Journal article
Process of Care Compliance Is Associated With Fewer Diabetes Complications
The American journal of managed care, v 20(1), pp 41-52
01 Jan 2014
PMID: 24512164
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective:To examine the association between processes measures of diabetes care and time to progression for 4 diabetes complications: coronary artery disease (CAD), stroke, heart failure (HF), and renal disease (RD).
Study Design: This retrospective study followed outcomes from 2003 through 2009 in a cohort of 1797 employees with diabetes who worked for a large US manufacturer and were enrolled in the same health insurance plan.
Methods: Quality of care was measured by consensus standards for testing glycated hemoglobin, lipids, and microalbuminuria. Employees with diabetes who received all 3 measures of care in the baseline year (2003) were compared with those who received less complete testing. Cox proportional hazard regression models were used to assess potential associations between diabetes care and time to complications, controlling for potential confounders.
Results: Observed differences between the 2 groups in time to event were significant for 2 of the 4 complications: HF (hazard ratio [HR] = 0.39, 95% confidence interval [CI], 0.19-0.81; P = .0117) and RD (HR = 0.48, 95% Cl, 0.24-0.95; P = .0339) and any of the 4 complications (HR = 0.66, 95% Cl, 0.48-0.91; P = .0101). Differences in time to complication for CAD (HR = 0.70, 95% Cl, 0.49-1.02; P = .0635) and stroke (HR = 0.63, 95% Cl, 0.38-1.07; P = .0891) showed the same trend but were not significant.
Conclusions: Employees with diabetes who received all 3 quality measures experienced fewer complications, risk-adjusting for other factors. These results provide support for the importance of care quality.
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Details
- Title
- Process of Care Compliance Is Associated With Fewer Diabetes Complications
- Creators
- Felicia J. Bayer - Alcoa Aluminum (United States, Pittsburgh)Deron Galusha - Yale UniversityMartin Slade - Yale UniversityIsabella M. Chu - Stanford UniversityOyebode Taiwo - Yale UniversityMark R. Cullen - Stanford University
- Publication Details
- The American journal of managed care, v 20(1), pp 41-52
- Publisher
- Managed Care & Healthcare Communications Llc
- Grant note
- 5RO1AG026291-04 / National Institutes for Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000330599000004
- Scopus ID
- 2-s2.0-84893056593
- Other Identifier
- 991021874548004721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services