TY  - JOUR
AU  - Tabák, Ádám
AU  - Tamás, Gyula
AU  - Zgibor, J
AU  - Wilson, R
AU  - Becker, D
AU  - Kerenyi, Z
AU  - Orchard, TJ
TI  - Targets and reality: a comparison of health care indicators in the U.S. (Pittsburgh Epidemiology of Diabetes Complications Study) and Hungary (DiabCare Hungary)
JF  - DIABETES CARE
J2  - DIABETES CARE
VL  - 23
PY  - 2000
IS  - 9
SP  - 1284
EP  - 1289
PG  - 6
SN  - 0149-5992
DO  - 10.2337/diacare.23.9.1284
UR  - https://m2.mtmt.hu/api/publication/1681035
ID  - 1681035
AB  - OBJECTIVE: In the U.S., both primary care and specialist physicians share in the care of type 1 diabetic patients, often in an informal collaboration. In Hungary, however, type 1 diabetic patients are generally managed in special centralized diabetes units. These different treatment settings may lead to different health care practices and outcomes. To determine if this is true, diabetes care indicators and complications were compared across representative study populations from the 2 countries. RESEARCH DESIGN AND METHODS: The Pittsburgh Epidemiology of Diabetes Complications Study (EDC) is a prospective cohort of childhood-onset type 1 diabetic patients. DiabCare Hungary, a multicenter cross-sectional study, was developed for quality control purposes and provides a nationwide data set of diabetic patients. We identified 2 comparable populations (EDC, n = 416; DiabCare, n = 405) in terms of age (> or =14 years) and age at onset (<17 years). RESULTS: EDC patients were less likely to receive diabetes education (P<0.0001), see an ophthalmologist (P<0.0001), be treated by diabetologists (P<0.0001), or perform self-monitoring of blood glucose (P<0.0001). They were more likely to use conservative insulin regimens (i.e., 1-2 injections/day, P<0.0001) and have a higher glycated hemoglobin (P< 0.0001). DiabCare patients more often experienced severe hypoglycemia (P<0.01) and had a lower prevalence of proliferative retinopathy (P<0.0001), legal blindness (P<0.05), and albuminuria (> or =30 mg/day P<0.01). No significant differences in macrovascular complications were seen, although rates were generally low CONCLUSIONS: These data suggest that the 2 populations differ by their diabetes care practices, degree of glycemic control, and microvascular complication status.
LA  - English
DB  - MTMT
ER  - 

TY  - JOUR
AU  - Collado-Mesa, F
AU  - Colhoun, HM
AU  - Stevens, LK
AU  - Boavida, J
AU  - Ferriss, JB
AU  - B, Karamanos
AU  - Kempler, Péter
AU  - Michel, G
AU  - Roglic, G
AU  - Fuller, JH
ED  - The, Eurodiab Iddm Complications Study Group / Collaborative Organization
TI  - Prevalence and management of hypertension in Type 1 diabetes mellitus in Europe. the EURODIAB IDDM Complications Study
TS  - the EURODIAB IDDM Complications Study
JF  - DIABETIC MEDICINE
J2  - DIABETIC MED
VL  - 16
PY  - 1999
IS  - 1
SP  - 41
EP  - 48
PG  - 9
SN  - 0742-3071
DO  - 10.1046/j.1464-5491.1999.00007.x
UR  - https://m2.mtmt.hu/api/publication/1720529
ID  - 1720529
N1  - 
LA  - English
DB  - MTMT
ER  -