Recording blood pressure and eGFR in primary care after the Belgrade screening study.

BACKGROUND: In 2009, Belgrade nephrologists and general practitioners from thirteen health centers carried out screening for chronic kidney disease (CKD). Three years later, medical records of patients from four health centers participating in the screening study were retrospectively analyzed in order to check whether general practitioners had continued to control patients at risk for CKD in accordance with the recommendations provided. METHODS: The study included 460 patients who visited their doctor at least once in the three-year period. Data on blood pressure, ACEI use, estimated glomerular filtration rate (eGFR) and comorbidities were taken from patients' medical records. RESULTS: Blood pressure was not recorded in any of the three years in 42.8% and eGFR in 36.7% of the patients, but blood pressure was registered every year in 7.8% and eGFR in 4.3% of them. Over the three years, the relative number of patients with recorded blood pressure decreased from 41.7% to 17.8%, and with recorded eGFR from 41.7% to 21.5%. Multivariate linear regression found that Health Center, systolic and diastolic blood pressure and presence of hypertension were negatively associated with number of years with recorded blood pressure. Health Center, systolic blood pressure and sum of years with recorded eGFR below 60 ml/min/1.73m2 were associated with number of years with recorded eGFR. CONCLUSIONS: Under-recording of blood pressure and eGFR in primary care health centers suggests lack of adherence to current guidelines and insufficient care of CKD patients. This implies the necessity for continuous education of physicians.

Some risk factors for the development of type 2 diabetes in men and women of Belgrade population.

INTRODUCTION: In the last two decades there has been an increase in the prevalence of type 2 diabetes in both developed and in developing countries. OBJECTIVE: To determine whether personal habits like smoking, alcohol and coffee consumption or physical inactivity are different between genders in patients with type 2 diabetes. METHODS: The study was conducted in Belgrade, during the period 2007-2008, and included newly diagnosed patients with type 2 diabetes. We included 80 men and 99 women diagnosed with diabetes mellitus type 2, referred to the Primary Health Care Centre "Savski venac". A questionnaire was used to collect data on demographic and anthropometric characteristics, as well as data on healthy habits. The chi2 test and two-tailed t-test were used for data analysis. RESULTS: The men were significantly more engaged in industry and crafts, while the women worked significantly more frequently in administrative jobs. The men were married significantly more frequently than the women (p < 0.05) and had a higher level of education (p < 0.05). Regarding to the level of implementation of nutritional and physical activity, there were no significant differences between the genders (p > 0.05). The women consumed coffee significantly more frequently than the men (p < 0.05), but drank less alcohol (p < 0.05). The men were former smokers significantly more frequently (p < 0.05) than the women. CONCLUSION: These results indicate the role of certain personal habits in the development of type 2 diabetes.