{"id":6692,"date":"2016-10-24T00:00:00","date_gmt":"2016-10-24T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/the-relationship-between-diabetes-care-quality-and-diabetes-related-hospitalizations-and-the-modifying-role-of-comorbidity\/"},"modified":"2023-06-14T20:11:40","modified_gmt":"2023-06-15T00:11:40","slug":"the-relationship-between-diabetes-care-quality-and-diabetes-related-hospitalizations-and-the-modifying-role-of-comorbidity","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/the-relationship-between-diabetes-care-quality-and-diabetes-related-hospitalizations-and-the-modifying-role-of-comorbidity\/","title":{"rendered":"The relationship between diabetes care quality and diabetes-related hospitalizations and the modifying role of comorbidity"},"content":{"rendered":"<p><strong>Objectives <\/strong>&#x2014; To evaluate the impact of comorbidity on diabetes care quality and diabetes-related hospitalizations and to examine whether associations between the likelihood of diabetes-related hospitalizations and compliance with diabetes testing are modified by type of comorbidity.<\/p>\n<p><strong>Methods <\/strong>&#x2014; A population-based cohort study of 861&#x2009;354 adults with diabetes was conducted in Ontario, Canada. The diabetes cohort was categorized into 4 groups defined by their comorbidity statuses: no comorbidity, diabetes-concordant only, diabetes-discordant only, and both concordant and discordant. Outcome variables were defined as having had at least 1 hospitalization for diabetes-related short- or long-term complications between 2009 and 2011. Diabetes-care quality measures included testing for glycated hemoglobin (A1C) and low-density lipoprotein-cholesterol levels and eye examinations between 2007 and 2009. Multivariable logistic regression models were performed to examine the associations between diabetes testing and diabetes-related hospitalizations and the modifying role of comorbidity type.<\/p>\n<p><strong>Results <\/strong>&#x2014; Compliance with all 3 monitoring tests by patients with diabetes had a strong positive impact on reducing hospitalizations for diabetes-related long-term complications, especially in patients with diabetes-concordant conditions. The highest levels of adherence to all 3 diabetes monitoring tests were observed in patients with diabetes-concordant conditions only and in patients with diabetes-discordant conditions. The highest odds of hospitalizations for diabetes-related short-term complications were observed in patients having both discordant and concordant conditions.<\/p>\n<p><strong>Conclusions <\/strong>&#x2014; Meeting diabetes testing goals has the potential to reduce hospitalizations for diabetes-related complications; however, this depends on types of coexisting chronic conditions and diabetes-related complications in patients with diabetes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives &#x2014; To evaluate the impact of comorbidity on diabetes care quality and diabetes-related hospitalizations and to examine whether associations between the likelihood of diabetes-related hospitalizations and compliance with diabetes testing are modified by type of comorbidity. Methods &#x2014; A population-based cohort study of 861&#x2009;354 adults with diabetes was conducted in Ontario, Canada. The diabetes [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,42,50],"migration-helper-qa-sample-set":[],"class_list":["post-6692","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-chronic-diseases-and-multimorbidity","topic-endocrinology"],"acf":{"citation":"Petrosyan Y, Bai YQ, Kone Pefoyo AJ, Gruneir A, Thavorn K, Maxwell CJ, Bronskill SE, Wodchis WP. <em>Can J Diabetes<\/em>. 2017; 41(1):17-25. Epub 2016 Oct 24.","source_url":"http:\/\/www.canadianjournalofdiabetes.com\/article\/S1499-2671(16)30087-9\/fulltext","ices_scientist":[1245,1322,1159,1135,1105,1156],"site":[6735,6733,6734],"research_program":[6740,6746],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"FA2EF462-815D-402D-8B3D-F3545213F95E","sitecore_item_name":"The-relationship-between-diabetes-care-quality-and-diabetes-related-hospitalizations-and-comorbidity","sitecore_field_values":"{\n  \"__Valid from\": \"20170814T131956\",\n  \"Title\": \"The relationship between diabetes care quality and diabetes-related hospitalizations and the modifying role of comorbidity\",\n  \"Short title\": \"The relationship between diabetes care\",\n  \"Summary\": \"This study evaluates the impact of comorbidity on diabetes care quality and diabetes-related hospitalizations.\",\n  \"Citation\": \"<p>Petrosyan Y, Bai YQ, Kone Pefoyo AJ, Gruneir A, Thavorn K, Maxwell CJ, Bronskill SE, Wodchis WP. <em>Can J Diabetes<\/em>. 2017; 41(1):17-25. Epub 2016 Oct 24.<\/p>\",\n  \"Abstract\": \"<p><strong>Objectives <\/strong>&mdash; To evaluate the impact of comorbidity on diabetes care quality and diabetes-related hospitalizations and to examine whether associations between the likelihood of diabetes-related hospitalizations and compliance with diabetes testing are modified by type of comorbidity.<\/p>n<p><strong>Methods <\/strong>&mdash; A population-based cohort study of 861&thinsp;354 adults with diabetes was conducted in Ontario, Canada. The diabetes cohort was categorized into 4 groups defined by their comorbidity statuses: no comorbidity, diabetes-concordant only, diabetes-discordant only, and both concordant and discordant. Outcome variables were defined as having had at least 1 hospitalization for diabetes-related short- or long-term complications between 2009 and 2011. Diabetes-care quality measures included testing for glycated hemoglobin (A1C) and low-density lipoprotein-cholesterol levels and eye examinations between 2007 and 2009. Multivariable logistic regression models were performed to examine the associations between diabetes testing and diabetes-related hospitalizations and the modifying role of comorbidity type.<\/p>n<p><strong>Results <\/strong>&mdash; Compliance with all 3 monitoring tests by patients with diabetes had a strong positive impact on reducing hospitalizations for diabetes-related long-term complications, especially in patients with diabetes-concordant conditions. The highest levels of adherence to all 3 diabetes monitoring tests were observed in patients with diabetes-concordant conditions only and in patients with diabetes-discordant conditions. The highest odds of hospitalizations for diabetes-related short-term complications were observed in patients having both discordant and concordant conditions.<\/p>n<p><strong>Conclusions <\/strong>&mdash; Meeting diabetes testing goals has the potential to reduce hospitalizations for diabetes-related complications; however, this depends on types of coexisting chronic conditions and diabetes-related complications in patients with diabetes.<\/p>n<p><a href=\"http:\/\/www.canadianjournalofdiabetes.com\/article\/S1499-2671(16)30087-9\/fulltext\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{26EB1DB1-6793-4CB3-9CFB-DFF37E09FB5A}|{E93E0287-ACCB-4952-BB98-00EF52815525}|{A5B64F05-E7A9-445C-B556-00C7408761F8}\",\n  \"Research Programs\": \"{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}|{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}|{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}|{0AD77E2C-C883-4E93-8B9A-40B82D50E3A5}\",\n  \"ICES Scientists\": \"{54306858-3CB9-4AF1-920F-9B0BE028DD82}|{64CBC73D-F272-4F47-B285-D309E4B58736}|{68FD9EE5-974B-4CED-A597-82186232FF1D}|{26C6C411-14DA-4E2F-9D10-9564115ADE0A}|{DEA93B24-228D-40B5-A917-022AF0812705}|{176C4817-9634-47BD-B54D-3BDFA606CA4C}\",\n  \"Posted Date\": \"20161024T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2016\/January\/The-relationship-between-diabetes-care-quality-and-diabetes-related-hospitalizations-and-comorbidity"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | The relationship between diabetes care quality and diabetes-related hospitalizations and the modifying role of comorbidity<\/title>\n<meta name=\"description\" content=\"Objectives &#x2014; 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