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Volume 2 Journal of Clinical Diagnosis and Treatment Annual Nephrology & Chronic Diseases 2019
May 20-21, 2019
Nephrology
Chronic Diseases May 20-21, 2019 London, UK
19th Annual Conference on
3rd International Conference on
&
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the study progress and data records in every community center once or twice yearly. The primary outcome
was defined as the proportion of patients reaching an optimal control of glycaemia, blood pressure and lipids.
The clinical outcomes such as the incidence and progress of diabetic complications, including cardiovascular
events and all-cause mortality were recorded. All of the endpoint events were evaluated and approved by the
specialist committee. The database has been established using Epidata version 3.0 and audited for accuracy.
Results: 1. 3581 patients with T2DM were recruited in 2008, 2940 (82.1%) patients completed the study. 2.
By updated analysis in 2018, 23.5% met all the HbA1c, blood pressure, and LDL-C target values after 10-
year intervention, which showed a significant increase compared with that 13.1% in 2013, and 5.9% at the
baseline. 3. A total of 1801 patients who went through 10-year follow-up visit and have complete information
were analyzed. Among them 613 patients (34.04％) reached combined target equal to or more than 3 times
during the 10 years, while the rest of 1188 patients (65.96％) were up to standard less than 3 times. The
incidence of all-cause deaths, cardiovascular events and total composite endpoint events in patients who were
up to standard more than 3 times was significantly lower than that of patients who were up to standard less
than 3 times (P<0.001). The log-rank test showed that the cumulative risks of all-cause deaths, cardiovascular
events and the total composite endpoint events in patients who were up to standard more than 3 times were
significantly lower than that of patients who were up to standard less than 3 times (P<0.001). The community
GPs improved their familiarity with expertise and experience in diabetes management by systematic training.
49 research papers written by the GPs were published.
Conclusion: The community-based community-hospital integrated care system was proved to be more
effective. The incidence of all-cause deaths and cardiovascular events were significantly reduced by constant
combined target control．
Funding: The project was supported by the Capital Medical Development Foundation (2007-1035); The
Capital Health Research and Development of Special (2011-2005-01, 2016-1-2057); and the IDF-BRIDGES
funding (ST12-024).
Biography
Mingxia Yuan is the chief physician and vice-director of department of Endocrinology, Beijing Tongren Hospital, Capital Medical
University and vice-Director of the office of diabetes prevention and control in Beijing. She has completed her master’s degree from
Capital Medical University in 1998.