ArticleMedical care2015
Revisiting Disparities in Quality of Care Among US Adults With Diabetes in the Era of Individualized Care, NHANES 2007-2010.
Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Effect of diabetes self-management education on glycemic control in Latino adults with type 2 diabetes: A systematic review and meta-analysis.Patient education and counseling · 2020Pooled it
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- Intersection of Gender-Race/Color and Glycemic Control in Diabetes in Nine Years of Follow-up of the ELSA-Brazil Cohort.Journal of racial and ethnic health disparities · 2025Article
- The prevalence, risk factors, and outcomes of acute pulmonary embolism complicating sepsis and septic shock: a national inpatient sample analysis.Scientific reports · 2024Article
- Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population.BMC endocrine disorders · 2023Article
- Association of race and in-hospital outcomes following acute pulmonary embolism: A retrospective cohort study.Clinical cardiology · 2023Article
- Stories for change protocol: A randomized controlled trial of a digital storytelling intervention for Hispanic/Latino individuals with type 2 diabetes.Contemporary clinical trials · 2023Article
- Article
- Organizational Factors Associated with Guideline Concordance of Chronic Disease Care and Management Practices.Journal of the American Board of Family Medicine : JABFM · 2022Article
- Association Between Black Race, Clinical Severity, and Management of Acute Pulmonary Embolism: A Retrospective Cohort Study.Journal of the American Heart Association · 2021Article
- Integration of Diabetes and Depression Care Is Associated with Glucose Control in Midwestern Federally Qualified Health Centers.Journal of general internal medicine · 2021Article
- Factors Associated with Poor Glycemic Control Amongst Rural Residents with Diabetes in Korea.Healthcare (Basel, Switzerland) · 2021Article
- Individualized Therapy for Hypothyroidism: Is T4 Enough for Everyone?The Journal of clinical endocrinology and metabolism · 2020Review
- Diabetes Management Among Arab Americans Who Sought Care at a Large Metropolitan Hospital System in Michigan.Journal of immigrant and minority health · 2019Article
- Racial/Ethnic Disparities in Diabetes Quality of Care: the Role of Healthcare Access and Socioeconomic Status.Journal of racial and ethnic health disparities · 2018Observational
- Perceptions of Health-Related Quality of Life: A Minority Men's Perspective.American journal of men's health · 2017Article
- Gaps and barriers in the control of blood glucose in people with type 2 diabetes.Diabetes & vascular disease research · 2017Review
- Diabetes Causation Beliefs Among Spanish-Speaking Patients.The Diabetes educator · 2016Article
- Prevalence of and Racial Disparities in Risk Factor Control in Older Adults With Diabetes: The Atherosclerosis Risk in Communities Study.Diabetes care · 2015Article
- Clinical profile of patients with diabetes mellitus in gusau, Northwestern, Nigeria.Annals of African medicineArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDiabetes quality of care standards promote uniform goals and are used routinely for performance measurement and reimbursement. Diabetes health disparities have been characterized using these universal goals. However, guidelines emphasize individualized goals.
objectivesTo assess diabetes care disparities using individualized goals to (1) determine their racial/ethnic distribution and (2) compare disparities using individualized versus uniform goals. RESEARCH DESIGN, SUBJECTS, AND MEASURES: A nationally representative sample of non-Hispanic white, non-Hispanic black, and Hispanic adults with self-reported diabetes aged 20 years or more in the National Health and Nutrition Examination Survey, 2007-2010. Individualized glycemic goals (A1C<6.5%, <7.0%, or <8.0%) assigned based on age, duration, complications, and comorbidity, and cholesterol goals [low-density lipoprotein cholesterol (LDL) <70 or <100 mg/dL] assigned based on cardiovascular history.
resultsMore Hispanics were recommended an individualized A1C<7.0% compared with whites (54% vs. 42%, P=0.008). Fewer blacks and Hispanics were recommended an individualized LDL<70 mg/dL than whites (21% and 19% vs. 28%, P=0.02 and 0.001). Fewer Hispanics had adequate individualized A1C control (56% vs. 68%, P<0.001), and fewer blacks and Hispanics had adequate individualized LDL control (31% and 36% vs. 51%, P≤0.001 and P=0.004). A uniform A1C<7% goal did not reveal disparities in glycemic control; individualized A1C and LDL, blood pressure <140/90 mm Hg, and nonsmoking was achieved by few adults (18%), and fewer blacks and Hispanics than whites (6% and 11% vs. 22%, P<0.001 and P=0.005).
conclusionsIndividualized goals for diabetes care may unearth greater racial/ethnic disparities in clinical performance compared with uniform goals. Diabetes performance measures should include individualized goals to prevent worsening disparities in diabetes outcomes.
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