Language:

Trends in cardiovascular risk factors and treatment goals in patients with diabetes in Singapore-analysis of the SingHealth Diabetes Registry

PloS one, 2021-11, Vol.16 (11), p.e0259157-e0259157 [Peer Reviewed Journal]

COPYRIGHT 2021 Public Library of Science ;2021 Feng et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2021 Feng et al 2021 Feng et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0259157 ;PMID: 34748574

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Trends in cardiovascular risk factors and treatment goals in patients with diabetes in Singapore-analysis of the SingHealth Diabetes Registry
Author: Feng, Liang ; Lam, Amanda ; Carmody, David ; Lim, Ching Wee ; Tan, Gilbert ; Goh, Su-Yen ; Bee, Yong Mong ; Jafar, Tazeen H
Kong, Alice PS
Subjects: Adolescent ; Adult ; Adults ; Aged ; Analysis ; Antihypertensives ; Asians ; Asians - genetics ; Biology and life sciences ; Blood circulation disorders ; Blood pressure ; Body mass index ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - pathology ; Cardiovascular Diseases - therapy ; Care and treatment ; Cholesterol ; Cholesterol, LDL - blood ; Codes ; Complications ; Complications and side effects ; Coronary artery disease ; Data collection ; Demographic aspects ; Demographics ; Demography ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - metabolism ; Diagnosis ; Disease Management ; Disease prevention ; Endocrinology ; Ethnicity ; Female ; Glucose ; Glycated Hemoglobin A - metabolism ; Health aspects ; Health care policy ; Health risks ; Health services ; Heart Disease Risk Factors ; Heart diseases ; Hemoglobin ; Hospitals ; Housing ; Humans ; Hypertension - physiopathology ; Laboratories ; Low density lipoprotein ; Low density lipoproteins ; Male ; Medicine and Health Sciences ; Middle Aged ; Minority & ethnic groups ; Mortality ; Patients ; People and Places ; Preventive medicine ; Primary care ; Public health ; Registries ; Regression analysis ; Regulation ; Retrospective Studies ; Risk analysis ; Risk factors ; Risk management ; Singapore - epidemiology ; Sociodemographics ; Stroke ; Trends ; Young Adult
Is Part Of: PloS one, 2021-11, Vol.16 (11), p.e0259157-e0259157
Description: Asian populations are at high risk of diabetes and related vascular complications. We examined risk factor control, preventive care, and disparities in these trends among adults with diabetes in Singapore. The sample included 209,930 adults with diabetes aged≥18 years from a multi-institutional SingHealth Diabetes Registry between 2013 and 2019 in Singapore. We performed logistic generalized estimating equations (GEEs) regression analysis and used linear mixed effect modeling to evaluate the temporal trends. Between 2013 and 2019, the unadjusted control rates of glycated hemoglobin (4.8%, 95%CI (4.4 to 5.1) and low-density lipoprotein cholesterol (LDL-C) (11.5%, 95%CI (11.1 to 11.8)) improved, but blood pressure (BP) control worsened (systolic BP (SBP)/diastolic BP (DBP) <140/90 mmHg: -6.6%, 95%CI (-7.0 to -6.2)). These trends persisted after accounting for the demographics including age, gender, ethnicity, and housing type. The 10-year adjusted risk for coronary heart disease (CHD) (3.4%, 95% (3.3 to 3.5)) and stroke (10.4%, 95% CI (10.3 to 10.5)) increased. In 2019, the control rates of glycated hemoglobin, BP (SBP/DBP<140/90 mmHg), LDL-C, each, and all three risk factors together, accounted for 51.5%, 67.7%, 72.2%, and 24.4%, respectively. Trends in risk factor control improved for glycated hemoglobin and LDL-C, but worsened for BP among diabetic adults in Singapore from 2013 to 2019. Control rates for all risk factors remain inadequate.
Publisher: United States: Public Library of Science
Language: English
Identifier: ISSN: 1932-6203
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0259157
PMID: 34748574
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
Public Library of Science (PLoS)
ProQuest Central
DOAJ Directory of Open Access Journals

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Trends in cardiovascular risk factors and treatment goals in patients with diabetes in Singapore-analysis of the SingHealth Diabetes Registry

Searching Remote Databases, Please Wait