Jinan B. Saaddine, MD; Betsy Cadwell, MS; Edward W. Gregg, PhD; Michael M. Engelgau, MD; Frank Vinicor, MD; Giuseppina Imperatore, MD; K. M. Venkat Narayan, MD
Saaddine JB, Cadwell B, Gregg EW, Engelgau MM, Vinicor F, Imperatore G, et al. Improvements in Diabetes Processes of Care and Intermediate Outcomes: United States, 1988–2002. Ann Intern Med. 2006;144:465-474. doi: 10.7326/0003-4819-144-7-200604040-00005
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Published: Ann Intern Med. 2006;144(7):465-474.
As the target of many quality improvement programs, positive change in diabetes care is a good marker for progress toward better health care.
The authors analyzed measures of diabetes care from national population-based surveys that were conducted between 1988 and 2002. Improvements occurred in the proportion of patients with hemoglobin A1c between 6% and 8%, low-density lipoprotein (LDL) cholesterol levels less than 3.4 mmol/L (<130 mg/dL), annual influenza vaccination, and aspirin use. Blood pressure did not change. Substantial proportions of patients still had poor control of LDL cholesterol levels, glycemia, and blood pressure.
Despite some progress, population-based measurements show that care for many Americans with diabetes falls far short of targets.
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Cardiology, Endocrine and Metabolism, Diabetes, Coronary Risk Factors, Prevention/Screening.
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