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Terekhova A.L.

I.M. Sechenov First Moscow State Medical University», Moscow, Russia

Zilov A.V.

Kafedra éndokrinologii Pervogo MGMU im. I.M. Sechenova, Moskva

Melnichenko G.A.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia;
Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia

Vertkin A.L.

Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet

The discrepancies between clinical and pathologo-anatomical diagnoses in the polymorbid patients presenting with type 2 diabetes mellitus: the cost of the error

Authors:

Terekhova A.L., Zilov A.V., Melnichenko G.A., Vertkin A.L.

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Journal: Problems of Endocrinology. 2015;61(1): 41‑45

DOI: 10.14341/probl201561141-45

Read: 3366 times

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Table of contents

THE DISCREPANCIES BETWEEN CLINICAL AND PATHOLOGO-ANATOMICAL DIAGNOSES IN THE POLYMORBID PATIENTS PRESENTING WITH TYPE 2 DIABETES MELLITUS: THE COST OF THE ERROR
THE DISCREPANCIES BETWEEN CLINICAL AND PATHOLOGO-ANATOMICAL DIAGNOSES IN THE POLYMORBID PATIENTS PRESENTING WITH TYPE 2 DIABETES MELLITUS: THE COST OF THE ERROR

To cite this article:

Terekhova AL, Zilov AV, Melnichenko GA, Vertkin AL. The discrepancies between clinical and pathologo-anatomical diagnoses in the polymorbid patients presenting with type 2 diabetes mellitus: the cost of the error. Problems of Endocrinology. 2015;61(1):41‑45. (In Russ.)
https://doi.org/10.14341/probl201561141-45

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Abstract:

The present work was designed to elucidate the frequency and the structure of polymorbidity and analyze the discrepancies between diagnoses in the patient presenting with type 2 diabetes mellitus based on the results of comparison of clinical and morphological features. The study has demonstrated the high prevalence of polypathies; their contribution to the impaired accuracy of life-time diagnostics was estimated. It was shown that in the majority of the cases except for  acute pyelonephritis the diagnostic errors had no significant influence of on the final outcome of the disease.

Keywords:

type 2 diabetes mellitus
polymorbidity
discrepancy between diagnoses
hypodiagnostics
pyelonephritis

Authors:

Terekhova A.L.

I.M. Sechenov First Moscow State Medical University», Moscow, Russia

Zilov A.V.

Kafedra éndokrinologii Pervogo MGMU im. I.M. Sechenova, Moskva

Melnichenko G.A.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia;
Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia

Vertkin A.L.

Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet

Close metadata

References:

  1. Whiting DR, Guariguata L, Weil C, Shaw J. IDF Diabetes Atlas: Global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res. Clin. Pract. 2011;94(3):311-321.  doi: 10.1016/j.diabres.2011.10.029
  2. Suntsov YI, Bolotskaya LL, Maslova OV, Kazakov IV. Epidemiology of diabetes mellitus and prognosis of its prevalence in the Russian Federation. Diabetes mellitus. 2011;14(1):15-19. doi: 10.14341/2072-0351-6245
  3. Westert GP. Patterns of comorbidity and the use of health services in the Dutch population. The European Journal of Public Health. 2001;11(4):365-372. doi: 10.1093/eurpub/11.4.365 
  4. Piette JD, Kerr EA. The Impact of Comorbid Chronic Conditions on Diabetes Care. Diabetes Care. 2006;29(3):725-731. doi: 10.2337/diacare.29.03.06.dc05-2078
  5. Gijsen R, Hoeymans N, Schellevis FG, et al. Causes and consequences of comorbidity. J. Clin. Epidemiol. 2001;54(7):661-674. doi: 10.1016/s0895-4356(00)00363-2
  6. Versnel N, Welschen LMC, Baan CA, et al. The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial. BMC Fam. Pract. 2011;12(1):68. doi: 10.1186/1471-2296-12-68
  7. Petrik EA. Osobennosti polimorbidnosti u somaticheskikh bol’nykh. [dissertation] Moscow; 2011.
  8. Terekhova AL, Zilov AV, Vertkin AL, Mel’nichenko GA. Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data. Diabetes mellitus. 2011;(4):61-64. doi: 10.14341/2072-0351-5819
  9. Puzyrev VP, Makeeva OA, Golybenko MV. Genes of syntropies and cardiovascular continuum. Vestnik VOGiS. 2006;10(3):479-491.
  10. Vertkin AL. Rol’ khronicheskogo allergicheskogo vospaleniya v patogeneze bronkhial’noy astmy i ego ratsional’naya farmakoterapiya u patsientov s polipatiey. Practitioner. 2009;(4):61-66.
  11. Zayrat’yants OV, Polyanko NI. Demographics Moscow over the last century. The structure of mortality. The quality of the lifetime diagnostics in medical centres. The outcomes of the adult pathology service network of medical institutions of Moscow Health Department in 2000-2011 (in tables and graphs). Federal Service of State Statistics of Russia (Rosstat). 2012. (in Russ.)
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