Australian National Diabetes Audit (ANDA) / Australian National Diabetes Audit Longitudinal Register (ANDA-L)

ANDA
The Australian National Diabetes Audit (ANDA) is a well-established, important biennial, quality activity facilitated by the National Association of Diabetes Centres (NADC), in services providing care for people with diabetes across Australia (all States and Territories). Participating diabetes centres, including primary, secondary and tertiary care receive an individualised report of their patient data to compare with other diabetes centres. A pooled national report is an important source of cross-sectional data on the clinical status and outcomes of individuals attending services providing diabetes care across the country. The aim of ANDA is for diabetes centres to use this information for quality improvement and benchmarking purposes.

ANDA-L
The Australian National Diabetes Audit Longitudinal Register (ANDA-L) is a sub study of ANDA. It will prospectively follow up the same cohort of patients during the clinical data collection. This will allow participating centres to observe changes in clinical indicators for people with diabetes at both a group and individual level and offer a rich source of understanding of treatments, and clinical outcomes for people with diabetes. ANDA-L will also provide longitudinal descriptive reporting to participating centres for quality improvement and benchmarking purposes.

ANDA
Patients aged 18 years and over with diabetes attending participating diabetes centres across Australia (presented as the primary analysis).

Patients aged less than 18 years with diabetes attending participating diabetes centres across Australia (presented separately for secondary subgroup analysis).

ANDA-L
Patients aged 18 years and over with diabetes attending participating diabetes centres across Australia.

ANDA and ANDA-L involves sites in the tertiary, secondary, primary, and community based sectors throughout Victoria, New South Wales, South Australia, Western Australia, Queensland, Tasmania, Northern Territory, and Australian Capital Territory.

ANDA
There are two ANDA audits that alternate each year:

• ANDA-AQCA (Australian Quality Clinical Audit). This audit focuses on clinical indicators known to impact on the outcomes of the person with diabetes. 2019 delivered the ANDA-AQCA.
• ANDA-AQSMA (Australian Quality Self-Management Audit). This audit is more focused on self-management and diabetes distress and collects data related to diabetes education, self-care practices and quality of life.

ANDA-L
2019 delivered the baseline data collection of the ANDA-AQCA. This audit focuses on clinical indicators known to impact on the outcomes of the person with diabetes of which will be followed up in 2021.