Please use this identifier to cite or link to this item: http://ir.swu.ac.th/jspui/handle/123456789/12901
Title: National survey: Evaluation of cardiovascular risk factors in Thai patients with type 2 diabetes and chronic kidney disease after the development of cardiovascular disease
Authors: Changsirikulchai S.
Sangthawan P.
Janma J.
Sripaiboonkij N.
Rattanamongkolgul S.
Thinkhamrop B.
Keywords: acetylsalicylic acid
angiotensin receptor antagonist
clopidogrel
dipeptidyl carboxypeptidase inhibitor
hemoglobin A1c
antidiabetic agent
antihypertensive agent
antilipemic agent
biological marker
glycosylated hemoglobin
hemoglobin A1c protein, human
lipid
adult
aged
Article
body mass
cardiovascular disease
chronic kidney failure
controlled study
cross-sectional study
disease association
estimated glomerular filtration rate
female
health care policy
human
major clinical study
male
non insulin dependent diabetes mellitus
population research
prevalence
priority journal
recurrent disease
risk factor
Thai (people)
blood
blood pressure
cardiovascular disease
chronic kidney failure
drug effect
dyslipidemia
factual database
glomerulus filtration rate
glucose blood level
health care quality
health care survey
health status
hypertension
kidney
metabolism
middle aged
non insulin dependent diabetes mellitus
pathophysiology
risk assessment
Thailand
time factor
treatment outcome
Aged
Antihypertensive Agents
Biomarkers
Blood Glucose
Blood Pressure
Cardiovascular Diseases
Cross-Sectional Studies
Databases, Factual
Diabetes Mellitus, Type 2
Dyslipidemias
Female
Glomerular Filtration Rate
Glycated Hemoglobin A
Health Care Surveys
Health Status
Humans
Hypertension
Hypoglycemic Agents
Hypolipidemic Agents
Kidney
Lipids
Male
Middle Aged
Prevalence
Quality Indicators, Health Care
Renal Insufficiency, Chronic
Risk Assessment
Risk Factors
Thailand
Time Factors
Treatment Outcome
Issue Date: 2018
Abstract: Aim: The aim of the present study was to evaluate the achievement in controlling the risk factors of cardiovascular diseases (CVD) in Thai patients with type 2 diabetes (T2DM) and chronic kidney disease (CKD). Methods: The DMHT dataset from 2011 to 2012, which was the cross-sectional study of the national survey in Thai patients with T2DM was analyzed. Results: There were 1254 of 15 149 diabetic patients with estimated glomerular filtration rate (eGFR) less than 60 mL/min per 1.73 m2 that had developed CVD for more than 12 months. The prevalence of CVD was 8.3%. The mean age in years was 68.2 with a standard deviation (SD) of 8.7. Males and females were 38.7 and 61.3%, respectively. The mean duration of diabetes was 8.5 (SD 0.2) years. The mean body mass index was 25.5 (SD 4.4) kg/m2. The percentage of patients with the target level of blood pressure control at ≤130/80 mm Hg was 47.1%. The percentage of patients who received angiotensin converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) was 58.9%. The percentage of patients with the target level of LDL control at <70 mg/dL was 17.2%. The percentage of patients with the target level of HbA1C at 7% was 39.2%. There were 63 (5.0%) patients having recurrent CVD. Conclusions: Most Thai patients with T2DM and CKD with eGFR < 60 mL/min per 1.73 m2 could not achieve the therapeutic goals after the development of CVD. The national health policy should be planned to improve the quality of care to increase the number of patients who achieve the recommended goals. © 2016 Asian Pacific Society of Nephrology
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038085330&doi=10.1111%2fnep.12922&partnerID=40&md5=bfec910d0ce02dec2d2e76bd20093058
http://ir.swu.ac.th/jspui/handle/123456789/12901
ISSN: 13205358
Appears in Collections:Scopus 1983-2021

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