The impact of a patient's concordant and discordant chronic conditions on diabetes care quality measures.

ABSTRACT:

Aims

Most patients with diabetes have comorbid chronic conditions that could support (concordant) or compete with (discordant) diabetes care. We sought to determine the impact of the number of concordant and discordant chronic conditions on diabetes care quality.

Methods

Logistic regression analysis of electronic health record data from 7 health systems on 24,430 patients with diabetes aged 18-75 years. Diabetes testing and control quality care goals were the outcome variables. The number of diabetes-concordant and the number of diabetes-discordant conditions were the main explanatory variables. Analysis was adjusted for health care utilization, health system and patient demographics.

Results

A higher number of concordant conditions were associated with higher odds of

SUBMITTER: Magnan EM 

PROVIDER: S-EPMC4333015 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature