Impact of carotid atherosclerosis detection on physician and patient behavior in the management of type 2 diabetes mellitus: a prospective, observational, multicenter study
- Authors
- Jeong, In-Kyung; Kim, Sin-Gon; Cho, Dong Hyeok; Kim, Chong Hwa; Kim, Chul Sik; Lee, Won-Young; Won, Kyu-Chang; Kim, Doo-Man
- Issue Date
- 14-11월-2016
- Publisher
- BMC
- Keywords
- Behavior; Cardiovascular disease; Carotid atherosclerosis; Diabetes mellitus; Type 2
- Citation
- BMC CARDIOVASCULAR DISORDERS, v.16
- Indexed
- SCIE
SCOPUS
- Journal Title
- BMC CARDIOVASCULAR DISORDERS
- Volume
- 16
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/86833
- DOI
- 10.1186/s12872-016-0401-5
- ISSN
- 1471-2261
- 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.
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