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September 10, 2025JAMIA OpenOpen Access

Documentation of social determinants of health for patients with type 2 diabetes in Epic Cosmos

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Authors

PKPolina KukharevaMOMatthew J O’BrienDMDaniel C. Malone

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Overview

This study evaluates data completeness of social determinants of health in adults with type 2 diabetes, revealing significant racial disparities.

Key Points

  • Adjusted completeness for individual-level social determinants of health data elements ranged from 11.2% to 31.5%, demonstrating notable gaps.
  • Among over 12 million individuals with type 2 diabetes, racial and ethnic minorities, including American Indians and Hispanics, had lower data completeness.
  • Evaluation utilized generalized linear models to analyze individual-level social determinants of health data across five domains and the social vulnerability index.
  • Standardized collection of social determinants of health is essential to reduce disparities and improve analysis accuracy in diabetes care.

Cite This Study

Kukhareva et al. (2025) studied this question.

synapsesocial.com/papers/68c194029b7b07f3a0618667https://doi.org/10.1093/jamiaopen/ooaf095
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Also Consider

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  1. 1Social Determinants of Health and Incident Type 2 Diabetes Risk: Real-World Evidence From the Houston Methodist Cardiovascular Learning Health System Registry2026 · 1 citations
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  5. 5704-P: Unearthing Implicit Beliefs—Beyond Symptoms in Social Determinants of Health in Immigrants and Refugees with Type 2 Diabetes2024