TY - JOUR
T1 - Comparison of achievement of NICE targets in type 2 diabetes in Riyadh, Saudi Arabia and Grimsby, United Kingdom
T2 - An audit
AU - Dirar, Abdalla
AU - Aburawi, Fathi
AU - Salih, Salih Bin
AU - Yousuf, Muhammad
PY - 2012/4
Y1 - 2012/4
N2 - Objective: To compare the achievement of NICE guidelines for diabetic care at two hospitals in Riyadh, Saudi Arabia and Grimsby, United Kingdom. Methods: Electronic records of type 2 diabetic patients followed up at internal medicine clinics at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia and Diana Princess of Wales Hospital (DPWH), Grimsby, United Kingdom were studied and compared for meeting the NICE standards of diabetic care regarding HbA1c, lipid rofile, hypertension and urine dipstick testing and control. Results: Out of 100 patients studied at each hospital, yearly blood pressure recording, HbA1c, lipid profile and rine dipstick testing were done in 95, 89, 84, 51 and 100, 81, 92, 95 percent at KAMC and DPWH, respectively. Patients achieving the NICE targets for overall, systolic, diastolic blood pressure and HbA1c screening at the two ospitals were 53, 55, 18 and 46, 39, 35 % respectively. For lipid profile, those who achieved the NICE targets or total cholesterol and LDL-C for two hospitals were 54, 51 and 71, 75 % respectively. Conclusion: NICE standards of diabetic care are not met in many of the patients in Saudi Arabia as well as United Kingdom, indicating that these standards are easy to recommend than to achieve. There is a need to nvestigate the reasons for this failure so as to adopt realistic targets and better multidisciplinary approach to chieve them.
AB - Objective: To compare the achievement of NICE guidelines for diabetic care at two hospitals in Riyadh, Saudi Arabia and Grimsby, United Kingdom. Methods: Electronic records of type 2 diabetic patients followed up at internal medicine clinics at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia and Diana Princess of Wales Hospital (DPWH), Grimsby, United Kingdom were studied and compared for meeting the NICE standards of diabetic care regarding HbA1c, lipid rofile, hypertension and urine dipstick testing and control. Results: Out of 100 patients studied at each hospital, yearly blood pressure recording, HbA1c, lipid profile and rine dipstick testing were done in 95, 89, 84, 51 and 100, 81, 92, 95 percent at KAMC and DPWH, respectively. Patients achieving the NICE targets for overall, systolic, diastolic blood pressure and HbA1c screening at the two ospitals were 53, 55, 18 and 46, 39, 35 % respectively. For lipid profile, those who achieved the NICE targets or total cholesterol and LDL-C for two hospitals were 54, 51 and 71, 75 % respectively. Conclusion: NICE standards of diabetic care are not met in many of the patients in Saudi Arabia as well as United Kingdom, indicating that these standards are easy to recommend than to achieve. There is a need to nvestigate the reasons for this failure so as to adopt realistic targets and better multidisciplinary approach to chieve them.
KW - Blood pressure
KW - Diabetes
KW - HbA1c
KW - LDL-C
KW - NICE
UR - https://www.scopus.com/pages/publications/84859140884
M3 - Article
C2 - 22755271
AN - SCOPUS:84859140884
SN - 0030-9982
VL - 62
SP - 318
EP - 321
JO - Journal of the Pakistan Medical Association
JF - Journal of the Pakistan Medical Association
IS - 4
ER -
