What question did this study set out to answer?

To assess changes in the quality of diabetes care and intermediate clinical outcomes in the United States using standardized quality measures from 1988 to 2002.

April 4, 2006Annals of Internal Medicine

Improvements in Diabetes Processes of Care and Intermediate Outcomes: United States, 1988–2002

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To assess changes in the quality of diabetes care and intermediate clinical outcomes in the United States using standardized quality measures from 1988 to 2002.
Analyzed national serial cross-sectional survey data from the National Health and Nutrition Examination Survey (1988–1994 and 1999–2002) and the Behavioral Risk Factor Surveillance System (1995 and 2002).
Included noninstitutionalized US adults aged 18 to 75 years with diagnosed diabetes.
Evaluated intermediate clinical outcomes (glycemic control, blood pressure, LDL cholesterol) and preventive processes (annual cholesterol monitoring, foot exams, dilated eye exams, influenza vaccination, and aspirin use).
Fair-to-good LDL cholesterol control (<130 mg/dL [<3.4 mmol/L]) increased by 21.9% (95% CI, 12.4% to 31.3%), with a mean decrease of 0.5 mmol/L (18.8 mg/dL), while blood pressure distributions remained unchanged.
Poor glycemic control (hemoglobin A1c >9%) showed a non-statistically significant reduction of 3.9% (95% CI, -10.4% to 2.5%), though individuals with A1c between 6% and 8% increased from 34.2% to 47.0%.
Preventive processes significantly increased, including annual lipid testing (+8.3%; 95% CI, 4.0% to 12.7%), dilated eye exams (+4.5%; 95% CI, 0.5% to 8.5%), aspirin use (+13.1 percentage points; 95% CI, 5.4 to 20.7), and influenza vaccination (+6.8 percentage points; 95% CI, 2.9 to 10.7).

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Implication

Serial cross-sectional survey reveals improvements in lipid control and preventive diabetes care in adults, highlighting persistent gaps in blood pressure and glycemic management.

Cite This Study

Saaddine et al. (2006) studied this question.

synapsesocial.com/papers/6a0feca29e54838161fd6862 https://doi.org/10.7326/0003-4819-144-7-200604040-00005

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Implication

Serial cross-sectional survey reveals improvements in lipid control and preventive diabetes care in adults, highlighting persistent gaps in blood pressure and glycemic management.

Improvements in Diabetes Processes of Care and Intermediate Outcomes: United States, 1988–2002

Key Points

Discussion

Implication

Cite This Study

Improvements in Diabetes Processes of Care and Intermediate Outcomes: United States, 1988–2002

Key Points

Discussion

Implication

Cite This Study

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