Deintensification of Diabetes Medications among Veterans at the End of Life in VA Nursing Homes.

ABSTRACT:

Objectives

Many older adults with limited life expectancy and/or advanced dementia (LLE/AD) are potentially overtreated for diabetes and may benefit from deintensification. Our aim was to examine the incidence and predictors of diabetes medication deintensification in older Veterans with LLE/AD who were potentially overtreated at admission to Veterans Affairs (VA) nursing homes (community living centers [CLCs]).

Design

Retrospective cohort study using linked VA and Medicare clinical/administrative data and Minimum Data Set assessments.

Setting

VA CLCs.

Participants

A total of 6960 Veterans with diabetes and LLE/AD admitted to VA CLCs in fiscal years 2009 to 2015 with hemoglobin (Hb)A1c measured within 90 days of admission.

Measurements

We evaluated treat

SUBMITTER: Niznik JD 

PROVIDER: S-EPMC7456123 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature