International journal of clinical practice
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Int. J. Clin. Pract. · Dec 2015
Older type 2 diabetic patients are more likely to achieve glycaemic and cardiovascular risk factors targets than younger patients: analysis of a primary care database.
Older subjects with type 2 diabetes mellitus (T2DM) have differential characteristics compared with middle-aged or younger populations, and require tailored management of the disease. ⋯ Control of glycaemia and cardiovascular risk factors was better among older T2DM patients. There is a need for prospective studies to quantify the weight of risk factors in each complication to adapt the therapeutic and care approaches in elderly people.
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Int. J. Clin. Pract. · Dec 2015
The impact of opioid-induced constipation among chronic pain patients with sufficient laxative use.
The impact of sufficient laxative use on opioid-induced constipation (OIC) is not known. ⋯ These findings demonstrate constipation persists despite sufficient laxative use with little improvement in symptoms, HRQL or activity impairment. This ongoing burden emphasises the need to identify more efficacious constipation therapies for this chronic pain patient population.
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Int. J. Clin. Pract. · Dec 2015
Prevalence, management and outcomes of medically complex vulnerable elderly patients with urinary incontinence in the United States.
To assess the prevalence, patient-physician communication, treatment and health outcomes associated with urinary incontinence (UI) among the medically complex vulnerable elderly (MCVE) in the United States (US). ⋯ Urinary incontinence prevalence in the USA increased among MCVE from 2006 to 2012, although treatment of UI remained low. UI problems, particularly big UI problems, adversely impact health outcomes. Efforts to better identify and manage UI among the MCVE are needed.