...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Diabetes care >Diabetes care in the u.s. And Canada.
【24h】

Diabetes care in the u.s. And Canada.

机译：美国的糖尿病护理还有加拿大。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE-To compare the glycemic control of patients with type 1 diabetes treated in the U.S. and Canada. RESEARCH DESIGN AND METHODS-A large multicenter randomized clinical trial conducted in the U.S. and Canada was analyzed. Patients with type 1 diabetes, screened from 1983 to 1989 for enrollment in the Diabetes Control and Complications Trial (DCCT), were categorized as treated in the U.S. (n = 2,604) or Canada (n = 245). HbA(1c) levels were compared between U.S. and Canadian patients, both before and after adjustment for predictors of HbA(1c). RESULTS-In general, volunteers screened for the DCCT were highly educated and following healthy lifestyles. Canadians were somewhat younger (25 vs. 27 years of age, P = 0.002), less likely to be college educated (62 vs. 71%, P = 0.002), more likely to receive care through a family doctor (41 vs. 28%, P = 0.001), and had a higher frequency of out-patient visits (4 vs. 3 per year, P = 0.004). Despite these differences in health care delivery, the mean HbA(1c) at baseline was identical in the two countries (8.9 vs. 9.0, P = 0.40). Adjustment for demographic, lifestyle, and clinical predictors of HbA(1c) yielded similar findings (9.0 vs. 9.2, P = 0.15). Equal percentages of American and Canadian patients who were screened ultimately entered the trial (21 vs. 19%, P = 0.20), and those randomized to conventional care achieved similar mean HbA(1c) levels (9.1 vs. 9.2, P = 0.50). CONCLUSIONS-Differences in care delivery patterns do not yield large differences in glycemic control for patients with type 1 diabetes who were recruited in the U.S. and Canada for a large randomized trial.
机译：目的-比较在美国和加拿大治疗的1型糖尿病患者的血糖控制情况。研究设计与方法-分析了一项在美国和加拿大进行的大型多中心随机临床试验。从1983年至1989年进行糖尿病控制和并发症试验（DCCT）入选的1型糖尿病患者被分类为在美国（n = 2,604）或加拿大（n = 245）治疗。在调整HbA（1c）预测因子前后，比较美国和加拿大患者的HbA（1c）水平。结果-总体而言，接受DCCT筛查的志愿者受过良好的教育并且遵循健康的生活方式。加拿大人年龄相对较小（25岁对27岁，P = 0.002），受过大学教育的可能性较小（62％对71％，P = 0.002），通过家庭医生接受护理的可能性较高（41对28） ％，P = 0.001），门诊就诊的频率更高（每年4对3，P = 0.004）。尽管在医疗保健提供方面存在这些差异，但两国的基线HbA（1c）平均值是相同的（8.9 vs. 9.0，P = 0.40）。调整HbA（1c）的人口统计学，生活方式和临床预测指标可得出相似的发现（9.0 vs. 9.2，P = 0.15）。最终接受筛查的美国和加拿大患者的百分率最终进入了试验（21％vs. 19％，P = 0.20），随机分配给常规护理的患者达到了相似的HbA（1c）平均水平（9.1 vs. 9.2，P = 0.50） 。结论-在美国和加拿大进行大规模随机试验的1型糖尿病患者在护理提供方式上的差异不会在血糖控制方面产生较大差异。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号