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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.
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<div class="JournalArticle Publication short-list"> <div class="authors"> <span class="author-name" mtid="10024030"> <a href="/gui2/?type=authors&mode=browse&sel=10024030" target="_blank">Tabak, AG</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10024032"> <a href="/gui2/?type=authors&mode=browse&sel=10024032" target="_blank">Tamas, G</a> </span> <span class="author-type"> </span> ; <span class="author-name" > Zgibor, J </span> <span class="author-type"> </span> ; <span class="author-name" > Wilson, R </span> <span class="author-type"> </span> ; <span class="author-name" > Becker, D </span> <span class="author-type"> </span> ; <span class="author-name" > Kerenyi, Z </span> <span class="author-type"> </span> ; <span class="author-name" > Orchard, TJ </span> <span class="author-type"> </span> </div ><div class="title"><a href="/gui2/?mode=browse¶ms=publication;1681035" mtid="1681035" target="_blank">Targets and reality: a comparison of health care indicators in the U.S. (Pittsburgh Epidemiology of Diabetes Complications Study) and Hungary (DiabCare Hungary)</a></div> <div class="pub-info"> <span class="journal-title">DIABETES CARE</span> <span class="journal-volume">23</span> : <span class="journal-issue">9</span> <span class="page"> pp. 1284-1289. , 6 p. </span> <span class="year">(2000)</span> </div> <div class="pub-end"><div class="identifier-list"> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.2337/diacare.23.9.1284" target="_blank" href="https://doi.org/10.2337/diacare.23.9.1284"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000089005400014" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000089005400014"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="0033851981" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-0033851981"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10977019" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10977019&dopt=Abstract"> PubMed </a> </span> </span> </div> <div class="short-pub-prop-list"> <span class="short-pub-mtid"> Közlemény:1681035 </span> <span class="status-holder"><span class="status-data status-VALIDATED"> Egyeztetett </span></span> <span class="pub-core">Forrás Idéző </span> <span class="pub-type">Folyóiratcikk (Szakcikk ) </span> <!-- && !record.category.scientific --> <span class="pub-category">Tudományos</span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 42</span> | Független: 40 | Függő: 2 | Nem jelölt: 0 | WoS jelölt: 34 | Scopus jelölt: 40 | WoS/Scopus jelölt: 42 | DOI jelölt: 36 </div> </div> </div> </div><div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10024030"><a href="/gui2/?type=authors&mode=browse&sel=10024030" target="_blank">Tabak AG (<span class="authorship-author-name">Tabák Ádám</span> <span class="authorAux-mtmt"> belgyógyászat, diabetológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/I. Sz. Belgyógyászati Klinika</span> ; <span class="author-name" mtid="10024032"><a href="/gui2/?type=authors&mode=browse&sel=10024032" target="_blank">Tamas G (<span class="authorship-author-name">Tamás Gyula</span> <span class="authorAux-mtmt"> belgyógyászat, diabetológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/I. Sz. Belgyógyászati Klinika</span> ; <span class="author-name" >Zgibor J </span> ; <span class="author-name" >Wilson R </span> ; <span class="author-name" >Becker D </span> ; <span class="author-name" >Kerenyi Z </span> ; <span class="author-name" >Orchard TJ </span> </div> </div> <div class="title"><a href="/gui2/?mode=browse¶ms=publication;1681035" target="_blank">Targets and reality: a comparison of health care indicators in the U.S. (Pittsburgh Epidemiology of Diabetes Complications Study) and Hungary (DiabCare Hungary)</a></div> <div> <span class="journal-title">DIABETES CARE</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0149-5992">0149-5992</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1935-5548">1935-5548</a>)</span>: <span class="journal-volume">23</span> <span class="journal-issue">9</span> <span class="page"> pp 1284-1289 </span> <span class="year">(2000)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.2337/diacare.23.9.1284" target="_blank" href="https://doi.org/10.2337/diacare.23.9.1284"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000089005400014" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000089005400014"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="0033851981" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-0033851981"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10977019" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10977019&dopt=Abstract"> PubMed </a> </span> </span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 42</span> | Független: 40 | Függő: 2 | Nem jelölt: 0 | WoS jelölt: 34 | Scopus jelölt: 40 | WoS/Scopus jelölt: 42 | DOI jelölt: 36 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;1681035&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 1 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 1681035</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> <span class="oldId">Régi azonosító: 1681035</span> | Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">MEDLINE</span> </div> <div class="lastModified">Utolsó módosítás: 2018.10.11. 11:57 WoS import (admin) </div> </div></div>
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<div class="JournalArticle Publication short-list"> <div class="authors"> <span class="author-name" > Collado-Mesa, F </span> <span class="author-type"> </span> ; <span class="author-name" > Colhoun, HM </span> <span class="author-type"> </span> ; <span class="author-name" > Stevens, LK </span> <span class="author-type"> </span> ; <span class="author-name" > Boavida, J </span> <span class="author-type"> </span> ; <span class="author-name" > Ferriss, JB </span> <span class="author-type"> </span> ; <span class="author-name" > B, Karamanos </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10024012"> <a href="/gui2/?type=authors&mode=browse&sel=10024012" target="_blank">Kempler, P</a> </span> <span class="author-type"> </span> ; <span class="author-name" > Michel, G </span> <span class="author-type"> </span> ; <span class="author-name" > Roglic, G </span> <span class="author-type"> </span> ; <span class="author-name" > Fuller, JH </span> <span class="author-type"> </span> et al. </div ><div class="title"><a href="/gui2/?mode=browse¶ms=publication;1720529" mtid="1720529" target="_blank">Prevalence and management of hypertension in Type 1 diabetes mellitus in Europe<span class="subTitle">: the EURODIAB IDDM Complications Study</span></a></div> <div class="pub-info"> <span class="journal-title">DIABETIC MEDICINE</span> <span class="journal-volume">16</span> : <span class="journal-issue">1</span> <span class="page"> pp. 41-48. , 9 p. </span> <span class="year">(1999)</span> </div> <div class="pub-end"><div class="identifier-list"> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:black" title="10.1046/j.1464-5491.1999.00007.x" target="_blank" href="https://doi.org/10.1046/j.1464-5491.1999.00007.x"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000078058900007" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000078058900007"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:black" title="0033015648" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-0033015648"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:black" title="10229292" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10229292&dopt=Abstract"> PubMed </a> </span> </span> </div> <div class="short-pub-prop-list"> <span class="short-pub-mtid"> Közlemény:1720529 </span> <span class="status-holder"><span class="status-data status-ADMIN_APPROVED"> Admin láttamozott </span></span> <span class="pub-core">Forrás </span> <span class="pub-type">Folyóiratcikk (Sokszerzős vagy csoportos szerzőségű szakcikk ) </span> <!-- && !record.category.scientific --> <span class="pub-category">Tudományos</span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 64</span> | Független: 63 | Függő: 1 | Nem jelölt: 0 | WoS jelölt: 45 | Scopus jelölt: 62 | WoS/Scopus jelölt: 64 | DOI jelölt: 49 </div> </div> </div> </div><div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <div class="autype autype0"> <span class="author-name" >Collado-Mesa F </span> ; <span class="author-name" >Colhoun HM </span> ; <span class="author-name" >Stevens LK </span> ; <span class="author-name" >Boavida J </span> ; <span class="author-name" >Ferriss JB </span> ; <span class="author-name" >B Karamanos </span> ; <span class="author-name" mtid="10024012"><a href="/gui2/?type=authors&mode=browse&sel=10024012" target="_blank">Kempler P (<span class="authorship-author-name">Kempler Péter</span> <span class="authorAux-mtmt"> Belgyógyászat, diabetológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/I. Sz. Belgyógyászati Klinika</span> ; <span class="author-name" >Michel G </span> ; <span class="author-name" >Roglic G </span> ; <span class="author-name" >Fuller JH </span> </div> <div class="autype autype-29"> Kollaborációs szervezet: <span class="author-name" >The Eurodiab Iddm Complications Study Group </span> </div> </div> <div class="title"><a href="/gui2/?mode=browse¶ms=publication;1720529" target="_blank">Prevalence and management of hypertension in Type 1 diabetes mellitus in Europe : the EURODIAB IDDM Complications Study.</a></div> <div> <span class="journal-title">DIABETIC MEDICINE</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0742-3071">0742-3071</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1464-5491">1464-5491</a>)</span>: <span class="journal-volume">16</span> <span class="journal-issue">1</span> <span class="page"> pp 41-48 </span> <span class="year">(1999)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:black" title="10.1046/j.1464-5491.1999.00007.x" target="_blank" href="https://doi.org/10.1046/j.1464-5491.1999.00007.x"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000078058900007" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000078058900007"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:black" title="0033015648" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-0033015648"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:black" title="10229292" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10229292&dopt=Abstract"> PubMed </a> </span> </span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 64</span> | Független: 63 | Függő: 1 | Nem jelölt: 0 | WoS jelölt: 45 | Scopus jelölt: 62 | WoS/Scopus jelölt: 64 | DOI jelölt: 49 </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 1720529</span> | <span class="status-data status-ADMIN_APPROVED"> Admin láttamozott </span> <span class="oldId">Régi azonosító: 1720529</span> | Forrás | <span class="type-subtype">Folyóiratcikk ( Sokszerzős vagy csoportos szerzőségű szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="lastModified">Utolsó módosítás: 2019.09.01. 11:37 Molnár-Taga Márta (SE 4-es admin) </div> </div></div>