2型糖尿病患者的疾病意识:从SMART-Finder观察研究的基线数据分析
Christian Mueller1, Thomas Neusser1, Inga Thate-Waschke1
1Pharmaceuticals Medizin, Pharmaceuticals, BAYER Vital GmbH, K56, Leverkusen, 51368, Germany, 49 1753005134.
JMIR formative research
|February 18, 2025
概括
德国使用健康应用程序的2型糖尿病 (T2DM) 患者缺乏对慢性病 (CKD) 生物标志物的认识,这表明医生与患者的沟通和CKD诊断测试存在差距.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌学 在内分泌学.
- 数字健康数字健康
背景情况:
- 慢性病 (CKD) 是2型糖尿病 (T2DM) 的常见并发症.
- 关于在德国的T2DM患者中确定CKD生物标志物的数据有限.
- 需要对T2DM患者的CKD患病率和风险因素的真实数据.
研究的目的:
- 为了确定德国T2DM患者中CKD患病率和风险因素.
- 为了评估尿中白蛋白与肌素比率 (UACR) 的可用性和估计的淋巴膜过率 (eGFR) 值.
- 评估患者对治疗的满意度和生活质量.
主要方法:
- 使用MyTherapy应用程序 (SMART-Finder) 进行了一项回顾性和前性观察队列研究.
- 纳入标准:德国的T2DM患者积极使用应用程序并记录特定的药物/测试.
- 通过电子案例报告表格收集的数据包括UACR,eGFR,HbA1c,EQ-5D-5L和DQTS.
主要成果:
- 患者对UACR (6/101) 和eGFR (9/101) 值的认识较低.
- 只有3名患者的UACR≥30 mg/g;大多数患者缺乏医疗保健专业人员的UACR测量.
- 高HbA1c (80/90 ≥6.0%) 和高血压 (46/101 ≥130 mm Hg) 是常见的.
结论:
- 在德国,使用健康应用程序的T2DM患者对CKD生物标志物的认识很低.
- 医生可能不会执行或传达UACR和eGFR结果.
- 改善符合指导方针的测试和医生与患者的沟通对于糖尿病和CKD管理至关重要.
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