs_XTcMjUDti_Cfx3PwOcjANlB3yUIzuf_nDGSK7Z4-HbgHn2Pz682YO9urpZJ_gWpH53-</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Khader, Ali</creator><creator>Farajallah, Loai</creator><creator>Shahin, Yousef</creator><creator>Hababeh, Majed</creator><creator>Abu‐Zayed, Ishtaiwi</creator><creator>Kochi, Arata</creator><creator>Harries, Anthony D.</creator><creator>Zachariah, Rony</creator><creator>Kapur, Anil</creator><creator>Venter, Wendy</creator><creator>Seita, Akihiro</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201212</creationdate><title>Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan</title><author>Khader, Ali ; Farajallah, Loai ; Shahin, Yousef ; Hababeh, Majed ; Abu‐Zayed, Ishtaiwi ; Kochi, Arata ; Harries, Anthony D. ; Zachariah, Rony ; Kapur, Anil ; Venter, Wendy ; Seita, Akihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4497-52381362b93ec0d31ae621bc50a4a4c4ded91c9ea6c57d5fabfa0622a2e044563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>análisis de cohortes</topic><topic>Arabs</topic><topic>Biological and medical sciences</topic><topic>cohort reports</topic><topic>Cohort Studies</topic><topic>diabetes mellitus</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diabetes Mellitus - therapy</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>diabète sucré</topic><topic>Electronic Health Records</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - therapy</topic><topic>Incidence</topic><topic>Jordan</topic><topic>Jordan - epidemiology</topic><topic>Jordania</topic><topic>Jordanie</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Outcome Assessment (Health Care) - statistics & numerical data</topic><topic>Palestine refugees</topic><topic>Population Surveillance - methods</topic><topic>Prevalence</topic><topic>Primary Health Care - organization & administration</topic><topic>Primary Health Care - utilization</topic><topic>rapports de cohortes</topic><topic>Refugees</topic><topic>refugiados Palestinos</topic><topic>Retrospective Studies</topic><topic>réfugiés de Palestine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khader, Ali</creatorcontrib><creatorcontrib>Farajallah, Loai</creatorcontrib><creatorcontrib>Shahin, Yousef</creatorcontrib><creatorcontrib>Hababeh, Majed</creatorcontrib><creatorcontrib>Abu‐Zayed, Ishtaiwi</creatorcontrib><creatorcontrib>Kochi, Arata</creatorcontrib><creatorcontrib>Harries, Anthony D.</creatorcontrib><creatorcontrib>Zachariah, Rony</creatorcontrib><creatorcontrib>Kapur, Anil</creatorcontrib><creatorcontrib>Venter, Wendy</creatorcontrib><creatorcontrib>Seita, Akihiro</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khader, Ali</au><au>Farajallah, Loai</au><au>Shahin, Yousef</au><au>Hababeh, Majed</au><au>Abu‐Zayed, Ishtaiwi</au><au>Kochi, Arata</au><au>Harries, Anthony D.</au><au>Zachariah, Rony</au><au>Kapur, Anil</au><au>Venter, Wendy</au><au>Seita, Akihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2012-12</date><risdate>2012</risdate><volume>17</volume><issue>12</issue><spage>1569</spage><epage>1576</epage><pages>1569-1576</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>Objective To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services.
Method A descriptive study using quarterly and cumulative case findings, as well as cumulative and 12‐month analyses of cohort outcomes collected through E‐Health in UNRWA Nuzha Primary Health Care Clinic.
Results There were 55 newly registered patients with DM in quarter 1, 2012, and a total of 2851 patients with DM ever registered on E‐Health because this was established in 2009. By 31 March 2012, 70% of 2851 patients were alive in care, 18% had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow‐up. Cumulative and 12‐month cohort outcome analysis indicated deficiencies in several components of clinical care: measurement of blood pressure, annual assessments for foot care and blood tests for glucose, cholesterol and renal function. 10–20% of patients with DM in the different cohorts had serious late complications such as blindness, stroke, cardiovascular disease and amputations.
Conclusion Cohort analysis provides data about incidence and prevalence of DM at the clinic level, clinical management performance and prevalence of serious morbidity. It needs to be more widely applied for the monitoring and management of non‐communicable chronic diseases.
Objectif: Illustrer la méthode de report dans une cohorte de personnes atteintes de diabète sucré (DS) dans une clinique de soins de santé primaires à Amman, en Jordanie, au service des réfugiés de Palestine dans le but d’améliorer la qualité des services de soins pour le DS.
Méthode: Une étude descriptive utilisant des résultats trimestriels et cumulatifs des recherches de cas, ainsi que des résultats d’analyses cumulatives et de 12 mois de cohorte, enregistrés sur E‐Health dans la Clinique des soins de santé primaires de l’UNRWA à Nuzha.
Résultats: Il y avait 55 patients atteints de DS nouvellement inscrits au 1er trimestre 2012 et un total de 2.851 patients atteints de DS enregistrés sur E‐Health depuis son établissement en 2010. Au 31 mars 2012, 70% des 2851 patients étaient en vie et pris en charge, 18% avaient omis de se présenter à un agent de santé au cours des 3 derniers mois et le reste était décédés, transférés ou perdus au suivi. L’analyse des résultats cumulatifs et de 12 mois de la cohorte a indiqué des lacunes dans plusieurs composantes des soins cliniques: la mesure de la pression artérielle, les évaluations annuelles pour les soins des pieds et les tests de glycémie, du cholestérol et de la fonction rénale. 10‐20% des patients atteints de DS dans les différentes cohortes avaient de graves complications tardives telles que la cécité, l’accident vasculaire cérébral, des maladies cardiovasculaires et des amputations.
Conclusion: L’analyse de cohorte fournit des données sur l’incidence et la prévalence du DS à l’échelle de la clinique, la performance de la prise en charge clinique et la prévalence de la morbidité grave. Elle devrait être plus largement appliquée pour la surveillance et la gestion des maladies chroniques non transmissibles.
Objetivo: Ilustrar el método del análisis de cohortes en personas con diabetes mellitus (DM) en un centro de atención primaria en Amman, Jordania, que atiende refugiados Palestinos, con el fin de mejorar la calidad de los servicios de cuidados para DM.
Método: Estudio descriptivo utilizando hallazgos de casos trimestrales y acumulativos, así como análisis acumulativos y de 12 meses de los resultados de la cohorte, recogidos a través de E‐Health en el Centro de Atención Primaria de Nuzha, de UNRWA.
Resultados: Se registraron 55 nuevos pacientes con DM durante el primer trimestre del 2012, y un total de 2,851 pacientes con DM se habían registrado en E‐Health desde que fue establecido en el 2010. A 31 de Marzo del 2012, un 70% de los 2851 pacientes estaban vivos y recibiendo atención, un 18% no se había presentado a su cita con un sanitario en los últimos 3 meses y el resto había muerto, había sido transferido o perdido durante el seguimiento. El análisis de los resultados acumulativos y de 12 meses muestran deficiencias en varios componentes de la atención clínica: la toma de la presión sanguínea, las revisiones anuales de podología y las pruebas de sangre para glucosa, colesterol y función renal. Un 10‐20% de los pacientes con DM en las diferentes cohortes presentaba complicaciones tardías serias como ceguera, ictus, enfermedad cardiovascular y amputaciones.
Conclusión: El análisis de cohortes provee datos sobre la incidencia y prevalencia de la DM a nivel clínico, el desempeño en el manejo clínico y una prevalencia de morbilidad seria. Debería aplicarse de forma más amplia para la monitorización y el manejo de enfermedades no transmisibles.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>23051859</pmid><doi>10.1111/j.1365-3156.2012.03097.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1360-2276 |
| ispartof | Tropical medicine & international health, 2012-12, Vol.17 (12), p.1569-1576 |
| issn | 1360-2276 1365-3156 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Free Content; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; Wiley Online Library All Journals |
| subjects | Adult Aged análisis de cohortes Arabs Biological and medical sciences cohort reports Cohort Studies diabetes mellitus Diabetes Mellitus - epidemiology Diabetes Mellitus - therapy Diabetes. Impaired glucose tolerance diabète sucré Electronic Health Records Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female General aspects Humans Hypertension - epidemiology Hypertension - therapy Incidence Jordan Jordan - epidemiology Jordania Jordanie Male Medical sciences Middle Aged Outcome Assessment (Health Care) - methods Outcome Assessment (Health Care) - statistics & numerical data Palestine refugees Population Surveillance - methods Prevalence Primary Health Care - organization & administration Primary Health Care - utilization rapports de cohortes Refugees refugiados Palestinos Retrospective Studies réfugiés de Palestine |
| title | Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan |
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