Facility-level variation in diabetes and blood pressure control in patients with diabetes: Findings from the Veterans Affairs national database.

ABSTRACT:

Background

Intensive glycemic and blood pressure (BP) control in diabetic patients is associated with improved cardiovascular outcomes.

Hypothesis

We hypothesized that there is suboptimal glycemic and BP control with significant facility-level variation in patients with diabetes.

Methods

We identified patients with diabetes receiving care in 130 facilities in the Veterans Affairs Health Care System. We assessed facility-level rates of glycemic (hemoglobin [Hb]A1c <7%), BP (BP <140/90 mmHg), and combined glycemic and BP control (HbA1c <7% and BP <140/90 mmHg), and their facility-level variation in using median rate ratios (MRR).

Results

Among 1 103 302 patients with diabetes, 50.2% participants had an HbA1c <7%, 77.5% had a BP <140/90 mmHg, and 39.8% had both, H

SUBMITTER: Rehman H 

PROVIDER: S-EPMC6490345 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature