Tropical Medicine and International Health
Volume 19, Issue 2, 2014, Pages 219-223

Treatment outcomes in a cohort of Palestine refugees with diabetes mellitus followed through use of E-Health over 3 years in Jordan (Article)

Khader A. , Ballout G. , Shahin Y. , Hababeh M. , Farajallah L. , Zeidan W. , Abu-Zayed I. , Kochi A. , Harries A.D.* , Zachariah R. , Kapur A. , Shaikh I. , Seita A.
  • a United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan
  • b United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan
  • c United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan
  • d United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan
  • e United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan
  • f United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan
  • g Field Health Programme, UNRWA, Amman, Jordan
  • h Tokyo University Medical School, Tokyo, Japan
  • i International Union Against Tuberculosis and Lung Disease, Paris, France, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • j Medecins sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg
  • k World Diabetes Foundation, Gentofte, Denmark
  • l United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan
  • m United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan

Abstract

Objective: The aim of this study was to use E-Health to report on 12-month, 24-month and 36-month outcomes and late-stage complications of a cohort of Palestine refugees with diabetes mellitus (DM) registered in the second quarter of 2010 in a primary healthcare clinic in Amman, Jordan. Method: Retrospective cohort study with treatment outcomes censored at 12-month time points using E-Health in UNRWA's Nuzha Primary Health Care Clinic. Results: Of 119 newly registered DM patients, 61% were female, 90% were aged ≥40 years, 92% had type 2 DM with 73% of those having hypertension and one-third of patients were newly diagnosed. In the first 3 years of follow-up, the proportion of clinic attendees decreased from 72% to 64% and then to 61%; the proportion lost to-follow-up increased from 9% to 19% and then to 29%. At the three time points of follow-up, 71-78% had blood glucose ≤180 mg/dl; 63-74% had cholesterol <200 mg/dl; and about 90% had blood pressure <140/90 mmHg. Obesity remained constant at 50%. The proportion of patients with late-stage complications increased from 1% at baseline to 7% at 1 year, 14% at 2 years and 15% at 3 years. Conclusion: Nuzha PHC Clinic was able to monitor a cohort of DM patients for 3 years using E-Health and the principles of cohort analysis. This further endorses the use of cohort analysis for managing patients with DM and other non-communicable diseases. © 2013 John Wiley & Sons Ltd.

Author Keywords

Survival analysis Cohort reports Diabetes mellitus Jordan palestine refugees

Index Keywords

Blood Glucose refugee insulin dependent diabetes mellitus telehealth Medical Records Systems, Computerized blood pressure cholesterol blood level Jordan health risk survival analysis Follow-Up Studies survival Diabetes Mellitus, Type 2 human non insulin dependent diabetes mellitus Refugees Cohort Studies middle aged Diabetes Complications diabetes mellitus obesity hypertension Aged Arabs Palestine Young Adult Humans Adolescent Treatment Outcome male female Palestine refugees cohort reports Ambulatory Care Facilities cholesterol Article Retrospective Studies glucose blood level major clinical study adult diabetes cohort analysis primary health care public health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892670411&doi=10.1111%2ftmi.12241&partnerID=40&md5=6f002ccd1acf146408ac272f6737240e
DOI: 10.1111/tmi.12241
ISSN: 13602276
Cited by: 18
Original Language: English