Does Diabetes Care Differ by Type of Chronic Comorbidity?

An evaluation of the Piette and Kerr framework Sri Ram Pentakota, MD, MPH1,2⇓, Mangala Rajan, MBA1, B. Graeme Fincke, MD3,4, Chin-Lin Tseng, DRPH1, Donald R. Miller, PHD3,4, Cindy L. Christiansen, PHD3,4, Eve A. Kerr, MD, MPH5,6 and Leonard M. Pogach, MD, MBA1, March 19,2012.

OBJECTIVE To evaluate the relationship between diabetes care and types of comorbidity, classified by the degree to which their treatment is concordant with that for diabetes.

RESEARCH DESIGN AND METHODS Retrospective cohort study (fiscal year [FY] 2001 to FY 2004) of 42,826 veterans with new-onset diabetes in FY 2003. Veterans were classified into five chronic comorbid illness groups (CCIGs): none, concordant only, discordant only, both concordant and discordant, and dominant. Five diabetes-related care measures were assessed in FY 2004 (guideline-consistent testing and treatment goals for HbA1c and LDL cholesterol and diabetes-related outpatient visits). Analyses included logistic regressions adjusting for age, race, sex, marital status, priority code, and interaction between CCIGs and visit frequency. Read More