有合并症和无合并症的糖尿病患者的管理中的种族差异：一项横断面研究。
Ethnic differences in diabetes management in patients with and without comorbid medical conditions: a cross-sectional study.
机构信息
Department of Primary Care and Public Health, Imperial College London, London, UK.
出版信息
Diabetes Care. 2011 Mar;34(3):655-7. doi: 10.2337/dc10-1606. Epub 2011 Jan 31.
OBJECTIVE
To examine ethnic disparities in diabetes management among patients with and without comorbid medical conditions after a period of sustained investment in quality improvement in the U.K.
RESEARCH DESIGN AND METHODS
This cross-sectional study examined associations between ethnicity, comorbidity, and intermediate outcomes for mean A1C, total cholesterol, and blood pressure levels in 6,690 diabetes patients in South West London.
RESULTS
The presence of ≥ 2 cardiovascular comorbidities was associated with similar blood pressure control among white and South Asian patients when compared with whites without comorbidity but with worse blood pressure control among black patients, with a mean difference in systolic blood pressure of +1.5, +1.4, and +6.2 mmHg, respectively.
CONCLUSIONS
Despite major reforms to improve quality, disparities in blood pressure management have persisted in the U.K., particularly among patients with cardiovascular comorbidities. Policy makers should consider the potential impacts of quality initiatives on high-risk groups.
目的
在英国持续投资质量改进一段时间后，研究患有和不患有合并症的患者在糖尿病管理方面的种族差异。
研究设计和方法
本横断面研究调查了在伦敦西南部的 6690 名糖尿病患者中，种族、合并症与中间结果（平均 A1C、总胆固醇和血压水平）之间的关联。
结果
与无合并症的白人相比，存在≥2 种心血管合并症的白人患者和南亚患者的血压控制情况相似，但黑人患者的血压控制情况更差，收缩压的平均差异分别为+1.5、+1.4 和+6.2mmHg。
结论
尽管进行了重大改革以提高质量，但英国在血压管理方面的差异仍然存在，尤其是在患有心血管合并症的患者中。政策制定者应考虑质量举措对高风险群体的潜在影响。
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