The European EUCCLID pilot study on care and complications in an unselected sample of people with type 2 diabetes in primary care

Gorter, Kees J.; Wens, Johan; Khunti, Kamlesh; Claramunt, Xavier Cos; Topsever, Pinar; Drivsholm, Thomas; Jenum, Anne Karen; Berkhout, Christophe; Khalangot, Mykola; Goldfracht, Margalit; Rurik, Imre; Lionis, Christos; Rutten, Guy E.H.M.

doi:10.1016/j.pcd.2010.01.004

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Volume 4, Issue 1 , Pages 17-23, April 2010

The European EUCCLID pilot study on care and complications in an unselected sample of people with type 2 diabetes in primary care

Kees J. Gorter
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands
- Corresponding author at: University Medical Center Utrecht (UMCU), Str 6.105, Julius Center for Health Sciences and Primary Care, P.O. Box 85060, 3508 AB Utrecht, The Netherlands. Tel.: +31 88 756 8154; fax: +31 88 756 9028.
Johan Wens
- Johan Wens, University of Antwerp, Belgium
Kamlesh Khunti
- Department of Health Sciences, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, United Kingdom
Xavier Cos Claramunt
- Sant Martí de Provençals Primary Health Care Centres, Institut Català de la Salut. Catalonian Health Service, Spain
- Internal Medicine Department, Universitat Autonoma de Barcelona, Plaça infancia s/n., 08020 Barcelona, Spain
Pinar Topsever
- Department of Family Medicine, Acibadem University School of Medicine, Istanbul, Turkey
Thomas Drivsholm
- Research Unit of General Practice in Copenhagen, Center for Sundhed og Samfund, Øster Farimagsgade 5, Postboks 2099, 1014 København K, Denmark
Anne Karen Jenum
- Oslo Diabetes Research Centre, Oslo University Hospital, Aker, Trondheimsveien 235, 0514 Oslo, Norway
Christophe Berkhout
- University of Lille 2–Law and Healthcare, Department of General Medicine, Faculty of Medicine Henri Warembourg, 59045 Lille Cedex, France
Mykola Khalangot
- Epidemiology of Diabetes Mellitus Laboratory V.P. Komisarenko Institute of Endocrinology and Metabolism, Vyshgorodska 69, Kiev 04114, Ukraine
Margalit Goldfracht
- Department of Family Health Care, Bruce Rappaport Faculty of Medicine, The Technion, Hashachaf 6 Bat Galim, Haifa, Israel
- Quality Improvement Department, Medicine Division, Community Section, Clalit Health Services, Arlozorov 101 Tel Aviv, 62098, Israel
Imre Rurik
- Department of Family Medicine, University Debrecen, P.O. Box 54, 4012 Debrecen, Hungary
Christos Lionis
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, P.O. Box 2208, Heraklion, Crete, Greece
Guy E.H.M. Rutten
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands

Received 20 June 2009; received in revised form 22 November 2009; accepted 8 January 2010. published online 18 February 2010.

Abstract

Background

European studies on quality of diabetes care in an unselected primary care diabetes population are scarce.

Research question

To test the feasibility of the set-up and logistics of a cross-sectional EUropean study on Care and Complications in patients with type 2 diabetes (T2DM) in Primary Care (EUCCLID) in 12 European countries.

Method

One rural and one urban practice from each country participated. The central coordinating centre randomly selected five patients from each practice. Patient characteristics were assessed including medical history, anthropometric measures, quality indicators, UKPDS-risk engine, psychological and general well-being.

Results

We included 103 participants from 22 GPs in 11 countries. Central data and laboratory samples were successfully collected. Of the participants 54% were female, mean age was 66 years and mean duration of diabetes was 9.6 years. Besides, 18% were using insulin, 31% had a history of cardiovascular disease, mean HbA1c was 7.1% (range 6.6–8.0), mean systolic blood pressure was 133.7mmHg (range 126.1–144.4) and mean total cholesterol was 4.9mmol/l (range 4.0–6.2).

Conclusion

A European study on care and complications in a random selection of people with T2DM is feasible. There are large differences in indicators of metabolic control and wellbeing between countries.

Keywords: Diabetes type 2, International survey, Care, Complications, Primary care