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Published Online: 1 October 2013

Screening for Metabolic Risk Among Patients With Severe Mental Illness and Diabetes: A National Comparison

Abstract

Objective

People with severe mental illness have a higher risk of developing cardiovascular disease and die sooner than the general population. This study of a national sample of primary care patients in the United Kingdom compared screening for cardiometabolic risk factors among patients with severe mental illness and diabetes.

Methods

Screening for cardiovascular disease among 2,488,948 patients with diabetes (2010–2011) and 422,966 patients with severe mental illness (2011–2012) at 8,123 primary care practices was compared.

Results

The percentage of patients who received screening across four parameters (body mass index, blood pressure, blood glucose, and cholesterol) in the previous 15 months was higher among patients with diabetes than among those with severe mental illness (97.3% versus 74.7%, p<.001).

Conclusions

The proportion of patients in primary care who were given screening for cardiometabolic risk was much lower among those with severe mental illness than among those with diabetes.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: Walter Martin, by Dickson Reeder, 1956. Oil on canvas. Collection of the San Antonio Art League and Museum, San Antonio, Texas.

Psychiatric Services
Pages: 1060 - 1063
PubMed: 24081407

History

Published online: 1 October 2013
Published in print: October 2013

Authors

Details

Alex J. Mitchell, M.D.
Dr. Mitchell is affiliated with the Department of Psychooncology, Leicestershire Partnership Trust and the University of Leicester, United Kingdom. Dr. Hardy is with the University of Northampton and with Park Avenue Medical Centre, 168 Park Ave. North, Northampton NN3 2HZ, United Kingdom (e-mail: [email protected]).
Sheila Ann Hardy, Ph.D., R.N.
Dr. Mitchell is affiliated with the Department of Psychooncology, Leicestershire Partnership Trust and the University of Leicester, United Kingdom. Dr. Hardy is with the University of Northampton and with Park Avenue Medical Centre, 168 Park Ave. North, Northampton NN3 2HZ, United Kingdom (e-mail: [email protected]).

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