Key result
Among 10,572 patients with diabetes, only 41% of those tested achieved HbA1c <7.0, 28% had blood pressure <130/80 mm Hg, and 44% had LDL <100 mg/dL over a 1-year period.
Cohort (n=10,572)
Yes
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This retrospective cohort study examined quality of care for diabetes in a large national network of electronic health record users. Of 10572 patients with diabetes included in the study, 55% had at least 2 hemoglobin A1c (HbA1c) tests, 95% had at least 1 systolic and diastolic blood pressure test, and 52% had at least 1 low-density lipoprotein (LDL) cholesterol test over a 1-year period. Of those tested, 41% had an HbA1c<7.0, 28% had a blood pressure<130/80 mm Hg, and 44% had an LDL cholesterol level<100 mg/dL. Of those not adequately controlled, 99% were prescribed hypoglycemic medications, 85% were prescribed antihypertensive medications, and 71% were prescribed lipid-lowering medications. These results suggest that there is significant room for improvement in testing and control of risk factors for persons with diabetes and that the electronic health record has a significant potential for conducting practice-based quality-of-care studies across large numbers of outpatient practices.
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Gill et al. (2006) conducted a cohort in Diabetes Mellitus (n=10,572). Outpatient diabetes care was evaluated on Rates of testing and target control for HbA1c, blood pressure, and LDL cholesterol. Among 10,572 patients with diabetes, only 41% of those tested achieved HbA1c <7.0, 28% had blood pressure <130/80 mm Hg, and 44% had LDL <100 mg/dL over a 1-year period.
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