AHRQ Grant HS021899: Related Publication Summaries
Improving Diabetes Quality Reports for Persons with Multiple Chronic Conditions
1. "The relationship of individual comorbid chronic conditions to diabetes care quality."
Magnan EM, Palta M, Mahoney JE, Pandhi N, Bolt DM, Fink J, Greenlee RT, Smith MA.
BMJ Open Diabetes Research Care 2015 Jul 23; 3(1):e000080.
PUBMED link: www.ncbi.nlm.nih.gov/pubmed/26217492
This study retrospectively analyzed electronic health record data for 23,430 adults with diabetes to determine which of 62 comorbid chronic conditions were related to diabetes care goals. A total of 17 conditions were related to achieving diabetes control, while half of the conditions were not found to predict control. For example, obesity was related to lack of HbA1c and blood pressure control. Three conditions were related to lack of cholesterol testing, including congestive heart failure and substance use disorders. Future interventions could target patients at risk for not meeting diabetes care goals based on their individual comorbidities.
2. "The impact of a patient's concordant and discordant chronic conditions on diabetes care quality measures."
Magnan EM, Palta M, Johnson HM, Bartels CM, Schumacher JR, Smith MA.
Journal of Diabetes Complications 2015 Mar; 29(2):288-94.
PUBMED link: www.ncbi.nlm.nih.gov/pubmed/25456821
This study examined the impact of the number of concordant conditions (that support diabetes care) and discordant chronic conditions (that compete with diabetes care) on diabetes care quality by analyzing electronic health record data from 7 health systems on 24,430 adults with diabetes. A higher number of concordant conditions were associated with higher odds of achieving testing and control goals for all outcomes except blood pressure control. There was no to minimal positive association between the number of discordant conditions and outcomes, except for cholesterol testing, which was less likely with 4 + discordant conditions.
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