ArticleClinical journal of the American Society of Nephrology : CJASN2013
Quality of care for First Nations and non-First Nations People with diabetes.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 20 citations in OpenAlex.
- Article
- Impact of point-of-care screening for hypertension, diabetes and progression of chronic kidney disease in rural Manitoba Indigenous communities.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
- Evidence-Based Decision Making 6: Administrative Databases as Secondary Data Source for Epidemiologic and Health Service Research.Methods in molecular biology (Clifton, N.J.) · 2021Article
- Monitoring, treatment and control of blood glucose and lipids in Ontario First Nations people with diabetes.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Canadian Senior Renal Leaders Community of Practice: Vulnerable Populations With Chronic Kidney Disease-Evidence to Inform Policy.Canadian journal of kidney health and disease · 2020Article
- Peripheral artery disease among Indigenous Canadians: What do we know?Canadian journal of surgery. Journal canadien de chirurgie · 2018Review
- Exploring structural barriers to diabetes self-management in Alberta First Nations communities.Diabetology & metabolic syndrome · 2018Article
- Do discrimination, residential school attendance and cultural disruption add to individual-level diabetes risk among Aboriginal people in Canada?BMC public health · 2015Article
- Survival outcomes of First Nations patients with oral cavity squamous cell carcinoma (Poliquin 2014).Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2015Article
- Mini-med school for Aboriginal youth: experiential science outreach to tackle systemic barriers.Medical education online · 2015Article
- Mass screening for chronic kidney disease in rural and remote Canadian first nations people: methodology and demographic characteristics.Canadian journal of kidney health and disease · 2015Article
- Differential mortality and the excess burden of end-stage renal disease among First Nations people with diabetes mellitus: a competing-risks analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Article
- Age modification of diabetes-related hospitalization among First Nations adults in Alberta, Canada.Diabetology & metabolic syndrome · 2014Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
Abstract
BACKGROUND AND
objectivesCompared with non-First Nations, First Nations People with diabetes experience higher rates of kidney failure and death, which may be related to disparities in care. This study examined First Nations and non-First Nations People with diabetes for differences in quality indicators and their association with kidney failure and death. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Adults with diabetes and an outpatient creatinine in Alberta from 2005 to 2008 were identified. Logistic regression was used to determine the likelihood of process of care indicators (measurement of urine albumin/creatinine ratio [ACR], LDL, and hemoglobin A1C [A1C]) and surrogate outcome indicators (achievement of LDL and A1C targets). Cox regression was used to determine the association between lack of achievement of indicator targets and each of kidney failure and death.
resultsThis study identified 140,709 non-First Nations and 6574 First Nations People with diabetes. There was a significant interaction between First Nations status and CKD for the outcomes (P<0.01); therefore, results are stratified by CKD. Among participants without CKD, First Nations People were less likely to receive process of care indicators and achieve target A1C compared with non-First Nations People. For those with CKD, First Nations People were as likely to receive these indicators (other than LDL) and achieve LDL and A1C targets. Lack of LDL and A1C assessment and achievement of targets were associated with increased risk of kidney failure and death similarly for both groups.
conclusionsCompared with non-First Nations, First Nations People with diabetes but without CKD experience disparities in assessment of quality indicators and achievement of A1C target.
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