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Related Experiment Videos

Developing a district diabetic register.

S D Burnett1, C M Woolf, J S Yudkin

  • 1Department of Medicine, University College and Middlesex School of Medicine, Whittington Hospital, London.

BMJ (Clinical Research Ed.)
|September 12, 1992
PubMed
Summary
This summary is machine-generated.

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Creating a district-wide diabetes register is challenging, with varied patient identification methods yielding incomplete data. This highlights the complexity of diabetes management in urban health districts.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Informatics

Background:

  • Establishing comprehensive patient registries is crucial for effective disease management.
  • Diabetes mellitus presents a significant public health challenge, particularly in urban settings.
  • Accurate patient identification is fundamental for epidemiological studies and resource allocation.

Purpose of the Study:

  • To create a district-wide diabetes mellitus register for all patients within a specific general hospital's catchment area.
  • To evaluate and compare the efficacy of different methods for identifying diabetic patients.

Main Methods:

  • Data was aggregated from general practitioners' records, the Prescription Pricing Authority, and hospital diabetic clinic databases.
  • The study encompassed all individuals diagnosed with diabetes residing in or receiving care within the defined district.

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  • Key metrics included diabetes prevalence, patient ascertainment rates by different methods, hospital attendance proportion, and cost-effectiveness of prescription data.

    • Main Results:

    • A total of 4674 diabetes patients were identified, yielding a known diabetes prevalence of 1.17%.
    • Patient identification varied significantly: Prescription Pricing Authority returns identified 39.4%, practice registers 42.8%, and only 56.5% attended the district general hospital.
    • When all data sources were combined, practice registers captured 60.4% of patients, prescription returns 64.9%, and clinic records 40.6%.

    Conclusions:

    • Developing comprehensive district-wide diabetes registers is a substantial undertaking, even with a single cross-sectional attempt.
    • The findings underscore the difficulties in achieving complete patient ascertainment for diabetes mellitus in inner-city health districts.
    • Optimizing data integration from multiple sources is essential for improving diabetes patient registry accuracy.