Fear of driving license withdrawal in patients with
insulin-treated diabetes mellitus negatively influences their
decision to report severe hypoglycemic events to physicians

J 2015

Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians

BROŽ, J, M BRABEC, DJ ZDARSKA, Z FEDAKOVA, L HOSKOVCOVA et. al.

Základní údaje

Originální název

Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians

Název česky

Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians

Autoři

BROŽ, J, M BRABEC, DJ ZDARSKA, Z FEDAKOVA, L HOSKOVCOVA, JY YOU, V DONICOVA, Petr HLAĎO, D RAHELIC, M KVAPIL a J POLAK

Vydání

PATIENT PREFERENCE AND ADHERENCE, ALBANY, DOVE MEDICAL PRESS LTD, 2015, 1177-889X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.718

DOI

http://dx.doi.org/10.2147/PPA.S87393

UT WoS

000362296700001

Klíčová slova anglicky

hypoglycemia; education; law; type 1 diabetes

Změněno: 3. 4. 2017 17:00, doc. PhDr. Petr Hlaďo, Ph.D.

Anotace

V originále

Background: Under current European Union legislation, two severe hypoglycemic events within 12 months is grounds for driving license withdrawal. The aim of the study reported here was to determine whether fear of such a withdrawal could lead to patients concealing severe hypoglycemia from physicians, which could negatively impact further treatment decisions. Methods: A total of 663 patients with insulin-treated diabetes were anonymously surveyed about whether they would conceal severe hypoglycemic events from their physicians, if revealing them could result in driving license withdrawal. This investigation utilized an adapted and expanded questionnaire by Graveling et al. Results: Of all diabetic patients surveyed, 26.17% would most likely not report hypoglycemia, and 25.86% were undecided. In a group of patients with type 1 diabetes, 31.83% would likely not report hypoglycemic events, and 25.06% were undecided. The patients least likely to report severe hypoglycemic events were those who indicated that vehicles were partly essential for work, and who also had more than two hypoglycemic events monthly. Conclusion: A considerable percentage of diabetic patients would likely conceal severe hypoglycemic events from their physicians due to fear of driving license withdrawal. Patient failure to report severe hypoglycemic events can potentially lead to physicians being mis-informed regarding the patient's condition, which could lead to inadequate monitoring and treatment.

Citovat

BROŽ, J, M BRABEC, DJ ZDARSKA, Z FEDAKOVA, L HOSKOVCOVA, JY YOU, V DONICOVA, Petr HLAĎO, D RAHELIC, M KVAPIL a J POLAK. Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians. PATIENT PREFERENCE AND ADHERENCE. ALBANY: DOVE MEDICAL PRESS LTD, 2015, roč. 9, s. 1367-1370. ISSN 1177-889X. Dostupné z: https://dx.doi.org/10.2147/PPA.S87393.

@article{1377480,
   author = {Brož, J and Brabec, M and Zdarska, DJ and Fedakova, Z and Hoskovcova, L and You, JY and Donicova, V and Hlaďo, Petr and Rahelic, D and Kvapil, M and Polak, J},
   article_location = {ALBANY},
   doi = {http://dx.doi.org/10.2147/PPA.S87393},
   keywords = {hypoglycemia; education; law; type 1 diabetes},
   language = {eng},
   issn = {1177-889X},
   journal = {PATIENT PREFERENCE AND ADHERENCE},
   title = {Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians},
   url = {http://dx.doi.org/10.2147/PPA.S87393},
   volume = {9},
   year = {2015}
}

TY  - JOUR
ID  - 1377480
AU  - Brož, J - Brabec, M - Zdarska, DJ - Fedakova, Z - Hoskovcova, L - You, JY - Donicova, V - Hlaďo, Petr - Rahelic, D - Kvapil, M - Polak, J
PY  - 2015
TI  - Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians
JF  - PATIENT PREFERENCE AND ADHERENCE
VL  - 9
SP  - 1367-1370
EP  - 1367-1370
PB  - DOVE MEDICAL PRESS LTD
SN  - 1177889X
KW  - hypoglycemia
KW  - education
KW  - law
KW  - type 1 diabetes
UR  - http://dx.doi.org/10.2147/PPA.S87393
L2  - http://dx.doi.org/10.2147/PPA.S87393
N2  - Background: Under current European Union legislation, two severe hypoglycemic events within 12 months is grounds for driving license withdrawal. The aim of the study reported here was to determine whether fear of such a withdrawal could lead to patients concealing severe hypoglycemia from physicians, which could negatively impact further treatment decisions. Methods: A total of 663 patients with insulin-treated diabetes were anonymously surveyed about whether they would conceal severe hypoglycemic events from their physicians, if revealing them could result in driving license withdrawal. This investigation utilized an adapted and expanded questionnaire by Graveling et al. Results: Of all diabetic patients surveyed, 26.17% would most likely not report hypoglycemia, and 25.86% were undecided. In a group of patients with type 1 diabetes, 31.83% would likely not report hypoglycemic events, and 25.06% were undecided. The patients least likely to report severe hypoglycemic events were those who indicated that vehicles were partly essential for work, and who also had more than two hypoglycemic events monthly. Conclusion: A considerable percentage of diabetic patients would likely conceal severe hypoglycemic events from their physicians due to fear of driving license withdrawal. Patient failure to report severe hypoglycemic events can potentially lead to physicians being mis-informed regarding the patient's condition, which could lead to inadequate monitoring and treatment.
ER  -

BROŽ, J, M BRABEC, DJ ZDARSKA, Z FEDAKOVA, L HOSKOVCOVA, JY YOU, V DONICOVA, Petr HLAĎO, D RAHELIC, M KVAPIL a J POLAK. Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians. \textit{PATIENT PREFERENCE AND ADHERENCE}. ALBANY: DOVE MEDICAL PRESS LTD, 2015, roč.~9, s.~1367-1370. ISSN~1177-889X. Dostupné z: https://dx.doi.org/10.2147/PPA.S87393.

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