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. 2013 Jan 7:13:2.
doi: 10.1186/1472-6823-13-2.

Drug related problems in type 2 diabetes patients with hypertension: a cross-sectional retrospective study

Hasniza Zaman Huri  1 , Hoo Fun Wee
Affiliations

Drug related problems in type 2 diabetes patients with hypertension: a cross-sectional retrospective study

Hasniza Zaman Huri et al. BMC Endocr Disord. .

Abstract

Background: Type 2 diabetes (T2DM) patients with hypertension are at increased risk for experiencing drug-related problems (DRPs) since they often receive multiple medications and have multiple comorbidities. To date, there is a lack of studies conducted in T2DM patients with hypertension. This study aims to analyze the DRPs and identify factors affecting the DRPs in this patient population.

Method: This retrospective study involved T2DM patients with hypertension and was conducted at a tertiary hospital in Malaysia from January 2009 to December 2011. The assessment of DRPs was based on the Pharmaceutical Network Care Europe (PCNE) tool version 5.01.

Results: Two hundred patients with a total of 387 DRPs were identified. Among these patients, 90.5% had at least one DRP, averaging 1.9 ± 1.2 problems per patient. The most common DRPs encountered were insufficient awareness of health and diseases (26%), drug choice problems (23%), dosing problems (16%) and drug interactions (16%). The most implicated drugs were aspirin, clopidogrel, simvastatin, amlodipine and metformin. The six domains of DRPs found to have statistically significant associations were renal impairment, polypharmacy, cardiovascular disease, elderly status, and duration of hospital stay.

Conclusions: Early identification of the types and patterns of DRPs and the factors associated to them may enhance the prevention and management of DRPs in T2DM patients with hypertension.

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Figures

Figure 1
Figure 1
Overview of study procedure.
See this image and copyright information in PMC

References

    1. Shaw J, Sicree R, Zimmet P. Global estimates of the prevalence of diabetes for, and 2030. Diabetes Res Clin Pract. 2010;87(1):4–14. doi: 10.1016/j.diabres.2009.10.007. - DOI - PubMed
    1. Letchuman G, Nazaimoon WMW, Mohamad WBW, Chandran L, Tee G, Jamaiyah H. et al. Prevalence of diabetes in the Malaysian national health morbidity survey III 2006. Medical Journal of Malaysia. 2010;65(3):173–179. - PubMed
    1. Mafauzy M, Hussein Z, Chan S. The status of diabetes control in Malaysia: results of DiabCare 2008. Medical Journal of Malaysia. 2011;66(3):175–181. - PubMed
    1. American Diabetes Association. Standards of medical care in diabetes-2012. Diabetes Care. 2012;35(Suppl.1):S11–S63. - PMC - PubMed
    1. Adler AI, Stratton IM, Neil HAW, Yudkin JS, Matthews DR, Cull CA. et al. Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. Br Med J. 2000;321(7258):412–419. doi: 10.1136/bmj.321.7258.412. - DOI - PMC - PubMed

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