The Rates of Overtreatment and Deintensification in Patients With Diabetes Mellitus
The Rates of Overtreatment and Deintensification of Antidiabetic and Antihypertensive Medications in Patients With Diabetes Mellitus
研究概览
地位
条件
详细说明
Diabetes mellitus is one of the most common chronic diseases which lead to serious public health problems and a significant economic burden worldwide. The prevalence of diabetes in elderly patients is very high and is predicted to increase dramatically.
Prior studies have generally been concerned with the inadequate treatment of diabetes however, over the last few years the overtreatment of diabetes has also come to the fore. Unfortunately, there are very few data worldwide and no data in Turkey about the overtreatment of patients with type 2 diabetes.
This study aimed to assess the rates and predictors of overtreatment and undertreatment of glycemia and blood pressure in older adults with T2DM. Treatment deintensification or intensification by the physicians were also investigated.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Ankara、火鸡、06018
- Gulhane School of Medicine
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Patients with Diabetes Mellitus type I or II
- Age 65 years or older
- To be under follow-up in the same center for at least one year.
Exclusion Criteria:
- Younger than 65 years old
- having decompensated liver disease
- psychiatric disorders interfering cognition or compliance
- having bariatric surgery or on renal replacement therapy
学习计划
研究是如何设计的？
设计细节
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Overtreatment for glycemia
大体时间：7 days
|
HbA1c<6.5% plus use of ≥2 oral hypoglycemics or insulin, except metformine.
|
7 days
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Undertreatment for glycemia
大体时间：7 days
|
HbA1c>9%
|
7 days
|
|
Overtreatment for blood pressure
大体时间：7 days
|
systolic blood pressure < 120 mmHg or diastolic blood pressure < 65 mmHg and use of at least one drug additional to ACE inhibitors
|
7 days
|
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Undertreatment for blood pressure
大体时间：7 days
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SBP≥140 mmHg or DPB ≥ 90 mmHg and use of two or less drugs
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7 days
|
|
Deintensification of treatment
大体时间：7 days
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discontinuation or dosage decrease within 6 months after the index measurement.
|
7 days
|
合作者和调查者
调查人员
- 研究主任：Alper Sonmez, Prof.Dr.、Gulhane School of Medicine, Endocrinology and Metabolism
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
糖尿病的临床试验
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Laval University尚未招聘糖尿病，Mellitus，1 型