A Proposal for an Out-of-Range Glycemic Population Health Safety Measure for Older Adults With Diabetes.

ABSTRACT:

Objective

To evaluate patient-level glycemic control and facility variation of a proposed out-of-range (OOR) measure (overtreatment [OT] [HbA_1c <7% (53 mmol/mol)] or undertreatment [UT] [>9% (75 mmol/mol)]) compared with the standard measure (SM) (HbA_1c <8% [64 mmol/mol]) in high-risk older adults.

Research design and methods

Veterans Health Administration patients ≥65 years of age in 2012 who were taking antihyperglycemic agents in 2013 were identified. Patient-level rates and facility-level rates/rankings were calculated by age and comorbid illness burden.

Results

We identified 303,097 patients who were taking antiglycemic agents other than metformin only. The study population comprised 193,689 patients with at least one significant medical, ne

SUBMITTER: Pogach L 

PROVIDER: S-EPMC5360287 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature