- 期刊
Physicians' Prescription Patterns of Antiplatelet Treatment as a Primary Prevention Strategy for Cardiovascular Disease Among Newly-Diagnosed Type 2 Diabetes Mellitus Patients in Taiwan: A Population-Based Study
摘要
This study was designed to investigate physicians' prescription patterns of antiplatelet therapy as a primary prevention strategy for cardiovascular disease in patients with newly-diagnosed type 2 diabetes mellitus (DM) in Taiwan. We examined a Taiwanese Longitudinal Cohort of Diabetes Patients from between 1999 and 2013 to analyze antiplatelet therapy in patients with DM over 20 years of age. We also estimated the duration of sustained use of antiplatelets by the Kaplan-Meier method. After excluding patients with DM who required secondary prevention measures, approximately 26.3% of the remaining patients received antiplatelet drugs as a primary prevention therapy. Prescription of antiplatelet drugs was more common in primary care clinics (38.8%) and relatively less common in medical centers (14.8%). The proportion of patients taking antiplatelets in northern Taiwan was larger (38.6%) than that in eastern Taiwan (6.1%). The median duration of continuous antiplatelet therapy in patients with newly-diagnosed type 2 DM who received antiplatelet therapy within 3 years of diagnosis was 0.47 years. The primary prevention strategy for patients with type 2 DM differs nationwide, and the adherence of patients with continued use to primary prevention drugs in Taiwan is low. Patients with DM require more concise and accurate advice.
延伸閱讀
- 陳業勝、廖上智、邱春吉、陳宗欣、李榮明（2012）。Study on Adherence to Antihypertensive Regimens among Patients with Hypertension, Diabetes Mellitus and Hyperlipidemia (TW3H) in a Community Hospital of Southern Taiwan.。臺灣臨床藥學雜誌，20(4)，275-284。https://www.airitilibrary.com/Article/Detail?DocID=10275096-201212-201301300039-201301300039-275-284
- Tsai, W. C., Wu, K. Y., Lin, G. M., Chen, S. J., Lin, W. S., Yang, S. P., Cheng, S. M., & Lin, C. S. (2017). Clinical Characteristics of Patients Less than Forty Years Old with Coronary Artery Disease in Taiwan: A Cross-Sectional Study. Acta Cardiologica Sinica, 33(3), 233-240. https://doi.org/10.6515/ACS20161026A
- Chung, H. F., Hsu, C. C., Mamun, A. A., Long, K. Z., Huang, Y. F., Shin, S. J., Hwang, S. J., & Huang, M. C. (2013). Dietary patterns, dietary biomarkers, and kidney disease in patients with type 2 diabetes: a repeated-measure study in Taiwan. Asia Pacific Journal of Clinical Nutrition, (), 1-20. https://doi.org/10.6133/apjcn.042017.15
- Chung, H. F., Hsu, C. C., Mamun, A. A., Long, K. Z., Huang, Y. F., Shin, S. J., Hwang, S. J., & Huang, M. C. (2018). Dietary patterns, dietary biomarkers, and kidney disease in patients with type 2 diabetes: a repeated-measure study in Taiwan. Asia Pacific Journal of Clinical Nutrition, 27(2), 366-374. https://doi.org/10.6133/apjcn.042017.15
- 辜嵩貿（2014）。A study of the association between pay-for-performance program and patient care for diabetes patients with hypertension and hyperlipidemia under the Taiwanese National Health Insurance System: a population-based study〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-1407201413563900