Please use this identifier to cite or link to this item:
https://doi.org/10.1161/JAHA.117.005999
DC Field | Value | |
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dc.title | Quality of care of the initial patient cohort of the diabetes collaborative registry® | |
dc.contributor.author | Arnold, S.V | |
dc.contributor.author | Goyal, A | |
dc.contributor.author | Inzucchi, S.E | |
dc.contributor.author | McGuire, D.K | |
dc.contributor.author | Tang, F | |
dc.contributor.author | Mehta, S.N | |
dc.contributor.author | Sperling, L.S | |
dc.contributor.author | Maddox, T.M | |
dc.contributor.author | Einhorn, D | |
dc.contributor.author | Wong, N.D | |
dc.contributor.author | Hammar, N | |
dc.contributor.author | Fenici, P | |
dc.contributor.author | Khunti, K | |
dc.contributor.author | Lam, C.S.P | |
dc.contributor.author | Kosiborod, M | |
dc.date.accessioned | 2020-09-09T05:02:06Z | |
dc.date.available | 2020-09-09T05:02:06Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Arnold, S.V, Goyal, A, Inzucchi, S.E, McGuire, D.K, Tang, F, Mehta, S.N, Sperling, L.S, Maddox, T.M, Einhorn, D, Wong, N.D, Hammar, N, Fenici, P, Khunti, K, Lam, C.S.P, Kosiborod, M (2017). Quality of care of the initial patient cohort of the diabetes collaborative registry®. Journal of the American Heart Association 6 (8) : e005999. ScholarBank@NUS Repository. https://doi.org/10.1161/JAHA.117.005999 | |
dc.identifier.issn | 20479980 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/175203 | |
dc.description.abstract | Background-Although guidelines and performance measures exist for patients with diabetes mellitus, achievement of these metrics is not well known. The Diabetes Collaborative Registry® (DCR) was formed to understand the quality of diabetes mellitus care across the primary and specialty care continuum in the United States. Methods and Results-We assessed the frequency of achievement of 7 diabetes mellitus-related quality metrics and variability across the Diabetes Collaborative Registry® sites. Among 574 972 patients with diabetes mellitus from 259 US practices, median (interquartile range) achievement of the quality metrics across the practices was the following: (1) glycemic control: 19% (5-47); (2) blood pressure control: 80% (67-88); (3) angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers in patients with coronary artery disease: 62% (51-69); (4) nephropathy screening: 62% (53-71); (5) eye examination: 0.7% (0.0-79); (6) foot examination: 0.0% (0.0-2.3); and (7) tobacco screening/cessation counseling: 86% (80-94). In hierarchical, modified Poisson regression models, there was substantial variability in meeting these metrics across sites, particularly with documentation of glycemic control and eye and foot examinations. There was also notable variation across specialties, with endocrinology practices performing better on glycemic control and diabetes mellitus foot examinations and cardiology practices succeeding more in blood pressure control and use of angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers. Conclusions-The Diabetes Collaborative Registry® was established to document and improve the quality of outpatient diabetes mellitus care. While target achievement of some metrics of cardiovascular risk modification was high, achievement of others was suboptimal and highly variable. This may be attributable to fragmentation of care, lack of ownership among various specialists concerning certain domains of care, incomplete documentation, true gaps in care, or a combination of these factors. © 2017 The Authors and Medtronic. | |
dc.source | Unpaywall 20200831 | |
dc.subject | angiotensin receptor antagonist | |
dc.subject | dipeptidyl carboxypeptidase inhibitor | |
dc.subject | antidiabetic agent | |
dc.subject | antihypertensive agent | |
dc.subject | adult | |
dc.subject | aged | |
dc.subject | Article | |
dc.subject | blood pressure regulation | |
dc.subject | cohort analysis | |
dc.subject | coronary artery disease | |
dc.subject | counseling | |
dc.subject | diabetes mellitus | |
dc.subject | eye examination | |
dc.subject | female | |
dc.subject | foot care | |
dc.subject | glycemic control | |
dc.subject | health care quality | |
dc.subject | human | |
dc.subject | kidney disease | |
dc.subject | major clinical study | |
dc.subject | male | |
dc.subject | patient care | |
dc.subject | priority journal | |
dc.subject | register | |
dc.subject | screening | |
dc.subject | smoking cessation | |
dc.subject | tobacco | |
dc.subject | blood | |
dc.subject | blood pressure | |
dc.subject | clinical practice | |
dc.subject | clinical trial | |
dc.subject | diabetes mellitus | |
dc.subject | diabetic complication | |
dc.subject | drug effect | |
dc.subject | glucose blood level | |
dc.subject | health care disparity | |
dc.subject | health care quality | |
dc.subject | hypertension | |
dc.subject | metabolism | |
dc.subject | middle aged | |
dc.subject | multicenter study | |
dc.subject | pathophysiology | |
dc.subject | primary health care | |
dc.subject | standards | |
dc.subject | total quality management | |
dc.subject | treatment outcome | |
dc.subject | United States | |
dc.subject | Aged | |
dc.subject | Antihypertensive Agents | |
dc.subject | Blood Glucose | |
dc.subject | Blood Pressure | |
dc.subject | Diabetes Complications | |
dc.subject | Diabetes Mellitus | |
dc.subject | Female | |
dc.subject | Healthcare Disparities | |
dc.subject | Humans | |
dc.subject | Hypertension | |
dc.subject | Hypoglycemic Agents | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Practice Patterns, Physicians' | |
dc.subject | Primary Health Care | |
dc.subject | Quality Improvement | |
dc.subject | Quality Indicators, Health Care | |
dc.subject | Registries | |
dc.subject | Treatment Outcome | |
dc.subject | United States | |
dc.type | Article | |
dc.contributor.department | DUKE-NUS MEDICAL SCHOOL | |
dc.description.doi | 10.1161/JAHA.117.005999 | |
dc.description.sourcetitle | Journal of the American Heart Association | |
dc.description.volume | 6 | |
dc.description.issue | 8 | |
dc.description.page | e005999 | |
Appears in Collections: | Elements Staff Publications |
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