Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan.

Hdl Handle:
http://hdl.handle.net/10144/267593
Title:
Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan.
Authors:
Khader, A; Farajallah, L; Shahin, Y; Hababeh, M; Abu-Zayed, I; Kochi, A; Harries, A D; Zachariah, R; Kapur, A; Venter, W; Seita, A
Journal:
Tropical Medicine & International Health
Abstract:
Objective  To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services. Method  A descriptive study using quarterly and cumulative case findings, as well as cumulative and 12-month analyses of cohort outcomes collected through E-Health in UNRWA Nuzha Primary Health Care Clinic. Results  There were 55 newly registered patients with DM in quarter 1, 2012, and a total of 2851 patients with DM ever registered on E-Health because this was established in 2009. By 31 March 2012, 70% of 2851 patients were alive in care, 18% had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow-up. Cumulative and 12-month cohort outcome analysis indicated deficiencies in several components of clinical care: measurement of blood pressure, annual assessments for foot care and blood tests for glucose, cholesterol and renal function. 10-20% of patients with DM in the different cohorts had serious late complications such as blindness, stroke, cardiovascular disease and amputations. Conclusion  Cohort analysis provides data about incidence and prevalence of DM at the clinic level, clinical management performance and prevalence of serious morbidity. It needs to be more widely applied for the monitoring and management of non-communicable chronic diseases.
Affiliation:
United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan  Field Health Programme, United Nations Relief and Works Agency, Amman, Jordan  Tokyo University Medical School, Tokyo, Japan  International Union Against Tuberculosis and Lung Disease, Paris, France  London School of Hygiene and Tropical Medicine, London, UK  Medecins Sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg  World Diabetes Foundation, Gentofte, Denmark.
Issue Date:
11-Oct-2012
URI:
http://hdl.handle.net/10144/267593
DOI:
10.1111/j.1365-3156.2012.03097.x
PubMed ID:
23051859
Language:
en
ISSN:
1365-3156
Appears in Collections:
Chronic Diseases

Full metadata record

DC FieldValue Language
dc.contributor.authorKhader, Aen_GB
dc.contributor.authorFarajallah, Len_GB
dc.contributor.authorShahin, Yen_GB
dc.contributor.authorHababeh, Men_GB
dc.contributor.authorAbu-Zayed, Ien_GB
dc.contributor.authorKochi, Aen_GB
dc.contributor.authorHarries, A Den_GB
dc.contributor.authorZachariah, Ren_GB
dc.contributor.authorKapur, Aen_GB
dc.contributor.authorVenter, Wen_GB
dc.contributor.authorSeita, Aen_GB
dc.date.accessioned2013-01-30T00:53:28Z-
dc.date.available2013-01-30T00:53:28Z-
dc.date.issued2012-10-11-
dc.identifier.citationCohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan. 2012: Trop. Med. Int. Healthen_GB
dc.identifier.issn1365-3156-
dc.identifier.pmid23051859-
dc.identifier.doi10.1111/j.1365-3156.2012.03097.x-
dc.identifier.urihttp://hdl.handle.net/10144/267593-
dc.description.abstractObjective  To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services. Method  A descriptive study using quarterly and cumulative case findings, as well as cumulative and 12-month analyses of cohort outcomes collected through E-Health in UNRWA Nuzha Primary Health Care Clinic. Results  There were 55 newly registered patients with DM in quarter 1, 2012, and a total of 2851 patients with DM ever registered on E-Health because this was established in 2009. By 31 March 2012, 70% of 2851 patients were alive in care, 18% had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow-up. Cumulative and 12-month cohort outcome analysis indicated deficiencies in several components of clinical care: measurement of blood pressure, annual assessments for foot care and blood tests for glucose, cholesterol and renal function. 10-20% of patients with DM in the different cohorts had serious late complications such as blindness, stroke, cardiovascular disease and amputations. Conclusion  Cohort analysis provides data about incidence and prevalence of DM at the clinic level, clinical management performance and prevalence of serious morbidity. It needs to be more widely applied for the monitoring and management of non-communicable chronic diseases.en_GB
dc.languageENG-
dc.language.isoenen
dc.rightsArchived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]en_GB
dc.titleCohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan.en
dc.contributor.departmentUnited Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan  Field Health Programme, United Nations Relief and Works Agency, Amman, Jordan  Tokyo University Medical School, Tokyo, Japan  International Union Against Tuberculosis and Lung Disease, Paris, France  London School of Hygiene and Tropical Medicine, London, UK  Medecins Sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg  World Diabetes Foundation, Gentofte, Denmark.en_GB
dc.identifier.journalTropical Medicine & International Healthen_GB

Related articles on PubMed

All Items in MSF are protected by copyright, with all rights reserved, unless otherwise indicated.