A1 Refereed original research article in a scientific journal
The majority of type 2 diabetic patients in Finnish primary care are at very high risk of cardiovascular events: A cross-sectional chart review study (STONE HF)
Authors: Metsärinne Kaj, Pietilä Mikko, Kantola Ilkka, Stenman Lotta K, Hätinen Olli-Pekka, Vesikansa Aino, Poussa Tuija, Niskanen Leo; STONE HF (STatus Of kidNEy disease in type 2 diabetes and heart failure in Finnish primary care) study investigators
Publisher: Elsevier
Publication year: 2022
Journal: Primary Care Diabetes
Journal name in source: Primary care diabetes
Journal acronym: Prim Care Diabetes
Volume: 16
Issue: 1
First page : 135
Last page: 141
ISSN: 1878-0210
eISSN: 1878-0210
DOI: https://doi.org/10.1016/j.pcd.2021.12.012
Web address : https://www.sciencedirect.com/science/article/pii/S175199182100228X?via%3Dihub
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/68807449
Aims
To characterize clinical profiles, prevalence of chronic kidney disease (CKD), and treatment patterns in type 2 diabetes (T2D) and heart failure (HF) patients in Finnish primary care.
Methods
A total of 1385 patients (1196 with T2D, 50 with HF, and 139 with T2D and HF) in 60 Finnish primary care centers were recruited to this cross-sectional study. Data on demographic and clinical characteristics, laboratory measurements, and medications were collected retrospectively from medical records. T2D patients were classified according to their risk of cardiovascular (CV) events as very high-risk (62%) and other patients (38%).
Results
Of the T2D patients, 10% (139/1335) had a diagnosis of HF and 42% (457/1090) had stage 3-5 CKD and/or albuminuria based on laboratory measurement. Of the HF patients, 74% (139/189) had T2D and 78% (114/146) had stage 3-5 CKD and/or albuminuria. Metformin was the most frequently used medication in both very high-risk patients (74%) and other patients (86%). SGLT2 inhibitors and/or GLP-1 analogues were used by 37% of very high-risk patients compared to 42% in other patients.
Conclusions
The majority of T2D patients in Finnish primary care are at very high risk of cardiovascular events. However, the implementation of treatments with proven cardioprotective effects in very high-risk patients is currently suboptimal.
Downloadable publication This is an electronic reprint of the original article. |  |
