Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease

Objective: To carry out a drug usage study with diabetic patients treated at Josefina Prieur Hospital (HJP) Villa Allende city (Córdoba, Argentina) to determine anti-diabetic drug consumption, degree of treatment adherence, and amount of patients with complications arising from diabetes.Method: Obse...

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Autores principales: Brusa, Andrea Fabiana, Armando, Pedro Domingo, Naeko Uema, Sonia Andrea
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014
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Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/6836
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spelling I10-R360-article-68362025-04-03T12:07:55Z Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease Pacientes diabéticos sin cobertura de salud: utilización de medicamentos, adherencia y complicaciones derivadas de su patología de base Brusa, Andrea Fabiana Armando, Pedro Domingo Naeko Uema, Sonia Andrea diabetes mellitus drug utilization studies defined daily dose programa Córdoba diabetes diabetes complications Objective: To carry out a drug usage study with diabetic patients treated at Josefina Prieur Hospital (HJP) Villa Allende city (Córdoba, Argentina) to determine anti-diabetic drug consumption, degree of treatment adherence, and amount of patients with complications arising from diabetes.Method: Observational, descriptive, cross-sectional study carried out on diabetic patients treated at the HJP belonging to the program “Programa Córdoba Diabetes” (ProCorDia), from May to December 2011. Drug consumption was determined in DDDs per 1000 inhabitants per day. Adherence was defined by the number of drug provisions for each patient during eight months. The presence of complications was obtained from records of drug delivery to patients receiving other medication besides anti-diabetic ones.Results: From 98 patients, 73 had some type of complication. The consumption of antidiabetic drugs in DDD per 1000 inhabitants per day was: Regular Insulin 1.990, NPH Insulin 6.244, Glibenclamide 2.826, Gliclazide 0.281, Metformin 2.497.Conclusions: From all anti-diabetic drugs dispensed, 40.50% belonged to subgroup A10B (oral hypoglycemic agents) and 59.50% to subgroup A10A (insulin). Good adherence to drug therapy was observed (mean = 81.63%, mode = 100%). A 74.49% of patients presented complications. Objetivo: realizar un Estudio de Utilización de Medicamentos de los pacientes diabéticos atendidos en elHospital Josefina Prieur (HJP) de la ciudad de Villa Allende(Córdoba, Argentina), determinar consumo de medicamentos antidiabéticos, grado de adherencia al tratamiento y pacientes afectados por complicaciones derivadas de la diabetes.Método: Estudio observacional, descriptivo y transversal,sobre pacientes diabéticos atendidos en el HJP que pertenecen al Programa Córdoba Diabetes (ProCorDia) durante los meses de Mayo a Diciembre de 2011. El consumo de medicamentos se determinó en DDD por 1000 habitantes por día (DHD). La adherencia se estableció del número de dispensaciones realizadas a cada paciente durante los ocho meses. La presencia de complicaciones se obtuvo observando en el registro de entrega de medicamentos a pacientes que retiran otros medicamentos además de antidiabéticos.Resultados: Sobre 98 pacientes, 73 presentaron algún tipode complicación. El consumo de medicamentos antidiabéticos en DHD fue: Insulina Corriente 1,990; Insulina NPH 6,244; Glibenclamida 2,826; Glicazida 0,281; Metformina 2,497. Conclusiones: Del total de medicamentos antidiabéticos dispensados, el 40,50% correspondió al subgrupo A10B (hipoglucemiantes orales) y el 59,50% al subgrupo A10A (Insulinas). Se observó una buena adherencia al tratamiento (media=81.63%, moda=100%). El 74,49% de los pacientes presentó complicaciones. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014-03-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/6836 10.31052/1853.1180.v17.n2.6836 Revista de Salud Pública; Vol. 17 Núm. 2 (2013); 53-692 1852-9429 1853-1180 10.31052/1853.1180.v17.n2 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/6836/7916 Derechos de autor 1969 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic diabetes mellitus
drug utilization studies
defined daily dose
programa Córdoba diabetes
diabetes complications
spellingShingle diabetes mellitus
drug utilization studies
defined daily dose
programa Córdoba diabetes
diabetes complications
Brusa, Andrea Fabiana
Armando, Pedro Domingo
Naeko Uema, Sonia Andrea
Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease
topic_facet diabetes mellitus
drug utilization studies
defined daily dose
programa Córdoba diabetes
diabetes complications
author Brusa, Andrea Fabiana
Armando, Pedro Domingo
Naeko Uema, Sonia Andrea
author_facet Brusa, Andrea Fabiana
Armando, Pedro Domingo
Naeko Uema, Sonia Andrea
author_sort Brusa, Andrea Fabiana
title Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease
title_short Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease
title_full Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease
title_fullStr Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease
title_full_unstemmed Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease
title_sort diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease
description Objective: To carry out a drug usage study with diabetic patients treated at Josefina Prieur Hospital (HJP) Villa Allende city (Córdoba, Argentina) to determine anti-diabetic drug consumption, degree of treatment adherence, and amount of patients with complications arising from diabetes.Method: Observational, descriptive, cross-sectional study carried out on diabetic patients treated at the HJP belonging to the program “Programa Córdoba Diabetes” (ProCorDia), from May to December 2011. Drug consumption was determined in DDDs per 1000 inhabitants per day. Adherence was defined by the number of drug provisions for each patient during eight months. The presence of complications was obtained from records of drug delivery to patients receiving other medication besides anti-diabetic ones.Results: From 98 patients, 73 had some type of complication. The consumption of antidiabetic drugs in DDD per 1000 inhabitants per day was: Regular Insulin 1.990, NPH Insulin 6.244, Glibenclamide 2.826, Gliclazide 0.281, Metformin 2.497.Conclusions: From all anti-diabetic drugs dispensed, 40.50% belonged to subgroup A10B (oral hypoglycemic agents) and 59.50% to subgroup A10A (insulin). Good adherence to drug therapy was observed (mean = 81.63%, mode = 100%). A 74.49% of patients presented complications.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2014
url https://revistas.unc.edu.ar/index.php/RSD/article/view/6836
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