Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020
| dc.contributor.advisor | Mash, Bob | en_ZA |
| dc.contributor.author | Boake, Megan Wilson | en_ZA |
| dc.contributor.other | Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. | en_ZA |
| dc.date.accessioned | 2021-11-23T06:23:02Z | |
| dc.date.accessioned | 2021-12-22T14:22:36Z | |
| dc.date.available | 2021-11-23T06:23:02Z | |
| dc.date.available | 2021-12-22T14:22:36Z | |
| dc.date.issued | 2021-12 | |
| dc.description | Thesis (MFamMed)--Stellenbosch University, 2021. | en_ZA |
| dc.description.abstract | 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. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. | af_ZA |
| dc.description.version | Masters | |
| dc.format.extent | 25 pages ; illustrations | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/123808 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Stellenbosch : Stellenbosch University | |
| dc.rights.holder | Stellenbosch University | |
| dc.subject | Diabetes -- Women patients -- Cape Town (South Africa) -- Databases | en_ZA |
| dc.subject | Diabetes -- Incidence -- Cape Town (South Africa) -- Databases | en_ZA |
| dc.subject | Diabetes clinics -- Cape Town (South Africa) | en_ZA |
| dc.subject | Public hospitals -- Cape Town (South Africa) | en_ZA |
| dc.subject | Comorbidity | en_ZA |
| dc.subject | UCTD | |
| dc.title | Diabetes in the Cape Town Metropole – a secondary analysis of the diabetes cascade database 2015 - 2020 | en_ZA |
| dc.type | Thesis | en_ZA |