Impact of carotid atherosclerosis detection on physician and patient behavior in the management of type 2 diabetes mellitus

A prospective, observational, multicenter study

In Kyung Jeong, Sin Gon Kim, Dong Hyeok Cho, Chong Hwa Kim, Chul Sik Kim, Won Young Lee, Kyu Chang Won, Doo Man Kim

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Article number220
JournalBMC Cardiovascular Disorders
Volume16
Issue number1
DOIs
Publication statusPublished - 2016 Nov 14

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Carotid Artery Diseases
Type 2 Diabetes Mellitus
Multicenter Studies
Observational Studies
Physicians
Prospective Studies
Cardiovascular Diseases
Health
Risk Management

Keywords

  • Behavior
  • Cardiovascular disease
  • Carotid atherosclerosis
  • Diabetes mellitus
  • Type 2

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Impact of carotid atherosclerosis detection on physician and patient behavior in the management of type 2 diabetes mellitus : A prospective, observational, multicenter study. / Jeong, In Kyung; Kim, Sin Gon; Cho, Dong Hyeok; Kim, Chong Hwa; Kim, Chul Sik; Lee, Won Young; Won, Kyu Chang; Kim, Doo Man.

In: BMC Cardiovascular Disorders, Vol. 16, No. 1, 220, 14.11.2016.

Research output: Contribution to journalArticle

Jeong, In Kyung ; Kim, Sin Gon ; Cho, Dong Hyeok ; Kim, Chong Hwa ; Kim, Chul Sik ; Lee, Won Young ; Won, Kyu Chang ; Kim, Doo Man. / Impact of carotid atherosclerosis detection on physician and patient behavior in the management of type 2 diabetes mellitus : A prospective, observational, multicenter study. In: BMC Cardiovascular Disorders. 2016 ; Vol. 16, No. 1.
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