يعرض 1 - 10 نتائج من 24 نتيجة بحث عن '"Nobels, F"', وقت الاستعلام: 0.78s تنقيح النتائج
  1. 1
    مؤتمر
  2. 2
    دورية أكاديمية
  3. 3
    مؤتمر
  4. 4
    دورية أكاديمية

    المؤلفون: Scheen, André, Mathieu, C., Nobels, F.

    المصدر: Revue Médicale de Liège, 70 (9), 423-431 (2015)

    الوصف: peer reviewed ; Initiating or intensifying insulin therapy is often considered as a challenge in general practice. The observational prospective Belgian study InsuStar was performed in 2011-2013 among 150 representative general practitioners, who were invited to initiate or intensify insulin therapy when necessary in 523 patients with type 2 diabetes (mean age : 65.5 years; mean HbA1c : 8.8 %). The initiation of insulin therapy (glargine in > 50 %) was justified by insufficient glycaemic control (96 %) and its intensification (replacement of insulin NPH or premixed insulins by insulin glargine, eventually with the addition of a short-acting insulin analogue) aimed at improving glucose control (58 %), avoiding hypoglycaemia (17 %) or both (17 %). After a follow up of 6 ± 1 months, HbA1c level decreased from 8.79% to 7.52% (-1.27 %; 95 % confidence interval : -1.43,-1.11; p<0.001). Overall 27.6 % of patients reached an HbA1c < 7% versus 5.9 % at inclusion (p<0.001), with rather few hypoglycaemia and a high physician confidence level regarding insulin therapy. These results should encourage general practitioners to initiate insulin therapy at an earlier stage and to intensify it when necessary in patients with insufficiently controlled type 2 diabetes.

    العلاقة: http://www.rmlg.ulg.ac.beTest; urn:issn:0370-629X; urn:issn:2566-1566; https://orbi.uliege.be/handle/2268/216153Test; info:hdl:2268/216153; https://orbi.uliege.be/bitstream/2268/216153/1/201509_04.pdfTest; scopus-id:2-s2.0-84941554059; info:pmid:26638442

  5. 5
    دورية أكاديمية

    المؤلفون: Scheen, André, Mathieu, C., Nobels, F.

    المصدر: Revue Médicale de Liège, 70 (9), 423-431 (2015)

    الوصف: Initiating or intensifying insulin therapy is often considered as a challenge in general practice. The observational prospective Belgian study InsuStar was performed in 2011-2013 among 150 representative general practitioners, who were invited to initiate or intensify insulin therapy when necessary in 523 patients with type 2 diabetes (mean age : 65.5 years; mean HbA1c : 8.8 %). The initiation of insulin therapy (glargine in > 50 %) was justified by insufficient glycaemic control (96 %) and its intensification (replacement of insulin NPH or premixed insulins by insulin glargine, eventually with the addition of a short-acting insulin analogue) aimed at improving glucose control (58 %), avoiding hypoglycaemia (17 %) or both (17 %). After a follow up of 6 ± 1 months, HbA1c level decreased from 8.79% to 7.52% (-1.27 %; 95 % confidence interval : -1.43,-1.11; p<0.001). Overall 27.6 % of patients reached an HbA1c < 7% versus 5.9 % at inclusion (p<0.001), with rather few hypoglycaemia and a high physician confidence level regarding insulin therapy. These results should encourage general practitioners to initiate insulin therapy at an earlier stage and to intensify it when necessary in patients with insufficiently controlled type 2 diabetes.

    العلاقة: http://www.rmlg.ulg.ac.beTest; urn:issn:0370-629X; urn:issn:2566-1566

  6. 6
    دورية أكاديمية

    المصدر: Diabetic Medicine: A Journal of the British Diabetic Association, 25 (2), 179-85 (2008)

    الوصف: peer reviewed ; AIMS: To describe the IQED, a quality-assurance system started in 2001 in Belgian hospital-based multidisciplinary diabetes centres, and its effects on the quality of care. METHODS: The study was conducted through four data collections (in 2001, 2002, 2004 and 2006). Approximately 120 diabetes centres provided data on a systematic random sample of 10% of their adult diabetic patients on at least two daily insulin injections. Data on patient characteristics, glycaemic control, cardiovascular risk, diabetes complications, follow-up procedures and treatment were obtained. Local quality promotion was encouraged by returning comprehensive feedback (benchmarks) and during information meetings. RESULTS: Nearly all diabetes centres (98-100%) participated. The pooled sample consisted of 9194 (32%) Type 1 and 19 828 (68%) Type 2 diabetes patients, with mean diabetes duration of 17 years and 14 years, prevalence of microvascular complications of 23% and 38% and prevalence of macrovascular complications of 9% and 26%, respectively. At the start, the quality of care was good in terms of risk-factor testing rates and moderate in terms of patients meeting goals for risk-factor management. At least 50% of the centres initiated quality-promoting initiatives. After 5 years, significant improvements were seen in risk-factor testing rates, apart from renal screening. Improvements in intermediate outcomes were less obvious, apart from an increase in patients reaching the targets for blood pressure and LDL cholesterol. CONCLUSIONS: It is feasible to implement a continuous quality-improvement project on a nationwide scale, with improvements particularly in process indicators.

  7. 7
    دورية أكاديمية

    المصدر: Revue Médicale de Liège, 60 (5-6), 624-7 (2005)

    الوصف: peer reviewed ; Since 2001, the "Diabetes Convention Centres" in Belgium participated to a survey, called IPQED ("Initiative for the Promotion of Quality and Epidemiology of Diabetes mellitus), every 12-18 months. This project aims at systematically and anonymously collecting a limited but significant set of data (anamnesis, clinical examination, clinical chemistry: according to DiabCare) in a large sample (about 10%) of type 1 or type 2 diabetic patients followed in the Diabetes Convention Centres (inclusion criteria: at least two injections of insulin per day). IPQED has three main objectives: 1) to optimise the quality of care using a benchmarking process and the creation of quality circles; 2) to provide to health authorities some general advise concerning care for diabetic patients, in general, and in the Convention Diabetes Centres, in particular; and 3) to collect Belgian data among a large cohort of diabetic patients (around 8.000 per survey) that could be used for epidemiological studies.

    العلاقة: http://www.rmlg.ulg.ac.beTest; urn:issn:0370-629X; urn:issn:2566-1566; https://orbi.uliege.be/handle/2268/11916Test; info:hdl:2268/11916; https://orbi.uliege.be/bitstream/2268/11916/1/20050506_66.pdfTest; scopus-id:2-s2.0-21744440117; info:pmid:16035340

  8. 8
    دورية أكاديمية

    المؤلفون: Nobels, F., Scheen, André

    المصدر: Revue Médicale de Liège, 60 (5-6), 619-23 (2005)

    الوصف: peer reviewed ; We briefly present the modes of functioning of Diabetes Convention Centres in Belgium. In those hospital centres, patients with both type 1 or type 2 diabetes, treated by at least two insulin injections per day, benefit of an intensive educational programme by a multidisciplinary team and receive free of charge material for home blood glucose monitoring, in order to optimize diabetes management. The collaboration between convention centres and general practitioners should be reinforced (share-care), especially to improve the management of type 2 diabetic patients, who are increasingly treated with various insulin regimens.

    العلاقة: http://www.rmlg.ulg.ac.beTest; urn:issn:0370-629X; urn:issn:2566-1566; https://orbi.uliege.be/handle/2268/9802Test; info:hdl:2268/9802; https://orbi.uliege.be/bitstream/2268/9802/1/20050506_65.pdfTest; scopus-id:2-s2.0-21744438602; info:pmid:16035339

  9. 9
    دورية أكاديمية

    المصدر: Revue Médicale de Liège, 60 (5-6), 624-7 (2005)

    الوصف: Since 2001, the "Diabetes Convention Centres" in Belgium participated to a survey, called IPQED ("Initiative for the Promotion of Quality and Epidemiology of Diabetes mellitus), every 12-18 months. This project aims at systematically and anonymously collecting a limited but significant set of data (anamnesis, clinical examination, clinical chemistry: according to DiabCare) in a large sample (about 10%) of type 1 or type 2 diabetic patients followed in the Diabetes Convention Centres (inclusion criteria: at least two injections of insulin per day). IPQED has three main objectives: 1) to optimise the quality of care using a benchmarking process and the creation of quality circles; 2) to provide to health authorities some general advise concerning care for diabetic patients, in general, and in the Convention Diabetes Centres, in particular; and 3) to collect Belgian data among a large cohort of diabetic patients (around 8.000 per survey) that could be used for epidemiological studies.

    العلاقة: http://www.rmlg.ulg.ac.beTest; urn:issn:0370-629X; urn:issn:2566-1566

  10. 10
    دورية أكاديمية

    المؤلفون: Nobels, F., Scheen, André

    المصدر: Revue Médicale de Liège, 60 (5-6), 619-23 (2005)

    الوصف: We briefly present the modes of functioning of Diabetes Convention Centres in Belgium. In those hospital centres, patients with both type 1 or type 2 diabetes, treated by at least two insulin injections per day, benefit of an intensive educational programme by a multidisciplinary team and receive free of charge material for home blood glucose monitoring, in order to optimize diabetes management. The collaboration between convention centres and general practitioners should be reinforced (share-care), especially to improve the management of type 2 diabetic patients, who are increasingly treated with various insulin regimens.

    العلاقة: http://www.rmlg.ulg.ac.beTest; urn:issn:0370-629X; urn:issn:2566-1566