Epidemiological multicentre study on the education provided to patients with type 2 diabetes mellitus in the Spanish Health Care System. The Forma2 study / Estudio epidemiológico multicéntrico sobre la formación proporcionada a pacientes con diabetes mellitus tipo 2 en el sistema sanitario español. Estudio Forma2

Purpose. The purpose of the present study was to characterize the education that patients with type 2 diabetes mellitus receive, and to identify differences as regards the presence of insulin therapy or not. Methods. This crossover, multicentre and descriptive study involved 1066 Spanish physicians who completed a questionnaire on Internet. Results. The physicians that responded had a mean of 26.0 years of experience in healthcare, and mainly worked in a walk-in clinic in an urban area. Physicians rated the level of patient knowledge about their disease on a 5.0 point-scale. Fifty percent of them indicated that they spent between 15 and 30min in educating patients at the time of diagnosis. Previous control with HbA1c>9%, presence of microvascular complications, and a low socio-cultural level, were factors associated with spending more time in education. Conclusion. This is the first study designed to evaluate the education provided to patients with type 2 diabetes mellitus from Spain. The time spent and the individualization of the education are important factors associated with better long-term control of the disease, and thus with the effectiveness of the clinical management (AU)

Objetivo. El objetivo del presente estudio fue caracterizar la educación que reciben los pacientes con diabetes mellitus tipo 2 e identificar las diferencias existentes en función de la presencia o ausencia de terapia insulínica. Métodos. En este estudio transversal, multicéntrico y descriptivo participaron 1.066 médicos españoles que completaron una encuesta por Internet. Resultados. Los médicos participantes tenían una experiencia media de 26 años en atención sanitaria y principalmente trabajaban en centros de atención primaria de áreas urbanas. Los médicos determinaron el grado de conocimiento de cada paciente en relación con su enfermedad empleando una escala de 5 puntos. El 50% de los médicos indicaron que habían empleado entre 15 y 30min en educar al paciente en el momento del diagnóstico. Los niveles de HbA1c>9%, la presencia de complicaciones microvasculares y un nivel sociocultural bajo fueron los factores asociados a la necesidad de dedicar un mayor tiempo a la educación. Conclusión. (AU)Este es el primer estudio diseñado para evaluar la educación proporcionada al paciente con diabetes mellitus tipo 2 en España. El tiempo dedicado y la individualización de la educación son factores asociados con un mejor control a largo plazo de la enfermedad y, consecuentemente, con una mayor eficacia en su manejo clínico (AU)

Epidemiological multicentre study on the education provided to patients with type 2 diabetes mellitus in the Spanish Health Care System. The Forma2 study.

PURPOSE: The purpose of the present study was to characterize the education that patients with type 2 diabetes mellitus receive, and to identify differences as regards the presence of insulin therapy or not. METHODS: This crossover, multicentre and descriptive study involved 1066 Spanish physicians who completed a questionnaire on Internet. RESULTS: The physicians that responded had a mean of 26.0 years of experience in healthcare, and mainly worked in a walk-in clinic in an urban area. Physicians rated the level of patient knowledge about their disease on a 5.0 point-scale. Fifty percent of them indicated that they spent between 15 and 30min in educating patients at the time of diagnosis. Previous control with HbA1c>9%, presence of microvascular complications, and a low socio-cultural level, were factors associated with spending more time in education. CONCLUSION: This is the first study designed to evaluate the education provided to patients with type 2 diabetes mellitus from Spain. The time spent and the individualization of the education are important factors associated with better long-term control of the disease, and thus with the effectiveness of the clinical management.

Consenso multidisciplinar sobre el manejo individualizado de la diabetes en atención primaria. Estudio ICANDAP / Delphi consensus on the individualised management of diabetes in primary care. ICANDAP study

Introducción. Se trata de explorar el grado de aceptación y consenso en el abordaje individualizado y determinadas recomendaciones sobre el manejo clínico-terapéutico de la diabetes mellitus de tipo 2 (DM2) entre los médicos de Atención Primaria (AP) españoles y explorar las diferentes barreras que pueden interferir en su implementación en la práctica clínica habitual. Material y métodos. Estudio nacional en el ámbito de la AP, de carácter exploratorio, de acuerdo con la metodología Delphi modificada, con 2 rondas de consenso. Evaluación por parte de un panel homogéneo formado por 152 médicos de AP a través de un cuestionario dividido en 6 áreas temáticas y constituido por 27 ítems. Resultados. De manera global, se consiguió el consenso en 19 (70,4%) de los 27 ítems: 12 de acuerdo (44,4%) y 7 de desacuerdo (25,9%). No se alcanzó consenso en 8 de los ítems (29,6%). Conclusiones. Aunque hay aspectos que reflejan un aceptable consenso sobre el manejo de la diabetes de tipo 2 con base en el perfil individualizado del paciente, como el establecimiento de los objetivos de control o la selección de los fármacos antidiabéticos, persiste una amplia diversidad de opiniones entre los médicos de AP en nuestro medio (AU)

Introduction. To determine the level of acceptance of the message of individualised management of type 2 diabetes mellitus among Spanish Primary Care (PC) physicians, and to evaluate the factors that may interfere with its implementation in clinical practice. Material and methods. National study in the field of PC, exploratory, and following a two-round modified Delphi method. Evaluation by a homogeneous panel of 152 physicians using a 27-items questionnaire divided into 6 thematic areas. Results. Overall, consensus was achieved in 19 (70.4%) of the 27 items, 12 in agreement (44.4%), and 7 in disagreement (25.9%). There was no consensus in 8 (29.6%) of the items. Conclusions. Although there are certain aspects indicating the good acceptance of the message of diabetes management based on the individual patient profile, such as in the establishment of targets or the selection of antidiabetic drugs, the message has not been assimilated by all Spanish PC physicians. Further studies, involving a large number of physicians, are required to corroborate these results, and identify more factors that may be interfering with the implementation in clinical practice (AU)

[Delphi consensus on the individualised management of diabetes in primary care. ICANDAP study]. / Consenso multidisciplinar sobre el manejo individualizado de la diabetes en atención primaria. Estudio ICANDAP.

INTRODUCTION: To determine the level of acceptance of the message of individualised management of type 2 diabetes mellitus among Spanish Primary Care (PC) physicians, and to evaluate the factors that may interfere with its implementation in clinical practice. MATERIAL AND METHODS: National study in the field of PC, exploratory, and following a two-round modified Delphi method. Evaluation by a homogeneous panel of 152 physicians using a 27-items questionnaire divided into 6 thematic areas. RESULTS: Overall, consensus was achieved in 19 (70.4%) of the 27 items, 12 in agreement (44.4%), and 7 in disagreement (25.9%). There was no consensus in 8 (29.6%) of the items. CONCLUSIONS: Although there are certain aspects indicating the good acceptance of the message of diabetes management based on the individual patient profile, such as in the establishment of targets or the selection of antidiabetic drugs, the message has not been assimilated by all Spanish PC physicians. Further studies, involving a large number of physicians, are required to corroborate these results, and identify more factors that may be interfering with the implementation in clinical practice.