National_Diabetes_Registry_Report_Vol_1_2009_2012.pdf

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National Diabetes Registry Report Volume 1 2009-2012 Non-Communicable Disease Section Disease Control Division Ministry of Health Malaysia Copyright © Ministry of Health Malaysia All rights reserved. The contents of this publication may be freely reproduced for non-commercial purposes with attribution to the copyright holders. Suggested citation is: Feisul MI, Azmi S. (Eds). National Diabetes Registry Report, Volume 1, 2009-201
  Volume 12009-2012 Non-Communicable Disease SectionDisease Control DivisionMinistry of Health Malaysia National Diabetes Registry Report   Copyright © Ministry of Health Malaysia All rights reserved. The contents of this publication may be freely reproduced for non-commercial purposes with attribution to the copyright holders. Suggested citation is: Feisul MI, Azmi S. (Eds). National Diabetes Registry Report, Volume 1, 2009-2012. Kuala Lumpur; Ministry of Health Malaysia; 2013 Jul. This publication is also made available in electronic format on the website of the Ministry of Health. Website: http://www.moh.gov.my  First published July 2013. Published by: Non-Communicable Disease Section Disease Control Division Department of Public Health Ministry of Health Malaysia Level 2, Block E3, Complex E Federal Government Administration Centre 62590 Putrajaya, Malaysia Tel: +603-8892 4413 Fax: +603-8892 4526 Website: http://www.moh.gov.my ISBN 978-967-0399-53-9    Contents Foreword ................................................................................................................................................... 1 Executive Summary ................................................................................................................................... 2 Abbreviations ............................................................................................................................................ 4 Definitions ................................................................................................................................................. 4 National Diabetes Registry Team .............................................................................................................. 5 Report Authors .......................................................................................................................................... 5 Acknowledgements ................................................................................................................................... 5 Introduction ............................................................................................................................................... 6 Methodology ............................................................................................................................................. 9 Findings ................................................................................................................................................... 12 Patient population ............................................................................................................................... 12 Comorbidities ...................................................................................................................................... 15 Clinical investigations .......................................................................................................................... 17 Clinical target achievement ................................................................................................................. 18 Drug treatment .................................................................................................................................... 22 Discussion ................................................................................................................................................ 25 Conclusions .............................................................................................................................................. 31 Bibliography ............................................................................................................................................. 32 Appendix 1: Participating KKs .............................................................................................................. 34 Appendix 2: Patient Registration CRF.................................................................................................. 44 Appendix 3: Outcome Update CRF ...................................................................................................... 45 Appendix 4: Clinical Audit CRF............................................................................................................. 46 Appendix 5: Sample size determination for Clinical Audit .................................................................. 48   1 Foreword As Malaysia continues its developmental progress as a nation both socially and economically, disease patterns and burdens are changing to reflect changes in lifestyle and dietary patterns of its population. It is well-recognized that diabetes in Malaysia has become increasingly problematic along with issues of other cardiovascular conditions such as hypertension, heart disease and stroke. Based on the latest results of the National Health and Morbidity Survey (NHMS) 2011 and projections by the Disease Control Division, Ministry of Health (MOH), the prevalence of diabetes among adults in Malaysia is projected to rise to 21.6% by the year 2020. The Ministry of Health views these changes with concern and awareness of the need to take action to both control complication rates of existing diabetics while preventing the disease among those who are currently healthy. The National Diabetes Registry (NDR) is one of the initiatives being taken by the MOH to further strengthen Non-Communicable Disease surveillance in Malaysia, specifically for monitoring quality of care among patients living with diabetes managed in MOH healthcare facilities. While the MOH has been able to provide chronic disease management services at minimal or no cost, changes in our socio-economic circumstances have stretched our services at MOH healthcare facilities. Research and data are critical elements that facilitate better understanding for the improvements needed. I commend the National Diabetes Registry team and all of the staff at our healthcare clinics and hospitals for having initiated and contributed to this innovative registry that leverages upon existing care and data collection processes within the MOH. It has been four good years of investment and I am happy to see this first report being published as recognition of the work as well as an opportunity to share information with all others who are interested in the care of our patients with diabetes. Finally, it is hoped that with the existence of this useful dataset, we can better understand how to improve treatment and management of our patients to reduce complication rates, increase life span and quality of life of patients within our care. Datuk Dr Noor Hisham Abdullah Director-General of Health, Malaysia
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