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J Clin Outcomes Manage
2012 Oct;19(10):446-452
Cardiovascular preventative therapies and outcomes of care among urban sub-Saharan Africans with Type 2 diabetes: a cross-sectional study in Cameroon.
Mekong JO, Kengne AP, Dehayem MY, Sobngwi E, Mbanya JC
Abstract Objective: To assess the uptake of recommended cardiovascular risk–reducing therapies and outcomes of care in a group of diabetic patients in Cameroon, sub-Saharan Africa. Methods: Cross-sectional study of consenting patients with type 2 diabetes receiving routine chronic care at the National Obesity Centre of the Yaounde Central Hospital in the capital city of Cameroon. Use of blood pressure–lowering, lipid-modifying, and glycemic control therapies was assessed, and levels of risk factor control attained were compared with recommended optimal targets. Results: In all, 205 participants (89 men) aged 29 to 85 years (mean age, 57 years) were included. Major risk factors were distributed as follows: hypertension (54.6%), dyslipidemia (49.8%), overweight and obesity (68.3%), current smoking (7.4%), and sedentary lifestyle (49.4%). Specific drug treatment rates were 88.6% (blood pressure lowering), 5.0% (lipid modifying), 16% (aspirin), and 97.6% (glucose control). Optimal control was achieved for 3 or more factors in 13.2%, and for none of the factors in 9.3% of participants. Control rate was higher for lipids than for blood pressure. Conclusions: Overall satisfactory control of cardiovascular risk factors in urban Cameroonian diabetic patients is poor. Further improvements are needed in the application of recommended cardiovascular preventive actions in this population.
Original Research
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