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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Treatment outcomes in a cohort of Palestine refugees with diabetes mellitus followed through use of E-Health over 3 years in Jordan
Tropical Medicine and International Health, Volume 19, No. 2, Year 2014
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Description
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.
Authors & Co-Authors
Khader, Ali Mohammad
Unknown Affiliation
Ballout, Ghada
Unknown Affiliation
Shahin, Yousef
Unknown Affiliation
Hababeh, Majed
Unknown Affiliation
Farajallah, Loai
Unknown Affiliation
Zeidan, Wafa’A
Unknown Affiliation
Abu-Zayed, Ishtaiwi
Unknown Affiliation
Kochi, Arata
Unknown Affiliation
Harries, Anthony David
Unknown Affiliation
Zachariah, Rony R.Z.
Unknown Affiliation
Kapur, Anil
Unknown Affiliation
Shaikh, Irshad
Unknown Affiliation
Seita, Akihiro
Unknown Affiliation
Statistics
Citations: 41
Authors: 13
Affiliations: 8
Identifiers
Doi:
10.1111/tmi.12241
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Approach
Quantitative
Participants Gender
Female