Adherence to treatment in patients with type 2 diabetes mellitus in Argentina during 2015

Authors

  • María Amelia Linari Metallurgical Workers Union (UOM), Vicente López, Province of Buenos Aires, Argentina
  • Claudio Daniel González National University of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Gustavo Fretchel Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina
  • Omar Álvaro Comprehensive Diabetes Center, Neuquén, Argentina
  • María Inés Argerich Perrupato Hospital, San Martín, Mendoza, Argentina
  • María del Carmen Babus Comprehensive Center for Diabetes, Endocrinology and Nutrition (CIDEN), Jujuy, Argentina
  • María Florencia Badia Rosario Provincial Hospital, Santa Fe, Argentina
  • Leticia Barrera Carrodilla Medical Center and Social Work for Public Employees (OSEP), Maipú, Mendoza, Argentina
  • Natalia Blanco Debat Dr. Ramón Madariaga Acute School Hospital, Posadas, Misiones, Argentina
  • Diego Botta Hospital Bouquet, Neuquén, Argentina
  • María Marta Curet Dr. Ramón Carrillo Regional Hospital, Santiago del Estero, Argentina
  • Raúl A. David Perrupato Hospital, San Martín, Mendoza, Argentina
  • Alejandra Dib Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina
  • Guillermo Dieuzeide Hospital Nuestra Señora del Carmen Chacabuco, Province of Buenos Aires, Argentina
  • Daniel Dionisi Ramón Madariaga Acute Hospital, Misiones, Argentina
  • Mariela Echenique Comprehensive Diabetes Center, Neuquén, Argentina
  • Médica especialista en Medicina Interna y Diabetología El Cruce Hospital, Florencio Varela, Province of Buenos Aires, Argentina
  • Sandra Geraci Castex Hospital of San Martín, Province of Buenos Aires, Argentina
  • Natalia Laguarde Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina
  • Silvia Lapertosa J.R. Central Hospital Vidal, Corrientes, Argentina
  • Astrid Libman American Sanatorium, Rosario, Santa Fe, Argentina
  • Elizabeth Méndez Ramón Madariaga Acute Hospital, Misiones, Argentina
  • Julieta Méndez Vélez Sarsfield Hospital, Autonomous City of Buenos Aires, Argentina
  • Luis Neira Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina
  • María Florencia Noguero El Cruce Hospital, Florencio Varela, Province of Buenos Aires, Argentina
  • Verónica Ojeda National Hospital of Clinics, Córdoba, Argentina
  • Nelson Papini Luján de Cuyo Departmental Area, Mendoza, Argentina
  • Víctor Previtera Perrupato Hospital, San Martín, Mendoza, Argentina
  • Erika Vago Private Center in Regina, Río Negro, Argentina
  • Carla Wassner Udaondo and Private Hospital, Carapachay, Province of Buenos Aires, Argentina
  • Débora Chan Buenos Aires Regional Faculty, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v53i3.164

Keywords:

type 2 diabetes mellitus, adults, adherence to treatment, delivery of health care

Abstract

Introduction: the interruption in the adherence to the prescribed treatments generates important obstacles which negatively impact on health indicators.

Objectives: to evaluate adherence to treatment in adult patients with diabetes mellitus type 2 (DT2) in Argentina; associate with the type of health care provision and location.

Materials and methods: we included 1.520 individuals belonging to eight different geographical regions of the Argentine Republic during 2015. A cross-sectional study was conducted. A self-reported validated questionnaire of multiple options with simple scoring polycotomic responses was applied. A quantitative scale and a multivariate analysis of main components were applied.

Results: the average age was 60.2 years and the seniority of the referred DT2 corresponded to 10.1 years. The average HbA1c was 7.85%. The average general adherence for all characteristics was 4.32 (61.71%). The adherence results found are similar to other developing countries except for the care of the feet. The care factor of the feet in our country report scales of greater adherence. Redundant results are observed, such as greater adherence to monitoring in insulin therapy and less for diet and exercise and only oral antidiabetic drugs (ADO), as well as greater medication adherence in insulin and insulin therapies more ADO.

Conclusions: the low scales referred to the group with only diet and exercise are alarming.

Author Biographies

María Amelia Linari, Metallurgical Workers Union (UOM), Vicente López, Province of Buenos Aires, Argentina

Coordination of the Endocrinology and Nutrition Section

Claudio Daniel González, National University of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Professor, Department of Pharmacology

Gustavo Fretchel, Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina

Nutrition Service Coordinator

Omar Álvaro, Comprehensive Diabetes Center, Neuquén, Argentina

Staff doctor

María Inés Argerich, Perrupato Hospital, San Martín, Mendoza, Argentina

Diabetes and Pregnancy Unit

María del Carmen Babus, Comprehensive Center for Diabetes, Endocrinology and Nutrition (CIDEN), Jujuy, Argentina

Plant Doctor

María Florencia Badia, Rosario Provincial Hospital, Santa Fe, Argentina

Plant Doctor

Leticia Barrera, Carrodilla Medical Center and Social Work for Public Employees (OSEP), Maipú, Mendoza, Argentina

Plant Doctor

Natalia Blanco Debat, Dr. Ramón Madariaga Acute School Hospital, Posadas, Misiones, Argentina

Medical specialist in Internal Medicine, specialized in Diabetes

Diego Botta, Hospital Bouquet, Neuquén, Argentina

Medical plant

María Marta Curet, Dr. Ramón Carrillo Regional Hospital, Santiago del Estero, Argentina

Plant Doctor

Raúl A. David, Perrupato Hospital, San Martín, Mendoza, Argentina

Medical plant

Alejandra Dib, Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina

Nutrition Service Physician

Guillermo Dieuzeide, Hospital Nuestra Señora del Carmen Chacabuco, Province of Buenos Aires, Argentina

Endocrinology Specialist; Head of the Endocrinology and Diabetes Service

Daniel Dionisi, Ramón Madariaga Acute Hospital, Misiones, Argentina

Medical plant

Mariela Echenique, Comprehensive Diabetes Center, Neuquén, Argentina

Staff doctor

Médica especialista en Medicina Interna y Diabetología, El Cruce Hospital, Florencio Varela, Province of Buenos Aires, Argentina

Medical specialist in Internal Medicine and Diabetology

Sandra Geraci, Castex Hospital of San Martín, Province of Buenos Aires, Argentina

Nutrition Service Physician

Natalia Laguarde, Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina

Nutrition Service Physician

Silvia Lapertosa, J.R. Central Hospital Vidal, Corrientes, Argentina

Plant Doctor

Elizabeth Méndez, Ramón Madariaga Acute Hospital, Misiones, Argentina

Plant Doctor

Julieta Méndez, Vélez Sarsfield Hospital, Autonomous City of Buenos Aires, Argentina

Medical Doctor; Coordinator of the National Program for the Prevention and Control of People with Diabetes Mellitus

Luis Neira, Sirio Lebanés Hospital, Autonomous City of Buenos Aires, Argentina

Nutrition Service Physician

María Florencia Noguero, El Cruce Hospital, Florencio Varela, Province of Buenos Aires, Argentina

Plant Doctor

Verónica Ojeda, National Hospital of Clinics, Córdoba, Argentina

Head of the National Clinical Hospital Service

Nelson Papini, Luján de Cuyo Departmental Area, Mendoza, Argentina

Diabetes Reference

Víctor Previtera, Perrupato Hospital, San Martín, Mendoza, Argentina

Medical plant

Erika Vago, Private Center in Regina, Río Negro, Argentina

Specialist doctor

Carla Wassner, Udaondo and Private Hospital, Carapachay, Province of Buenos Aires, Argentina

Nutrition Service Physician

Débora Chan, Buenos Aires Regional Faculty, Autonomous City of Buenos Aires, Argentina

Teacher at the Technological University (UTN)

References

OMS, 2004. Adherencia a los tratamientos a largo plazo: pruebas para la acción. Ginebra (Internet) 2004. Citado en marzo 2015. Disponible en: http://www.paho.org/Spanish/AD/DPC/NC/nc-adherencia.html a largo plazo.

Información farmacoterapéutica de la Comarca (INFAC). Adherencia al tratamiento farmacológico en patologías crónicas. Liburukia 2011; 9(1) (Internet) 2014. Citado en agosto 2017. Disponible en: https://www.osakidetza.euskadi.eus/contenidos/informacion/cevime_infac/es_cevime/adjuntos/INFAC_v19_n3.pdf

Alayón A, Mosquera-Vásquez M. Adherencia al tratamiento basado en comportamientos en pacientes diabéticos. Cartagena de Indias, Colombia. Rev Salud Pública 2008; 10(5):777-787.

Morisky DE. Adherence or compliance behavior, encyclopedia of public health. 2010 (Internet 2017). Citado en 2017. Disponible en: URL: http://www.encyclopedia.com/doc/1G2-3404000026.html.

Haynes RB, Ackloo E, Sahota N, et al. Interventions for enhancing medication adherence. Cochrane Database of Syst Rev 2008; 16 ; (2):CD000011. Doi: 10.1002/14651858.CD000011.

NICE. National Institute for Health and Clinical Excellence. Medicine adherence: involving patient indecisions about prescribed medicines and supporting adherence. Clinical Guideline 2009. (Internet 2017). Citado en agosto 2017. Disponible en: https://www.scribd.com/document/200320735/NICE-Guideli-nes-Regarding-Adhrence.

Arribas M. Diseño y validación de cuestionarios. Matronas Profesión 2004; 5(1): 23-29.

Mendioca E. Manual teórico práctico de investigación social. Buenos Aires. Espacio. 2004; 5: 67-74.

Mendioca GE. Sobre tesis y tesistas. Buenos Aires. Espacio. 2003; 6: 106-124.

Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measurements of medication adherence and long term predictive validity of blood pressure control. Med Care 1986; 24(1): 67-74.

Morisky DE, Ang A, Krousel Wood M, et al. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertension (Greenwich) 2008; 5:348-354

Toobert D, Hampson S, Glasgow R. The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care 2000; 23(7): 943-950.

Linari MA. Factores que se asocian a la adherencia al tratamiento en diabetes mellitus tipo 2 en adultos del Gran Buenos Aires pertenecientes a la Unión Obrera Metalúrgica, seccional Vicente López, durante 2013. Tesis de Maestría en Epidemiologia, Gestión y Políticas de Salud. Universidad Nacional de Lanús, 2015. Recuperado a partir de: http:www.unla.edu.ar/index.php/servicios-de-la-biblioteca.

Linari MA, González C, Alvariñas J. Desarrollo y validación de un cuestionario sobre adherencia al tratamiento y costo de bolsillo en pacientes adultos con diabetes mellitus tipo 2. Revista de la Sociedad Argentina de Diabetes. Trabajos presentados en el XVII Congreso Argentino de Diabetes 2010; 44(4): 336-337.

Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, Peters AL, Tsapas A, Wender R, Matthews DR; American Diabetes Association (ADA); European Association for the Study of Diabetes (EASD). Management of hyperglycemia in type 2 diabetes: a patient centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) Diabetes Care 2012; 35(6):1364-79.

Broadbent E, Donkin P, Stroh JC, Psych D. Illness and treatment perceptions are associated with adherence to medications, diet, and exercise in diabetic patients. Diabetes Care 2011; 34 (2):338-340.

Published

2023-01-10

How to Cite

Linari, M. A., González, C. D., Fretchel, G., Álvaro, O., Argerich, M. I., Babus, M. del C., Badia, M. F., Barrera, L., Blanco Debat, N., Botta, D., Curet, M. M., David, R. A., Dib, A., Dieuzeide, G., Dionisi, D., Echenique, M., Fuentes, S., Geraci, S., Laguarde, N., Lapertosa, S., Libman, A., Méndez, E., Méndez, J., Neira, L., Noguero, M. F., Ojeda, V., Papini, N., Previtera, V., Vago, E., Wassner, C., & Chan, D. (2023). Adherence to treatment in patients with type 2 diabetes mellitus in Argentina during 2015. Journal of the Argentine Society of Diabetes, 53(3), 97–108. https://doi.org/10.47196/diab.v53i3.164

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