PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

How to improve opportunistic screening by using EMRs and other data. The prevalence of undetected diabetes mellitus in target population in Croatia.

Abstract Opportunistic screening for type 2 diabetes (T2D) has not been adopted as part of routine practice. The aim of the study was to investigate the yield of opportunistic target screening for T2D in Croatia and to evaluate the process of screening by using data from electronic medical record.
PMID
Related Publications

Prevalence of Prediabetes and Undiagnosed Diabetes in Canada (2007-2011) According to Fasting Plasma Glucose and HbA1c Screening Criteria.

Screening for type 2 diabetes and pre-diabetes in general practice: a descriptive study of Maltese practices.

Fasting plasma glucose as initial screening for diabetes and prediabetes in irish adults: The Diabetes Mellitus and Vascular health initiative (DMVhi).

The prevalence, risk factors, and screening measure for prediabetes and diabetes among Emirati overweight/obese children and adolescents.

Yield of opportunistic targeted screening for type 2 diabetes in primary care: the diabscreen study.

Authors

Mayor MeshTerms

Electronic Health Records

General Practitioners

Keywords

Electronic medical records

Numbers of patients needed to invite and screen

Undetected type 2 diabetes

Journal Title public health
Publication Year Start




PMID- 28359387
OWN - NLM
STAT- MEDLINE
DA  - 20170331
DCOM- 20170417
LR  - 20170417
IS  - 1476-5616 (Electronic)
IS  - 0033-3506 (Linking)
VI  - 145
DP  - 2017 Apr
TI  - How to improve opportunistic screening by using EMRs and other data. The
      prevalence of undetected diabetes mellitus in target population in Croatia.
PG  - 30-38
LID - S0033-3506(16)30422-X [pii]
LID - 10.1016/j.puhe.2016.12.008 [doi]
AB  - OBJECTIVES: Opportunistic screening for type 2 diabetes (T2D) has not been
      adopted as part of routine practice. The aim of the study was to investigate the 
      yield of opportunistic target screening for T2D in Croatia and to evaluate the
      process of screening by using data from electronic medical record. STUDY DESIGN: 
      We conducted opportunistic screening in 23 general practitioners (GPs) in a
      population of 13,344 patients aged 45-70 years. METHODS: First, after excluding
      patients with T2D, patients with risk factors for T2D were derived from the
      electronic medical record and GP's assessment during the preconsultation phase.
      Second, those with data about normoglycemia in past three years were excluded.
      Remaining patients started the consultation phase during their usual visit, when 
      they were offered capillary fasting plasma glucose testing in the next
      consultation. RESULTS: Prevalence of T2D was 10.9% (new 1.4%). A total of 5568
      (46.1%) patients had risks and 2849 (51.2%) had data about normoglycemia in the
      last three years. Using those data, number needed to invite to screening (NNI)
      was reduced to half: from 46.1% to 22.5%. One hundred eighty-four patients were
      screened positive for T2D in two capillary fasting plasma glucose tests (yield
      9.8%). Number needed to screen (NNS) in order to detect one T2D was 10.3
      patients. Among risks for T2D, overweight was the best predictive factor for
      undiagnosed T2D (odds ratio [OR]: 2.11, confidence interval [CI]:1.41-3.15, P <
      .001). Logistic regression showed that in targeted population, overweight
      patients with a family history in fold were 2.5 times more likely to have T2D
      (OR: 2.54, CI 1.78-.61, P < .001). CONCLUSIONS: Total yield in targeted
      population was 1,4%. By using data about normoglycemia from EMRs, NNI was reduced
      by half and NNS was 10.3 patients. Our findings suggest the model for improvement
      in opportunistic screening.
CI  - Copyright (c) 2016 The Royal Society for Public Health. Published by Elsevier
      Ltd. All rights reserved.
FAU - Vrca Botica, M
AU  - Vrca Botica M
AD  - Department of Family Medicine, University of Zagreb, School of Medicine, Zagreb, 
      Croatia. Electronic address: [email protected]
FAU - Carkaxhiu, L
AU  - Carkaxhiu L
AD  - Department of Family Medicine, University of Prishtina, Prishtina, Kosovo.
      Electronic address: [email protected]
FAU - Kern, J
AU  - Kern J
AD  - Department of Informatics, University of Zagreb, School of Medicine, Zagreb,
      Croatia. Electronic address: [email protected]
FAU - Pavlic Renar, I
AU  - Pavlic Renar I
AD  - Department of Endocrinology, University Hospital Zagreb, Croatia. Electronic
      address: [email protected]
FAU - Botica, I
AU  - Botica I
AD  - Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital 
      Zagreb, Croatia. Electronic address: [email protected]
FAU - Zelic, I
AU  - Zelic I
AD  - Private Family Practice Bukovje, Croatia. Electronic address:
      [email protected]
FAU - Iliev, D
AU  - Iliev D
AD  - Department of Family Medicine, University of Skopje, Macedonia. Electronic
      address: [email protected]
FAU - Vrca, A
AU  - Vrca A
AD  - Department of Neurology, Clinical Hospital Dubrava, Zagreb, Croatia. Electronic
      address: [email protected]
LA  - eng
PT  - Journal Article
DEP - 20170119
PL  - Netherlands
TA  - Public Health
JT  - Public health
JID - 0376507
SB  - IM
MH  - Adult
MH  - Aged
MH  - Croatia/epidemiology
MH  - Diabetes Mellitus, Type 2/blood/*diagnosis/epidemiology/prevention & control
MH  - *Electronic Health Records
MH  - Female
MH  - *General Practitioners
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Male
MH  - Mass Screening/*methods
MH  - Middle Aged
MH  - Odds Ratio
MH  - Outcome Assessment (Health Care)
MH  - Overweight
MH  - Prediabetic State/blood/diagnosis/epidemiology/etiology
MH  - Prevalence
MH  - Primary Health Care/*methods
MH  - Prospective Studies
MH  - Regression Analysis
MH  - Risk Factors
OTO - NOTNLM
OT  - Electronic medical records
OT  - Numbers of patients needed to invite and screen
OT  - Undetected type 2 diabetes
EDAT- 2017/04/01 06:00
MHDA- 2017/04/18 06:00
CRDT- 2017/04/01 06:00
PHST- 2016/10/05 [received]
PHST- 2016/12/08 [revised]
PHST- 2016/12/09 [accepted]
AID - S0033-3506(16)30422-X [pii]
AID - 10.1016/j.puhe.2016.12.008 [doi]
PST - ppublish
SO  - Public Health. 2017 Apr;145:30-38. doi: 10.1016/j.puhe.2016.12.008. Epub 2017 Jan
      19.

<?xml version="1.0" encoding="UTF-8"?>
<b:Sources SelectedStyle="" xmlns:b="http://schemas.openxmlformats.org/officeDocument/2006/bibliography"  xmlns="http://schemas.openxmlformats.org/officeDocument/2006/bibliography" >
</b:Sources>