ArticleDiabetes care2012
Does diabetes care differ by type of chronic comorbidity?: An evaluation of the Piette and Kerr framework.
Article in Diabetes care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed.
- Independent and joint associations of physical activity and a body shape index with sleep disorders in older adults with cardiometabolic multimorbidity: a cross-sectional study.BMC geriatrics · 2025Article
- Clinical, genomic, and proteomic perspectives in the analysis of comorbid conditions in type 2 diabetes mellitus: a retrospective study.Acta diabetologica · 2025Article
- Exploring patterns in pediatric type 1 diabetes care and the impact of socioeconomic status.BMC medicine · 2025Article
- Multimorbidity in elderly patients with or without T2DM: A real-world cross-sectional analysis based on primary care and hospitalisation data.Journal of global health · 2024Article
- Patterns of Telemedicine Use and Glycemic Outcomes of Endocrinology Care for Patients With Type 2 Diabetes.JAMA network open · 2023Article
- Differences in receipt of recommended eye examinations by comorbidity status and healthcare utilization among nonelderly adults with diabetes.Journal of diabetes · 2022Article
- Hospital treatment costs associated with incident complications in patients with type 2 diabetes-real-world study based on electronic patient information systems.BMC health services research · 2022Article
- Feasibility and Acceptability of Ecological Momentary Assessment of Psychosocial Factors and Self-Management Behaviors Among Veterans With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- Primary care physician volume and quality of care for older adults with dementia: a retrospective cohort study.BMC family practice · 2021Article
- Emotional Distress is Associated with Lower Health-Related Quality of Life Among Patients with Diabetes Using Antihypertensive and/or Antihyperlipidemic Medications: A Multicenter Study in Indonesia.Therapeutics and clinical risk management · 2021Article
- Assessment of Physician Priorities in Delivery of Preventive Care.JAMA network open · 2020Article
- A population-based study of the association between food insecurity and potentially avoidable hospitalization among persons with diabetes using linked survey and administrative data.International journal of population data science · 2019Article
- Timings for HbADiabetic medicine : a journal of the British Diabetic Association · 2019Article
- Multimorbidity and care for hypertension, diabetes and HIV among older adults in rural South Africa.Bulletin of the World Health Organization · 2019Article
- Comorbidity Type and Health Care Costs in Type 2 Diabetes: A Retrospective Claims Database Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018Article
- National Rates of Initiation and Intensification of Antidiabetic Therapy Among Patients With Commercial Insurance.Diabetes care · 2018Article
- Association Between Number of Preventive Care Guidelines and Preventive Care Utilization by Patients.American journal of preventive medicine · 2018Article
- [¿Is a maintained glycemia between 110/125 mg/dl a risk factor in the development of diabetes?]Atencion primaria · 2017Article
- Article
- The impact of comorbid chronic conditions on quality of life in type 2 diabetes patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo evaluate the relationship between diabetes care and types of comorbidity, classified by the degree to which their treatment is concordant with that for diabetes. RESEARCH DESIGN AND
methodsRetrospective cohort study (fiscal year [FY] 2001 to FY 2004) of 42,826 veterans with new-onset diabetes in FY 2003. Veterans were classified into five chronic comorbid illness groups (CCIGs): none, concordant only, discordant only, both concordant and discordant, and dominant. Five diabetes-related care measures were assessed in FY 2004 (guideline-consistent testing and treatment goals for HbA(1c) and LDL cholesterol and diabetes-related outpatient visits). Analyses included logistic regressions adjusting for age, race, sex, marital status, priority code, and interaction between CCIGs and visit frequency.
resultsOnly 20% of patients had no comorbidities. Mean number of visits per year ranged from 7.8 (no CCIG) to 17.5 (dominant CCIG). In unadjusted analyses, presence of any illness was associated with equivalent or better care. In the fully adjusted model, we found interaction between CCIG and visit frequency. When visits were <7 per year, the odds of meeting the goal of HbA(1c) <8% were similar in the concordant (odds ratio 0.96 [95% CI 0.83-1.11]) and lower in the discordant (0.90 [0.81-0.99]) groups compared with the no comorbidity group. Among patients with >24 visits per year, these odds were insignificant. Dominant CCIG was associated with substantially reduced care for glycemic control for all visit categories and for lipid management at all but the highest visit category.
conclusionsOur study indicates that diabetes care varies by types of comorbidity. Concordant illnesses result in similar or better care, regardless of visit frequency. Discordant illnesses are associated with diminished care: an effect that decreases as visit frequency increases.
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