The objective of this study was to illustrate the method of cohort
reporting of persons with diabetes mellitus (DM) in a primary healthcare
clinic in Amman, Jordan, serving Palestine refugees with the aim of
improving quality of DM care services.
It was a descriptive study using quarterly and cumulative case findings,
as well as cumulative and 12-month analyses of cohort outcomes collected
through E-Health in UNRWA Nuzha Primary Health Care Clinic.
There were 55 newly registered patients with DM in quarter 1, 2012, and
a total of 2851 patients with DM ever registered on E-Health because
this was established in 2009. By 31 March 2012, 70% of 2851 patients
were alive in care, 18% had failed to present to a healthcare worker in
the last 3 months and the remainder had died, transferred out or were
lost to follow-up. Cumulative and 12-month cohort outcome analysis
indicated deficiencies in several components of clinical care:
measurement of blood pressure, annual assessments for foot care and
blood tests for glucose, cholesterol and renal function. 10 - 20% of
patients with DM in the different cohorts had serious late complications
such as blindness, stroke, cardiovascular disease and amputations.
It was concluded that cohort analysis provides data about incidence and
prevalence of DM at the clinic level, clinical management performance
and prevalence of serious morbidity. It needs to be more widely applied
for the monitoring and management of non-communicable chronic diseases.
Khader, A.; Farajallah, L.; Shahin, Y.; Hababeh, M.; Abu-Zayed, I.; Kochi, A.; Harries, AD.; Zachariah, R.; Kapur, A.; Venter, W.; Seita, A. Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan. Tropical Medicine and International Health (2012) 17 (12) 1569-1576. [DOI: 10.1111/j.1365-3156.2012.03097.x]
Cohort monitoring of persons with diabetes mellitus in a primary health care clinic for Palestine refugees in Jordan.