Impact of carotid atherosclerosis detection on physician and patient behavior in the management of type 2 diabetes mellitus: a prospective, observational, multicenter study
DC Field | Value | Language |
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dc.contributor.author | Jeong, In-Kyung | - |
dc.contributor.author | Kim, Sin-Gon | - |
dc.contributor.author | Cho, Dong Hyeok | - |
dc.contributor.author | Kim, Chong Hwa | - |
dc.contributor.author | Kim, Chul Sik | - |
dc.contributor.author | Lee, Won-Young | - |
dc.contributor.author | Won, Kyu-Chang | - |
dc.contributor.author | Kim, Doo-Man | - |
dc.date.accessioned | 2021-09-03T16:58:33Z | - |
dc.date.available | 2021-09-03T16:58:33Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2016-11-14 | - |
dc.identifier.issn | 1471-2261 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/86833 | - |
dc.description.abstract | Background: This study compared carotid ultrasound (CUS) and traditional risk calculations in determining cardiovascular disease (CVD) risk in patients with type 2 diabetes mellitus (DM) and investigated whether awareness of CVD affects patient and/or physician behavior. Methods: In this prospective, observational, multicenter study, 797 participants with type 2 diabetes were assessed using CUS, the United Kingdom Prospective Diabetes Study Risk Engine (UKPDSRE) calculator, and the Framingham Risk Score (FRS) algorithm. Health-related behaviors and physician treatments were compared at baseline and at 6 months after assessment. Results: According to CUS, 43.5 % of the participants were at high risk (compared to 10.6 % and 4.3 % using the UKPDSRE and FRS approaches, respectively). Interestingly, 31.5 % of the patients with low risk scores according to the UKPDSRE calculator and 35.8 % of the patients with low risk scores according to the FRS algorithm were found to be at high risk according to CUS. The proportion of patients who achieved target LDL-C levels significantly increased after CUS. Moreover, increased awareness of atherosclerosis through CUS findings significantly altered physician treatment patterns and patient health-related behaviors. Conclusions: Carotid atherosclerosis was detected in more than 30 % of all participants with low or intermediate risk stratification scores. Improved awareness of atherosclerosis through CUS findings had a positive impact on both patient and physician behavior, resulting in improved CV risk management. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.subject | CORONARY-HEART-DISEASE | - |
dc.subject | INTIMA-MEDIA THICKNESS | - |
dc.subject | UKPDS RISK ENGINE | - |
dc.subject | MYOCARDIAL-INFARCTION | - |
dc.subject | PREVALENCE | - |
dc.subject | ULTRASOUND | - |
dc.subject | PREDICTION | - |
dc.subject | HEALTH | - |
dc.subject | MEN | - |
dc.title | Impact of carotid atherosclerosis detection on physician and patient behavior in the management of type 2 diabetes mellitus: a prospective, observational, multicenter study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Sin-Gon | - |
dc.identifier.doi | 10.1186/s12872-016-0401-5 | - |
dc.identifier.scopusid | 2-s2.0-84995790795 | - |
dc.identifier.wosid | 000387923100001 | - |
dc.identifier.bibliographicCitation | BMC CARDIOVASCULAR DISORDERS, v.16 | - |
dc.relation.isPartOf | BMC CARDIOVASCULAR DISORDERS | - |
dc.citation.title | BMC CARDIOVASCULAR DISORDERS | - |
dc.citation.volume | 16 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | CORONARY-HEART-DISEASE | - |
dc.subject.keywordPlus | INTIMA-MEDIA THICKNESS | - |
dc.subject.keywordPlus | UKPDS RISK ENGINE | - |
dc.subject.keywordPlus | MYOCARDIAL-INFARCTION | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | ULTRASOUND | - |
dc.subject.keywordPlus | PREDICTION | - |
dc.subject.keywordPlus | HEALTH | - |
dc.subject.keywordPlus | MEN | - |
dc.subject.keywordAuthor | Behavior | - |
dc.subject.keywordAuthor | Cardiovascular disease | - |
dc.subject.keywordAuthor | Carotid atherosclerosis | - |
dc.subject.keywordAuthor | Diabetes mellitus | - |
dc.subject.keywordAuthor | Type 2 | - |
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