ArticleBMC family practice2015
Establishing chronic condition concordance and discordance with diabetes: a Delphi study.
Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Trends in comorbidities and multimorbidity among adults with recently diagnosed diabetes: United States, 1999-2023.Diabetes research and clinical practice · 2026Article
- Developing an interprofessional decision support tool for diabetic foot ulcers management in primary care within the family medicine group model: a Delphi study in Canada.BMC primary care · 2024Article
- Differences in receipt of recommended eye examinations by comorbidity status and healthcare utilization among nonelderly adults with diabetes.Journal of diabetes · 2022Article
- Occurrence of comorbidities in newly diagnosed type 2 diabetes patients and their impact after 11 years' follow-up.Scientific reports · 2021Article
- Identification of Type 2 Diabetes Management Mobile App Features and Engagement Strategies: Modified Delphi Approach.JMIR mHealth and uHealth · 2020Article
- A Novel Approach to Developing a Discordance Index for Older Adults With Chronic Kidney Disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Multimorbidity: Implications and directions for health psychology and behavioral medicine.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Article
- Survey of Patient-Centered Coordination of Care for Diabetes with Cardiovascular and Mental Health Comorbidities in the Department of Veterans Affairs.Journal of general internal medicine · 2019Observational
- Identifying Outcome Measures for Type 2 Diabetes Value-Based Contracting Using the Delphi Method.Journal of managed care & specialty pharmacy · 2019Article
- The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019Article
- Prevalence of Chronic Conditions and Multimorbidities in a Geographically Defined Geriatric Population With Diverse Races and Ethnicities.Journal of aging and health · 2018Article
- Stratifying Patients with Diabetes into Clinically Relevant Groups by Combination of Chronic Conditions to Identify Gaps in Quality of Care.Health services research · 2018Observational
- Longitudinal trends and predictors of statin use among patients with diabetes.Journal of diabetes and its complications · 2018Article
- Validating the Patient Experience with Treatment and Self-Management (PETS), a patient-reported measure of treatment burden, in people with diabetes.Patient related outcome measures · 2017Article
- Designing Excellence and Quality Model for Training Centers of Primary Health Care: A Delphi Method Study.Iranian journal of public health · 2015Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe vast majority of patients with diabetes have multiple chronic conditions, increasing complexity of care; however, clinical practice guidelines, interventions, and public reporting metrics do not adequately address the interaction of these multiple conditions. To advance the understanding of diabetes clinical care in the context of multiple chronic conditions, we must understand how care overlaps, or doesn't, between diabetes and its co-occurring conditions. This study aimed to determine which chronic conditions are concordant (share care goals with diabetes) and discordant (do not share care goals) with diabetes care, according to primary care provider expert opinion.
methodsUsing the Delphi technique, we administered an iterative, two-round survey to 16 practicing primary care providers in an academic practice in the Midwestern USA. The expert panel determined which specific diabetes care goals were also care goals for other chronic conditions (concordant) and which were not (discordant). Our diabetes care goals were those commonly used in quality reporting, and the conditions were 62 ambulatory-relevant condition categories.
resultsSixteen experts participated and all completed both rounds. Consensus was reached on the first round for 94% of the items. After the second round, 12 conditions were concordant with diabetes care and 50 were discordant. Of the concordant conditions, 6 overlapped in care for 4 of 5 diabetes care goals and 6 overlapped for 3 of 5 diabetes care goals. Thirty-one discordant conditions did not overlap with any of the diabetes care goals, and 19 overlapped with only 1 or 2 goals.
conclusionsThis study significantly adds to the number of conditions for which we have information on concordance and discordance for diabetes care. The results can be used for future studies to assess the impact of concordant and discordant conditions on diabetes care, and may prove useful in developing multimorbidity guidelines and interventions.
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