Database Supported Long-term Management of Chronic Diseases – Data from the German Disease Management Programmes as a Source for Continuing Medical Education

Figures & data

Table 1. Percentage of valid DMP documentations

DMP	2010	2020	Δ 2010/20
Type 2 diabetes	99.5	99.7	0.2
Type 1 diabetes	98.6	99.2	0.6
CAD	99.5	99.7	0.2
Bronchial asthma	99.4	99.7	0.3
COPD	99.5	99.8	0.3
Breast cancer	98.0	99.2	1.2
All	99.1	99.6	0.5

Figures in %; Δ 2010/20: difference 2010 vs. 2020 in %

Table 2. Number of DMP patients

DMP	2010	2020	Δ 2010/20
Type 2 diabetes	803,974	998,063	24.1
Type 1 diabetes	37,159	61,963	66.8
CAD	415,908	453,437	9.0
Bronchial asthma	183,141	229,065	25.1
COPD	172,580	207,819	20.4
Breast cancer	35,001	37,540	7.3
All	1,430,345	1,697,599	18.7
All with FD	1,365,105	1,645,097	20.5

All: patients treated in several DMPs simultaneously are taken into account;

FD: follow-up documentation; Δ 2010/20: difference 2010 vs. 2020 in %

Table 3. Number of DMP physicians

DMP	2010	2020	Δ 2010/20
Type 2 diabetes	9,052	9,818	8.5
Type 1 diabetes	1,326	1,452	9.5
CAD	8,831	9,567	8.3
Bronchial asthma	7,598	8,864	16.7
COPD	7,075	8,355	18.1
Breast cancer	1,353	1,089	–19.5
All	11,782	12,081	2.5

All: physicians participating in several DMPs simultaneously are taken into

account; Δ 2010/20: difference 2010 vs. 2020 in %

Table 4. Number of DMP office visits

DMP	2010	2020	Δ 2010/20
Type 2 diabetes	2,696,771	3,245,214	20.3
Type 1 diabetes	119,863	196,486	63.9
CAD	1,369,828	1,472,325	7.5
Bronchial asthma	545,148	657,251	20.6
COPD	542,913	642,975	18.4
Breast cancer	64,139	66,008	2.9
Sum	5,338,662	6,280,259	17.6

Documented DMP office visits; Δ 2010/20: difference 2010 vs. 2020 in %

Table 5. Attainment rates (%) achieved for selected quality indicators of the DMPs type 2 diabetes and CAD

	2010			2020
		IQR			IQR		Δ 2010
Type 2 Diabetes	all	25%	75%	all	25%	75%	vs. 2020
HbA1c target achieved	56.7	37.5	70.1	61.7	46.8	76.3	5.0
HbA1c ≤ 8,5%	89.7	85.9	93.6	90.4	87.7	94.0	0.7
Prevention of hypoglycaemia	99.6	100.0	100.0	99.6	99.6	100.0	0.0
Prevention of hospital admission	99.7	100.0	100.0	99.8	100.0	100.0	0.1
Blood pressure < 140/90 mmHg	56.1	41.2	65.3	56.8	43.5	66.7	0.7
Diabetes training^1	52.3	33.3	62.2	53.2	39.5	62.1	0.9
Hypertension training^1	37.0	0.0	43.0	42.2	14.3	50.0	5.2
Screening for diabetic retinopathy	75.5	60.6	95.5	66.7	48.2	89.9	–8.8
Check of kidney function	94.8	97.4	100.0	89.3	90.6	100.0	–5.5
Prescription of metformin	85.1	78.8	92.9	89.7	85.7	95.4	4.6
Prescription of antiplatelet drug	70.7	59.1	84.8	73.0	63.2	86.5	2.3
CAD
Blood pressure < 140/90 mmHg	64.8	51.7	75.5	63.1	50.0	74.4	–1.7
Current non-smokers	88.8	84.5	94.4	85.7	81.3	91.7	–3.1
Prescription of antiplatelet drug	82.4	78.6	95.8	83.0	79.2	96.4	0.6
Prescription of a beta blocker	78.6	72.9	89.4	77.9	72.9	86.2	–0.7
Prescription of a statin	71.3	64.8	88.5	77.3	72.0	91.8	6.0
Hypertension training^1	40.2	0.0	48.6	43.9	0.0	50.0	3.7
Diabetes training^1	41.7	0.0	50.0	48.1	0.0	66.7	6.4
Asymptomatic with regard to angina pectoris^2	93.1	93.3	100.0	93.9	94.6	100.0	0.8

1: Training recommended to patient carried out within twelve months, optional indicator in NRW; 2: Indicator exists since 2015; IQR: interquartile range of practices which take care of ≥ 10 patients in at least one of both DMPs (please note: This means that the 25% limit value can be higher than the group total)