National Healthcare Quality and Disparities Report
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Topics
- Access to Care (1)
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- Cancer: Prostate Cancer (1)
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- (-) Diabetes (8)
- (-) Elderly (8)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 8 of 8 Research Studies DisplayedRaval AD, Mattes MD, Madhavan S
Association between metformin use and cancer stage at diagnosis among elderly Medicare beneficiaries with preexisting Type 2 diabetes mellitus and incident prostate cancer.
The researchers examined the association between metformin use and cancer stage at diagnosis among elderly men with preexisting diabetes mellitus and incident prostate cancer. They found a significantly lower percentage of metformin users were diagnosed with advanced prostate cancer as compared to nonusers (4.7 percent versus 6.7 percent.
AHRQ-funded; HS018622.
Citation: Raval AD, Mattes MD, Madhavan S .
Association between metformin use and cancer stage at diagnosis among elderly Medicare beneficiaries with preexisting Type 2 diabetes mellitus and incident prostate cancer.
J Diabetes Res 2016;2016:2656814. doi: 10.1155/2016/2656814.
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Keywords: Cancer: Prostate Cancer, Medication, Elderly, Diabetes, Medicare
Zullo AR, Dore DD, Gutman R
National glucose-lowering treatment complexity is greater in nursing home residents than community-dwelling adults.
This letter describes common glucose-lowering medication usage patterns for a national cross-section of U.S. adults aged 65 and older residing in nursing home (NH) and community settings from 2007 to 2010. The study results suggest that continued efforts are warranted to improve glucose-lowering medication management and simplify treatment regimens in the NH; that the relative importance of CER questions regarding specific glucose-lowering treatments may differ according to the care setting; and that CER studies of glucose-lowering treatments in older adults must address the combination use of medications, especially in NH residents.
AHRQ-funded; HS022998.
Citation: Zullo AR, Dore DD, Gutman R .
National glucose-lowering treatment complexity is greater in nursing home residents than community-dwelling adults.
J Am Geriatr Soc 2016 Nov;64(11):e233-e35. doi: 10.1111/jgs.14485.
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Keywords: Care Management, Chronic Conditions, Diabetes, Elderly, Medication, Nursing Homes
Rivera-Hernandez M
Religiosity, social support and care associated with health in older Mexicans with diabetes.
This study examined the relationships between religiosity, social support, diabetes care and control, and self-rated health of people living in Mexico who have been diagnosed with diabetes. The author found that emotional support from one's spouse/partner directly affects diabetes care and control and health. No direct relationship between religiosity and health was found, but religiosity was positively associated with diabetes care and control.
AHRQ-funded; HS000011.
Citation: Rivera-Hernandez M .
Religiosity, social support and care associated with health in older Mexicans with diabetes.
J Relig Health 2016 Aug;55(4):1394-410. doi: 10.1007/s10943-015-0105-7.
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Keywords: Chronic Conditions, Diabetes, Elderly
Rivera-Hernandez M, Rahman M, Mor V
The Impact of social health insurance on diabetes and hypertension process indicators among older adults in Mexico.
The researchers examined the impact of Seguro Popular (Mexican social health insurance for the poor) on diabetes and hypertension care, They concluded that social health insurance for the poor improved some but not all health care process indicators among diabetic and hypertensive older people in Mexico.
AHRQ-funded; HS000011.
Citation: Rivera-Hernandez M, Rahman M, Mor V .
The Impact of social health insurance on diabetes and hypertension process indicators among older adults in Mexico.
Health Serv Res 2016 Aug;51(4):1323-46. doi: 10.1111/1475-6773.12404.
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Keywords: Health Insurance, Diabetes, Blood Pressure, Elderly, Access to Care
Patel PA, Liang L, Khazanie P
Antihyperglycemic medication use among Medicare beneficiaries with heart failure, diabetes mellitus, and chronic kidney disease.
The authors sought to investigate the overall use and safety of antihyperglycemic medications (AHMs) among patients with diabetes mellitus, heart failure, and chronic kidney disease. They found that treatment of diabetes mellitus in patients with HF and chronic kidney disease is complex, and these patients are commonly treated with renal contraindicated AHMs, including over 6% receiving a thiazolidinedione, despite known concerns regarding HF. They recommended more research regarding safety and efficacy of various AHMs among HF patients.
AHRQ-funded; HS021092.
Citation: Patel PA, Liang L, Khazanie P .
Antihyperglycemic medication use among Medicare beneficiaries with heart failure, diabetes mellitus, and chronic kidney disease.
Circ Heart Fail 2016 Jul;9(7). doi: 10.1161/circheartfailure.115.002638.
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Keywords: Diabetes, Elderly, Heart Disease and Health, Kidney Disease and Health, Medication
Zullo AR, Dore DD, Daiello L
National trends in treatment initiation for nursing home residents with diabetes mellitus, 2008 to 2010.
The authors studied trends in initiation of glucose-lowering medications in a national cohort of nursing home residents. They found that, between 2008 and 2010, there were substantial decreases in the use of oral glucose-lowering agents and corresponding increases in the use of insulin among long-term residents of US nursing homes.
AHRQ-funded; HS022998.
Citation: Zullo AR, Dore DD, Daiello L .
National trends in treatment initiation for nursing home residents with diabetes mellitus, 2008 to 2010.
J Am Med Dir Assoc 2016 Jul;17(7):602-8. doi: 10.1016/j.jamda.2016.02.023.
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Keywords: Diabetes, Elderly, Long-Term Care, Medication, Nursing Homes
Huang ES
Management of diabetes mellitus in older people with comorbidities.
Guidelines recommend that physicians individualize the intensity of glucose control and treatments on the basis of the prognosis (for example, three tiers based on comorbidities and functional impairments). Very few studies have attempted to study these concepts in clinical practice. To better meet the treatment needs of older patients with diabetes and comorbidities, more research is needed to determine the risks and benefits of intensifying, maintaining, or de-intensifying treatments in this population.
AHRQ-funded; HS018542.
Citation: Huang ES .
Management of diabetes mellitus in older people with comorbidities.
BMJ 2016 Jun 15;353:i2200. doi: 10.1136/bmj.i2200.
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Keywords: Diabetes, Elderly, Patient-Centered Outcomes Research, Chronic Conditions
Newhall K, Spangler E, Dzebisashvili N
Amputation rates for patients with diabetes and peripheral arterial disease: the effects of race and region.
The authors examined national trends in care of patients with both peripheral artery disease (PAD) and diabetes. They found that the prevalence of concurrent PAD and diabetes is increasing, but amputation rates and amputation-free survival vary significantly by both race and hospital referral region.
AHRQ-funded; HS021581.
Citation: Newhall K, Spangler E, Dzebisashvili N .
Amputation rates for patients with diabetes and peripheral arterial disease: the effects of race and region.
Ann Vasc Surg 2016 Jan;30:292-8.e1. doi: 10.1016/j.avsg.2015.07.040.
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Keywords: Cardiovascular Conditions, Diabetes, Elderly, Racial and Ethnic Minorities, Outcomes