Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar

<h2>Background</h2> <p>Patients with schizophrenia are at least twice as likely to develop diabetes mellitus compared to the general population. This is of significance in Qatar given the high prevalence of obesity and diabetes. Furthermore, the lifespan of people with schizophreni...

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Main Author: Mustafa Abdul Karim (14152431) (author)
Other Authors: Nadeen Al-Baz (14153124) (author), Sami Ouanes (9617363) (author), Ali Khalil (7049636) (author), Ahmed H. Assar (14153127) (author), Abdulkarim Alsiddiqi (14153130) (author), Zeinab Dabbous (14153133) (author), Mahmoud Zirie (124704) (author), Peter Woodruff (10115701) (author), Rayaz A. Malik (7372649) (author), Peter M. Haddad (14153136) (author)
Published: 2022
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author Mustafa Abdul Karim (14152431)
author2 Nadeen Al-Baz (14153124)
Sami Ouanes (9617363)
Ali Khalil (7049636)
Ahmed H. Assar (14153127)
Abdulkarim Alsiddiqi (14153130)
Zeinab Dabbous (14153133)
Mahmoud Zirie (124704)
Peter Woodruff (10115701)
Rayaz A. Malik (7372649)
Peter M. Haddad (14153136)
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Mustafa Abdul Karim (14152431)
Nadeen Al-Baz (14153124)
Sami Ouanes (9617363)
Ali Khalil (7049636)
Ahmed H. Assar (14153127)
Abdulkarim Alsiddiqi (14153130)
Zeinab Dabbous (14153133)
Mahmoud Zirie (124704)
Peter Woodruff (10115701)
Rayaz A. Malik (7372649)
Peter M. Haddad (14153136)
author_role author
dc.creator.none.fl_str_mv Mustafa Abdul Karim (14152431)
Nadeen Al-Baz (14153124)
Sami Ouanes (9617363)
Ali Khalil (7049636)
Ahmed H. Assar (14153127)
Abdulkarim Alsiddiqi (14153130)
Zeinab Dabbous (14153133)
Mahmoud Zirie (124704)
Peter Woodruff (10115701)
Rayaz A. Malik (7372649)
Peter M. Haddad (14153136)
dc.date.none.fl_str_mv 2022-11-22T21:17:44Z
dc.identifier.none.fl_str_mv 10.1186/s12888-021-03121-5
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Quality_of_diabetes_care_in_patients_with_schizophrenia_a_case-control_study_in_Qatar/21598332
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Clinical sciences
Psychiatry and Mental health
dc.title.none.fl_str_mv Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h2>Background</h2> <p>Patients with schizophrenia are at least twice as likely to develop diabetes mellitus compared to the general population. This is of significance in Qatar given the high prevalence of obesity and diabetes. Furthermore, the lifespan of people with schizophrenia is shortened by approximately 15 years, partly due to long-term microvascular and macrovascular complications. High quality diabetes care can significantly reduce morbidity and mortality. We assessed the level of diabetes care delivered to patients in Qatar with schizophrenia and diabetes compared to those with diabetes alone.</p> <h2>Methods</h2> <p>We performed a retrospective chart review of patients with diabetes mellitus with (n = 73) and without (n = 73) schizophrenia. Demographic information and electronic medical records were reviewed to determine adherence to American Diabetes Association standards of diabetes care in the last 6 and 12 months. Optimal diabetes care was defined as having completed glycated hemoglobin (HbA1c), lipid profile and retinal examination within 12 months.</p> <h2>Results</h2> <p>Optimal diabetes care was significantly lower in patients with schizophrenia and diabetes compared to diabetes alone [26.0% (n = 19/73) vs 52.1% (n = 38/73), p = 0.002]. Patients with diabetes and schizophrenia were also significantly less likely to have had body mass index recorded within 6 months (p = 0.008) and HbA1c (p = 0.006), lipid profile (p = 0.015), estimated glomerular filtration rate (eGFR) (p = 0.001) and order for retinal examination (p = 0.004) over 12 months. After adjusting for multiple comparisons, only assessment of eGFR (p = 0.01) and order for retinal examination (p = 0.04) remained significant.</p> <h2>Conclusion</h2> <p>Patients in Qatar with schizophrenia and diabetes, receive sub-optimal diabetes care compared to those with diabetes alone.</p><h2>Other Information</h2> <p> Published in: BMC Psychiatry<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s12888-021-03121-5" target="_blank">http://dx.doi.org/10.1186/s12888-021-03121-5</a></p>
eu_rights_str_mv openAccess
id Manara2_e563987d8f3d541acf136de17c903cae
identifier_str_mv 10.1186/s12888-021-03121-5
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/21598332
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling Quality of diabetes care in patients with schizophrenia: a case-control study in QatarMustafa Abdul Karim (14152431)Nadeen Al-Baz (14153124)Sami Ouanes (9617363)Ali Khalil (7049636)Ahmed H. Assar (14153127)Abdulkarim Alsiddiqi (14153130)Zeinab Dabbous (14153133)Mahmoud Zirie (124704)Peter Woodruff (10115701)Rayaz A. Malik (7372649)Peter M. Haddad (14153136)Clinical sciencesPsychiatry and Mental health<h2>Background</h2> <p>Patients with schizophrenia are at least twice as likely to develop diabetes mellitus compared to the general population. This is of significance in Qatar given the high prevalence of obesity and diabetes. Furthermore, the lifespan of people with schizophrenia is shortened by approximately 15 years, partly due to long-term microvascular and macrovascular complications. High quality diabetes care can significantly reduce morbidity and mortality. We assessed the level of diabetes care delivered to patients in Qatar with schizophrenia and diabetes compared to those with diabetes alone.</p> <h2>Methods</h2> <p>We performed a retrospective chart review of patients with diabetes mellitus with (n = 73) and without (n = 73) schizophrenia. Demographic information and electronic medical records were reviewed to determine adherence to American Diabetes Association standards of diabetes care in the last 6 and 12 months. Optimal diabetes care was defined as having completed glycated hemoglobin (HbA1c), lipid profile and retinal examination within 12 months.</p> <h2>Results</h2> <p>Optimal diabetes care was significantly lower in patients with schizophrenia and diabetes compared to diabetes alone [26.0% (n = 19/73) vs 52.1% (n = 38/73), p = 0.002]. Patients with diabetes and schizophrenia were also significantly less likely to have had body mass index recorded within 6 months (p = 0.008) and HbA1c (p = 0.006), lipid profile (p = 0.015), estimated glomerular filtration rate (eGFR) (p = 0.001) and order for retinal examination (p = 0.004) over 12 months. After adjusting for multiple comparisons, only assessment of eGFR (p = 0.01) and order for retinal examination (p = 0.04) remained significant.</p> <h2>Conclusion</h2> <p>Patients in Qatar with schizophrenia and diabetes, receive sub-optimal diabetes care compared to those with diabetes alone.</p><h2>Other Information</h2> <p> Published in: BMC Psychiatry<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s12888-021-03121-5" target="_blank">http://dx.doi.org/10.1186/s12888-021-03121-5</a></p>2022-11-22T21:17:44ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s12888-021-03121-5https://figshare.com/articles/journal_contribution/Quality_of_diabetes_care_in_patients_with_schizophrenia_a_case-control_study_in_Qatar/21598332CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215983322022-11-22T21:17:44Z
spellingShingle Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
Mustafa Abdul Karim (14152431)
Clinical sciences
Psychiatry and Mental health
status_str publishedVersion
title Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
title_full Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
title_fullStr Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
title_full_unstemmed Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
title_short Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
title_sort Quality of diabetes care in patients with schizophrenia: a case-control study in Qatar
topic Clinical sciences
Psychiatry and Mental health