Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020
Thesis (MFamMed)--Stellenbosch University, 2021.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
| Published: |
Stellenbosch : Stellenbosch University
2021
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613767256244224 |
|---|---|
| access_status_str | Open Access |
| author | Boake, Megan Wilson |
| author2 | Mash, Bob |
| author_browse | Boake, Megan Wilson Mash, Bob |
| author_facet | Mash, Bob Boake, Megan Wilson |
| author_sort | Boake, Megan Wilson |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MFamMed)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/123808 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:21.859Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/123808 Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 Boake, Megan Wilson Mash, Bob Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Diabetes -- Women patients -- Cape Town (South Africa) -- Databases Diabetes -- Incidence -- Cape Town (South Africa) -- Databases Diabetes clinics -- Cape Town (South Africa) Public hospitals -- Cape Town (South Africa) Comorbidity UCTD Thesis (MFamMed)--Stellenbosch University, 2021. ENGLISH SUMMARY : Background: Diabetes is the leading cause of death in women in South Africa and one in four South Africans over the age of 45-years have diabetes. The Western Cape (WC) Provincial Health Data Centre has integrated data from multiple sources into a diabetes cascade database. The Director responsible for chronic disease management asked for an analysis of the database. Aim: The aim of the study was to describe the demographics, comorbidities and outcomes of care for patients with diabetes treated at primary care facilities in the WC between 2015 – 2020. Methods: This was a secondary analysis of data from the diabetes cascade database. Data was imported into the Statistical package for Social Sciences for analysis. Results: The database included 116726 patients with a mean age of 61.4 years and 63.8% were female. The mean age at death was 66.0 years. Ninety-eight percent of people lived in the Cape Town Metropole. Co-morbidities included hypertension (69.5%), mental health disorders (16.2%), HIV (6.4%) and previous TB (8.2%). Sixty-three percent of the study population had at least one previous hospital admission and 20.2% of all admissions were attributed to cardiovascular diseases. Coronavirus related admissions were the third highest reason for admission over a 10-year period. Up to 70% of the people were not receiving an annual HbA1c test. The mean value for the last HBA1c taken was 9.0%. Three-quarters (75.5%) of patients had poor glycaemic control (HbA1c >7%) and a third (33.7%) were very poorly controlled (HbA1c>10%). Glycaemic control was significantly different between sub-districts in Cape Town as well as rural areas. Renal disease was prevalent in 25.5%. Conclusion: Diabetes is extremely poorly controlled in the province and diabetic related morbidity and mortality are high. There is poor compliance with guidelines for HbA1c and eGFR measurement. At least 7% of diabetic patients are being admitted for diabetic-related complications annually. This is a clear call to action on the care for people with diabetes in the WC. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. Masters 2021-11-23T06:23:02Z 2021-12-22T14:22:36Z 2021-11-23T06:23:02Z 2021-12-22T14:22:36Z 2021-12 Thesis http://hdl.handle.net/10019.1/123808 en_ZA Stellenbosch University 25 pages ; illustrations application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Diabetes -- Women patients -- Cape Town (South Africa) -- Databases Diabetes -- Incidence -- Cape Town (South Africa) -- Databases Diabetes clinics -- Cape Town (South Africa) Public hospitals -- Cape Town (South Africa) Comorbidity UCTD Boake, Megan Wilson Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 |
| title | Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 |
| title_full | Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 |
| title_fullStr | Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 |
| title_full_unstemmed | Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 |
| title_short | Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 |
| title_sort | diabetes in the cape town metropole a secondary analysis of the diabetes cascade database 2015 2020 |
| topic | Diabetes -- Women patients -- Cape Town (South Africa) -- Databases Diabetes -- Incidence -- Cape Town (South Africa) -- Databases Diabetes clinics -- Cape Town (South Africa) Public hospitals -- Cape Town (South Africa) Comorbidity UCTD |
| url | http://hdl.handle.net/10019.1/123808 |
| work_keys_str_mv | AT boakemeganwilson diabetesinthecapetownmetropoleasecondaryanalysisofthediabetescascadedatabase20152020 |