Sammanfattning
BACKGROUND The majority of patients with type 2 diabetes are followed up in general practice. We have investigated whether the use of forms by GPs
for recording clinical data contributes to lower mortality and morbidity for this patient group.
MATERIAL AND METHOD This systematic review is based on literature searches in MEDLINE, EMBASE, ISI Web of Science, Cochrane CENTRAL and
PubMed. We included studies that dealt with adults over 18 years of age with diabetes who were followed up in the primary health service, and
compared mortality and morbidity with and without the use of forms. We summarised the results narratively and using meta-analyses.
RESULTS Seven studies were included. One study (1262 participants) investigated the effect of using the form on hard endpoints, without finding clear
effects on mortality (HR 0.91; 95 % CI 0.72-1.14), myocardial infarction (OR 0.65; 95 % CI 0.31-1.35), stroke (OR 0.89; 95 % CI 0.39-2.01), peripheral
nerve injury (OR 0.86; 95 % CI 0.57-1.29 or retinopathy (OR 0.90; 95 % CI 0.53-1.52. Use of forms appears to have little or no effect on body weight
(three studies), but a small, positive effect on blood pressure (five studies) and total cholesterol (two studies).
INTERPRETATION Published data at present provide no clear answers, but show that use of forms in the follow-up of patients with diabetes in general
practice may tend to contribute to lower mortality and morbidity.