Oral Presentation Australian Diabetes Society and the Australian Diabetes Educators Association Annual Scientific Meeting 2017

The Australian National Diabetes Audit (ANDA): Lessons from the 2016 Australian Quality Self-Management Audit (#25)

Anthony Pease 1 2
  1. Diabetes and Vascular Medicine Unit, Monash Health, Clayton, VIC , 3168
  2. School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, 3168

The Australian National Diabetes Audit-Australian Quality Self-Management Audit (ANDA-AQSMA) is facilitated by the National Association of Diabetes Centres (NADC). In 2016 the ANDA-AQSMA has built on the successful, well-established ANDIAB2 initiative, and provided data on people attending services in diabetes care across Australia. Participating diabetes centres, endocrinologists and diabetes health care professionals are able to evaluate their data against their peers, enabling them to identify and implement mechanisms to improve outcomes for their patients.

 

In 2016, 56 diabetes centres (members of the NADC) responded to an expression of interest invitation. Of these, 50 provided de-identified data on 3930 individuals all aged over 18 years seen mainly during the one-month survey period of May or June 2016. A total of 6 sites were unable to participate in the audit due to shortage of staff or not being able to meet the minimum requirement of patients. The ANDA-AQSMA dataset is derived from the ANDIAB2 data set developed for the ANDIAB2 2005 Pilot, and revised for 2010 and the following biennial collections. It contains demographic, clinical, self -management and wellbeing data items that have standardised definitions, and has been promulgated for collection in all clinical practice settings.

 

The key findings from ANDA-AQSMA 2016 were:

  • The majority of patients reported the correct use of insulin or other injectable medications as well as good adherence to their prescribed medication.
  • One third of patients do not monitor their blood glucose level as often as is recommended.
  • 54% of patients with diabetes do not engage in sufficient physical activity.
  • One third of patients have trouble following their recommended diet, but only half of all patients audited had attended a dietitian in the last 12 months.
  • Of the 13% of patients who are current smokers, three-quarters had tried to quit smoking.
  • Reduced wellbeing and diabetes distress was identified in a considerable number of people (37%).
  • 27% of patients with diabetes were found to have ‘likely depression’.
  • 45% of patients had not seen a podiatrist in the last year.