A SCREENING PROGRAM FOR PATIENTS IN RELATION TO CHRONIC KIDNEY DISEASE AND DIABETES IN ROMANIA - MANAGEMENT AND INNOVATION ASPECTS

Authors

  • Dr. Mihaela Vladu Diabetes Primary MD, Municipal Hospital "Filantropia" and Interlab Medical, Craiova, Romania
  • Dr. Oana Gabriel Internal Medicine Primary MD, Interlab Medical, Craiova, Romania
  • Dr. Gheorghe Popa Laboratory Medicine Primary MD, Clinical University Hospital and Interlab Medical, Craiova, Romania
  • Dr. Bogdan Stania Psychiatry Primary Medicine MD, Interlab Medical, Craiova, Romania
  • Dr. Diana Clenciu Diabetes Specialist MD, Municipal Hospital "Filantropia" and Interlab Medical, Craiova, Romania

DOI:

https://doi.org/10.53555/eijmhs.v2i3.114

Abstract

The aim of our study is to present the results of a screening program for 401 patients in relation to chronic kidney disease and diabetes, shading new light on managing these pathologies and bringing into discussion the use of innovative analytical tools. The whole group of patients has been divided in two sub-groups: one presenting diabetes (204 subjects) and the other one with no diabetes (197 subjects). All subjects have been investigated via the following categories of parameters: (i) General health parameters: high blood pressure, overweight and obesity, kidney disorders, dyslipidemia, lower limb peripheral arteriopathies, cardiac disorders, endocrinologic disorders, hepatic steatosis, pancreatic disorders and (ii) Biological parameters: glycaemia, glycated haemoglobin - HbA1c, cholesterol-total, cholesterol- HDL, cholesterol-LDL, triglycerides, urea, creatinine, uric acid, glomerular filtration rate, total lipids, albumin, C Cystatin. In addition to these, if the case, psychological assistance has been be provided. All collected data for the two sub-groups of patients have been presented and critically analyzed. Furthermore, several correlations between various sets of variables have been proposed, setting up favorable initial conditions for developing an integrated model for managing these pathologies. 

References

. Barnett K. et al., Epidemiology of multimorbidity and implications for health care, research, and medical education:

a cross-sectional study, Lancet. 2012; 380(9836):3743.

. Blaum C. Descriptive epidemiology of diabetes. In: M. Munshi and L. Lipsitz (eds.).Geriatric Diabetes Book. Taylor

and Francis Group, LLC. 2008; New York, 110.[3]. Busse, R., Blu mel, M., Scheler-Kreinsen, D. and Zenter, A.Tackling chronic disease in Europe - Strategies,

interventions and challenges, Observatory Studies Series No. 20, World Health Organization 2010. 2010; European

Observatory on Health Systems and Policies.

. Cigolle C.T. and Blaum C.S. Diabetes and fall. In: Diabetes in Old Age. Editor Alan J. Sinclair. Third Edition; 2009.

. Dielman, J.L. ET. al., National spending on health by source for 184 countries between 2013 and 2040, Lancet.

; 387(10037):2521-35, doi: 10.1016/S01406736 (16)30167-2.

. Ferré et al. (2014), Italy: health system review, Health Systems in Transition, 16(4): 1–168.

. Gill G. and Benbow S., Managing Surgery in the Elderly Diabetic Pacient. 2009; In: Diabetes in Old Age. Third

Edition. Editor Alan J. Sinclair. 349-60.

. Giorda C.B., Avogaro A., Maggini M., et al. Incidence and risk factors for stroke in type 2 diabetic patients: the

DAI study. Stroke, 2007; 38:1154-60.

. Hildebrandt H, Hermann C, Knittel R, Richter-Reichhelm M, Siegel A, Witzenrath W. Gesundes Kinzigtal, and

Integrated Care: improving population health by a shared health gain approach and a shared savings contract. 2010;

International Journal of Integrated Care, 10(2): 1-15, DOI: http://doi.org/10.5334/ijic.539 .

. Institute for Health Metrics and Evaluation, Global burden of disease, Institute for Health Metrics and Evaluation.

; Global burden of disease: http://vizhub.healthdata.org / gbd-compare.

. Kirkman M.S., Briscoe J.V., Clark N., et al. Diabetes in Older Adults: A Consensus Report. American Diabetes

Association and the American Geriatrics Society; 2012, 115.

. Lo Scalzo, A. et al., Italy: health system review, Health Systems in Transition. 2009; 11(6): 1–216.

. Meneilly G.S., Tessier D. Diabetes in elderly adults. 2001; J. Gerontol. Med. Sci.; 56A:M5–M13.

. Mota M., Popa S.G., Mota E. et al., Prevalence of diabetes mellitus and prediabetes in the adult Romanian

population: PREDATORR study. 2016; J. Diabetes, 8(3):336-44, doi: 10.1111/1753-0407.12297.

. Nolte, E., Knai, C., Eds., Assessing chronic disease management in European health systems - country reports.

; Observatory Studies Series No. 39, World Health Organization 2015, European Observatory on Health

Systems and Policies.

. Nolte, E., Knai, C., Saltman, R.B., Eds., Assessing chronic disease management in European health systems -

Concepts and approaches. 2014; Observatory Studies Series No. 37, World Health Organization 2014, European

Observatory on Health Systems and Policies.

. World Health Organisation, Assessing national capacity for the prevention and control of noncommunicable

diseases: report of the 2015 global survey. 2015; WHO Library, Geneva.

. Peytremann-Bridevaux, I., Lauvergeon, S., Mettler, D., Burnand B., Diabetes care: Opinions, needs and proposed

solutions of Swiss patients and healthcare professionals: a qualitative study. 2012; Diabetes Res. Clin. Pract.

(2):242-50. doi: 10.1016/j.diabres.2012.02.021 (accesat pe 14 martie 2017)

. Schaller, P., Le reseau des soins Delta 2013 http://www.philippeschaller.ch/index.php

?page=Reseau-Delta.

. Schoen, C. et al., toward higher-performance health systems: adults’ health care experiences in seven countries.

; health Affairs, 26:w717–734.

. Seidell JC, Visscher TL. Body weight and weight change and their health implications for the elderly. 2000; Eur J

Clin Nutr.; 54 (Suppl. 3):S33–S39.

. Ship J.A. Diabetes and oral health. 2003; Journal of American Dental Association; 134: 4S-10S.

. Siering, U., Germany, Managing chronic conditions. Experience in eight countries. 2008; Observatory Studies

Series No. 15, World Health Organization 2008, European Observatory on Health Systems and Policies, (15): 75–

. Sinclair A.J., Gadsby R., Penfold S., et al. Prevalence of diabetes in care home residents. 2008; Diabetes Care;

(6):1066-8.

. Stratton I.M., Kohner E.M., Aldington S.J. et al. UKPDS 50. Risk factors for incidence and progression of

retinopathy in type II diabetes over 6 years from diagnosis. 2001; Diabetologia; 44:156–163.

. Suhrcke, M, Fahey, D, McKee, M., Economic aspects of chronic disease and chronic disease management. 2008;

In: Nolte E, McKee M, eds. Caring for people with chronic conditions: a health system perspective. Maidenhead,

Open University Press: 43–63.

. TNS Opinion & Social, Health in the European Union. 2007; Special Eurobarometer 272e. Brussels, European

Commission.

. Yach, D. et al., and The global burden of chronic diseases: overcoming impediments to prevention and control.

; JAMA, 291(21): 2616-2622.

. Zetu C. and Serafinceanu C. Diabetes – epidemiological data. 2011; Arhiva Saptamanala Medicala; 136/Diabet

zaharat, nutritie şi boli metabolice

Downloads

Published

2016-09-27

Issue

Vol. 2 No. 3 (2016): EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)

Section

Articles

License

Copyright (c) 2016 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.