Study methodology and diabetes control in patients from the non‐English diabetes management project (NEDMP)
Background To describe the clinical characteristics of non–English speaking patients from the Diabetes Management Project (NEDMP), and compare their diabetes management and severity of diabetic retinopathy (DR) with the English‐speaking DMP sample (EDMP). Design A prospective study was conducted on...
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| Veröffentlicht in: | Clinical & experimental ophthalmology 2017-03, Vol.45 (2), p.160-167 |
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| creator | Dirani, Mohamed Dang, Trung M Xie, Jing Gnanasekaran, Sivashanth Nicolaou, Theona Rees, Gwyneth Fenwick, Eva Lamoureux, Ecosse L |
| description | Background
To describe the clinical characteristics of non–English speaking patients from the Diabetes Management Project (NEDMP), and compare their diabetes management and severity of diabetic retinopathy (DR) with the English‐speaking DMP sample (EDMP).
Design
A prospective study was conducted on non‐English speaking adults with diabetes who attended the Royal Victorian Eye and Ear Hospital.
Participants
136 (90.1%) non‐English speaking adults were assessed, with a mean age of 72.2 years (range: 50‐88 years); 74 (54.4%) were male.
Methods
Participants completed interviewer‐administered questionnaires and underwent visual acuity, fundus photography, optical coherence tomography, biochemistry and anthropometric measurements. The EDMP assessed 609 patients in 2009 using a similar protocol.
Main Outcome Measures
Type and duration of diabetes, diabetes control and diabetic retinopathy.
Results
A total of 127 (93.4%) and 8 (5.9%) participants reported having type 2 and type 1 diabetes, respectively, with a median (IQR) duration of 17 (14) years. The proportion of patients with poor diabetes control (HbA1c ≥ 7%) in the NEDMP was similar to the EDMP (64.0% and 68.2%, respectively; P = 0.411). A significantly higher proportion of patients with DR in the NEDMP were found to have poor diabetes control (HbA1c ≥ 7%) compared to those without DR (80.9% vs. 50.0%, P = 0.003). Almost two‐thirds of NEDMP patients (74/118) had DR and 23% (27/115) had diabetic macular edema. The prevalence of DR was similar between the NEDMP and EDMP studies, ranging from 25‐30% and 28‐29%.
Conclusions
The clinical characteristics, diabetes control, and DR severity of English and non‐English‐speaking patients were similar. The high proportion of poor diabetes management in non‐English speaking patients with DR suggests educational and behavioural interventions to improve glycaemic control are warranted. |
| doi_str_mv | 10.1111/ceo.12807 |
| format | Article |
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To describe the clinical characteristics of non–English speaking patients from the Diabetes Management Project (NEDMP), and compare their diabetes management and severity of diabetic retinopathy (DR) with the English‐speaking DMP sample (EDMP).
Design
A prospective study was conducted on non‐English speaking adults with diabetes who attended the Royal Victorian Eye and Ear Hospital.
Participants
136 (90.1%) non‐English speaking adults were assessed, with a mean age of 72.2 years (range: 50‐88 years); 74 (54.4%) were male.
Methods
Participants completed interviewer‐administered questionnaires and underwent visual acuity, fundus photography, optical coherence tomography, biochemistry and anthropometric measurements. The EDMP assessed 609 patients in 2009 using a similar protocol.
Main Outcome Measures
Type and duration of diabetes, diabetes control and diabetic retinopathy.
Results
A total of 127 (93.4%) and 8 (5.9%) participants reported having type 2 and type 1 diabetes, respectively, with a median (IQR) duration of 17 (14) years. The proportion of patients with poor diabetes control (HbA1c ≥ 7%) in the NEDMP was similar to the EDMP (64.0% and 68.2%, respectively; P = 0.411). A significantly higher proportion of patients with DR in the NEDMP were found to have poor diabetes control (HbA1c ≥ 7%) compared to those without DR (80.9% vs. 50.0%, P = 0.003). Almost two‐thirds of NEDMP patients (74/118) had DR and 23% (27/115) had diabetic macular edema. The prevalence of DR was similar between the NEDMP and EDMP studies, ranging from 25‐30% and 28‐29%.
Conclusions
The clinical characteristics, diabetes control, and DR severity of English and non‐English‐speaking patients were similar. The high proportion of poor diabetes management in non‐English speaking patients with DR suggests educational and behavioural interventions to improve glycaemic control are warranted.</description><identifier>ISSN: 1442-6404</identifier><identifier>EISSN: 1442-9071</identifier><identifier>DOI: 10.1111/ceo.12807</identifier><identifier>PMID: 27455413</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; Blood Glucose - metabolism ; Cognitive Therapy - methods ; Communication Barriers ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 1 - therapy ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - therapy ; Diabetic retinopathy ; Diabetic Retinopathy - epidemiology ; Diabetic Retinopathy - etiology ; Diabetic Retinopathy - therapy ; Disease Management ; Female ; Follow-Up Studies ; Health risk assessment ; Humans ; Hypoglycemic Agents - therapeutic use ; Male ; Middle Aged ; non‐english ; ophthalmology publication ; Prevalence ; Prospective Studies ; Surveys and Questionnaires ; Tomography, Optical Coherence ; Victoria - epidemiology ; Visual Acuity</subject><ispartof>Clinical & experimental ophthalmology, 2017-03, Vol.45 (2), p.160-167</ispartof><rights>2016 Royal Australian and New Zealand College of Ophthalmologists</rights><rights>2016 Royal Australian and New Zealand College of Ophthalmologists.</rights><rights>2017 Royal Australian and New Zealand College of Ophthalmologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3817-95c238473d506d231919a9bc2991d3f0e3eb8281d41e5c50dd70e08551fd92c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fceo.12807$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fceo.12807$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27455413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dirani, Mohamed</creatorcontrib><creatorcontrib>Dang, Trung M</creatorcontrib><creatorcontrib>Xie, Jing</creatorcontrib><creatorcontrib>Gnanasekaran, Sivashanth</creatorcontrib><creatorcontrib>Nicolaou, Theona</creatorcontrib><creatorcontrib>Rees, Gwyneth</creatorcontrib><creatorcontrib>Fenwick, Eva</creatorcontrib><creatorcontrib>Lamoureux, Ecosse L</creatorcontrib><title>Study methodology and diabetes control in patients from the non‐English diabetes management project (NEDMP)</title><title>Clinical & experimental ophthalmology</title><addtitle>Clin Exp Ophthalmol</addtitle><description>Background
To describe the clinical characteristics of non–English speaking patients from the Diabetes Management Project (NEDMP), and compare their diabetes management and severity of diabetic retinopathy (DR) with the English‐speaking DMP sample (EDMP).
Design
A prospective study was conducted on non‐English speaking adults with diabetes who attended the Royal Victorian Eye and Ear Hospital.
Participants
136 (90.1%) non‐English speaking adults were assessed, with a mean age of 72.2 years (range: 50‐88 years); 74 (54.4%) were male.
Methods
Participants completed interviewer‐administered questionnaires and underwent visual acuity, fundus photography, optical coherence tomography, biochemistry and anthropometric measurements. The EDMP assessed 609 patients in 2009 using a similar protocol.
Main Outcome Measures
Type and duration of diabetes, diabetes control and diabetic retinopathy.
Results
A total of 127 (93.4%) and 8 (5.9%) participants reported having type 2 and type 1 diabetes, respectively, with a median (IQR) duration of 17 (14) years. The proportion of patients with poor diabetes control (HbA1c ≥ 7%) in the NEDMP was similar to the EDMP (64.0% and 68.2%, respectively; P = 0.411). A significantly higher proportion of patients with DR in the NEDMP were found to have poor diabetes control (HbA1c ≥ 7%) compared to those without DR (80.9% vs. 50.0%, P = 0.003). Almost two‐thirds of NEDMP patients (74/118) had DR and 23% (27/115) had diabetic macular edema. The prevalence of DR was similar between the NEDMP and EDMP studies, ranging from 25‐30% and 28‐29%.
Conclusions
The clinical characteristics, diabetes control, and DR severity of English and non‐English‐speaking patients were similar. The high proportion of poor diabetes management in non‐English speaking patients with DR suggests educational and behavioural interventions to improve glycaemic control are warranted.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Glucose - metabolism</subject><subject>Cognitive Therapy - methods</subject><subject>Communication Barriers</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetic retinopathy</subject><subject>Diabetic Retinopathy - epidemiology</subject><subject>Diabetic Retinopathy - etiology</subject><subject>Diabetic Retinopathy - therapy</subject><subject>Disease Management</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Hypoglycemic Agents - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>non‐english</subject><subject>ophthalmology publication</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Surveys and Questionnaires</subject><subject>Tomography, Optical Coherence</subject><subject>Victoria - epidemiology</subject><subject>Visual Acuity</subject><issn>1442-6404</issn><issn>1442-9071</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0c1qGzEUBWBRGpq_LvICRdBNsnCiK41mpGVwnbaQNIW060GW7thjZiRnpKF4l0fIM_ZJotZOA4VCtZEWn87lcgg5AXYO-VxYDOfAFatekQMoCj7RrILXu3dZsGKfHMa4YoxJLso3ZJ9XhZQFiAPS36XRbWiPaRlc6MJiQ4131LVmjgkjtcGnIXS09XRtUos-RdoMoadpidQH__PhceYXXRuXL396480C-2zpeggrtImefpl9uPl6dkz2GtNFfLu7j8j3q9m36afJ9e3Hz9PL64kVCqqJlpYLVVTCSVY6LkCDNnpuudbgRMNQ4FxxBa4AlFYy5yqGTEkJjdPcanFETre5ef79iDHVfRstdp3xGMZYg8pjpBQc_oPysuKag8r0_V90FcbB50WyqqQqhQaR1dlW2SHEOGBTr4e2N8OmBlb_qqvOddW_68r23S5xnPfo_sjnfjK42IIfbYebfyfV09ntNvIJBlSdvQ</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Dirani, Mohamed</creator><creator>Dang, Trung M</creator><creator>Xie, Jing</creator><creator>Gnanasekaran, Sivashanth</creator><creator>Nicolaou, Theona</creator><creator>Rees, Gwyneth</creator><creator>Fenwick, Eva</creator><creator>Lamoureux, Ecosse L</creator><general>Wiley Subscription Services, Inc</general><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>7TK</scope><scope>K9.</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201703</creationdate><title>Study methodology and diabetes control in patients from the non‐English diabetes management project (NEDMP)</title><author>Dirani, Mohamed ; Dang, Trung M ; Xie, Jing ; Gnanasekaran, Sivashanth ; Nicolaou, Theona ; Rees, Gwyneth ; Fenwick, Eva ; Lamoureux, Ecosse L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3817-95c238473d506d231919a9bc2991d3f0e3eb8281d41e5c50dd70e08551fd92c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Glucose - metabolism</topic><topic>Cognitive Therapy - methods</topic><topic>Communication Barriers</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diabetic retinopathy</topic><topic>Diabetic Retinopathy - epidemiology</topic><topic>Diabetic Retinopathy - etiology</topic><topic>Diabetic Retinopathy - therapy</topic><topic>Disease Management</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Hypoglycemic Agents - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>non‐english</topic><topic>ophthalmology publication</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Surveys and Questionnaires</topic><topic>Tomography, Optical Coherence</topic><topic>Victoria - epidemiology</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dirani, Mohamed</creatorcontrib><creatorcontrib>Dang, Trung M</creatorcontrib><creatorcontrib>Xie, Jing</creatorcontrib><creatorcontrib>Gnanasekaran, Sivashanth</creatorcontrib><creatorcontrib>Nicolaou, Theona</creatorcontrib><creatorcontrib>Rees, Gwyneth</creatorcontrib><creatorcontrib>Fenwick, Eva</creatorcontrib><creatorcontrib>Lamoureux, Ecosse L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical & experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dirani, Mohamed</au><au>Dang, Trung M</au><au>Xie, Jing</au><au>Gnanasekaran, Sivashanth</au><au>Nicolaou, Theona</au><au>Rees, Gwyneth</au><au>Fenwick, Eva</au><au>Lamoureux, Ecosse L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Study methodology and diabetes control in patients from the non‐English diabetes management project (NEDMP)</atitle><jtitle>Clinical & experimental ophthalmology</jtitle><addtitle>Clin Exp Ophthalmol</addtitle><date>2017-03</date><risdate>2017</risdate><volume>45</volume><issue>2</issue><spage>160</spage><epage>167</epage><pages>160-167</pages><issn>1442-6404</issn><eissn>1442-9071</eissn><abstract>Background
To describe the clinical characteristics of non–English speaking patients from the Diabetes Management Project (NEDMP), and compare their diabetes management and severity of diabetic retinopathy (DR) with the English‐speaking DMP sample (EDMP).
Design
A prospective study was conducted on non‐English speaking adults with diabetes who attended the Royal Victorian Eye and Ear Hospital.
Participants
136 (90.1%) non‐English speaking adults were assessed, with a mean age of 72.2 years (range: 50‐88 years); 74 (54.4%) were male.
Methods
Participants completed interviewer‐administered questionnaires and underwent visual acuity, fundus photography, optical coherence tomography, biochemistry and anthropometric measurements. The EDMP assessed 609 patients in 2009 using a similar protocol.
Main Outcome Measures
Type and duration of diabetes, diabetes control and diabetic retinopathy.
Results
A total of 127 (93.4%) and 8 (5.9%) participants reported having type 2 and type 1 diabetes, respectively, with a median (IQR) duration of 17 (14) years. The proportion of patients with poor diabetes control (HbA1c ≥ 7%) in the NEDMP was similar to the EDMP (64.0% and 68.2%, respectively; P = 0.411). A significantly higher proportion of patients with DR in the NEDMP were found to have poor diabetes control (HbA1c ≥ 7%) compared to those without DR (80.9% vs. 50.0%, P = 0.003). Almost two‐thirds of NEDMP patients (74/118) had DR and 23% (27/115) had diabetic macular edema. The prevalence of DR was similar between the NEDMP and EDMP studies, ranging from 25‐30% and 28‐29%.
Conclusions
The clinical characteristics, diabetes control, and DR severity of English and non‐English‐speaking patients were similar. The high proportion of poor diabetes management in non‐English speaking patients with DR suggests educational and behavioural interventions to improve glycaemic control are warranted.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27455413</pmid><doi>10.1111/ceo.12807</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aged, 80 and over Blood Glucose - metabolism Cognitive Therapy - methods Communication Barriers Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - therapy Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - therapy Diabetic retinopathy Diabetic Retinopathy - epidemiology Diabetic Retinopathy - etiology Diabetic Retinopathy - therapy Disease Management Female Follow-Up Studies Health risk assessment Humans Hypoglycemic Agents - therapeutic use Male Middle Aged non‐english ophthalmology publication Prevalence Prospective Studies Surveys and Questionnaires Tomography, Optical Coherence Victoria - epidemiology Visual Acuity |
| title | Study methodology and diabetes control in patients from the non‐English diabetes management project (NEDMP) |
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