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IDF Europe GA Munich October 16, 2005

IDF Europe GA Munich October 16, 2005. Italian national database on diabetes and its complications . Marco A. Comaschi – AMD - Italy. 2003 Survey. The Diabetes Units in Italy. 4. 9. 1. 98. 38. 37. 44. 11. 14. 42. 11. 21. 41. 5. 78. 57. 3. 20. 28.

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IDF Europe GA Munich October 16, 2005

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  1. IDF Europe GAMunich October 16, 2005 Italian national database on diabetes and its complications. Marco A. Comaschi – AMD - Italy

  2. 2003 Survey The Diabetes Units in Italy 4 9 1 98 38 37 44 11 14 42 11 21 41 5 78 57 3 20 28 Total Number of Diabetes Units = 628 66

  3. Use of Electronic clinical sheet Total 73% Hospital Units 85% Outpatient Units 79% Hospital Ambulatories 68% Extra Hospital ambulatories 53% Private 89% Internet connection 46%

  4. Clinical Pathways for the assessment and cure of the complications 66% Retinopathy 51% CVD 44% Nefropathy 42% Cerebral VD 40% PVD 38% Diabetic Foot 37% Somatic Neuropathy 31% Autonomic Neuropathy 31% ED

  5. Geographic distibution of Diabetes Units in Italy 41 % 38 % 21 % Inhabitants % Northern 25.835.500 45 Central 12.767.000 22 Southern 19.242.000 33

  6. Data that may allow to monitorate our activity Data that generate indicators The indicators allow to get an objective point of view, and to measure the quality of care To realize a control of the real quality of care Which informations?

  7. To create a list of items generated in an automatic way from the software GOAL AND PUBLISHING IT

  8. The “Data File” of AMD • Has been realized • Has been published on AMD website (www.aemmedi.it) • Is open for everyone that would like to use it

  9. 2005: the data collection by AMD from the electronic sheets The picture of the diabetic persons cared in 75 Italian Diabetes Units in 2004

  10. Total number of patients visited in 2004: 132.497 “new patients” in 2004 19.753

  11. Number and distribution of the 75 Diabetes Units participating to the data collecting 5 7 5 4 6 2 8 5 2 3 1 2 4 2 2 6 2 8

  12. Sex

  13. Type of diabetes

  14. Age

  15. HbA1c

  16. HbA1c values according the therapy Insulin (type 1) OHA

  17. CV Risk Factors

  18. Conclusions (1) • A large use of electronic clinical sheet is cheap and easily available in Europe • The application of AMD Data File and Indicators is possible on each type of electronic sheet present in the international market • The merging of the data and of the intermediate and final indicators gathered from several countries might allow to get a better quality of care for the diabetic persons everywhere • One of the main goals should be to reach a standard system, reprehesenting the real “benchmark” of the diabetes care

  19. Conclusions (2) • For this aim, AMD is going to invite IDF Europe to hold next GA in Italy, next autumn 2006, in Venice or Genoa, in order to present and discuss the different systems of organization of the care of the diabetic persons in Europe, and to find a “Consensus” about the best one. It will be an extraordinary tool for a public proposal to Health Authorities in every Country and in EU

  20. Thank you for your kind attention

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