ArticleAnnals of family medicine2015
Impact of the Prevalence of Concordant and Discordant Conditions on the Quality of Diabetes Care in Family Practices in England.
Article in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Longitudinal insights into comorbidity patterns and burden among middle-aged and older adults with diabetes in China: a nine-year cohort study using CHARLS.Journal of global health · 2025Article
- Observational
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- Multimorbidity and achievement of treatment goals among patients with type 2 diabetes: a primary care, real-world study.BMC health services research · 2021Article
- Assessing the Impact of Multi-Morbidity and Related Constructs on Patient Reported Safety in Primary Care: Generalized Structural Equation Modelling of Observational Data.Journal of clinical medicine · 2021Article
- Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis.Scientific reports · 2021Article
- Patients with more comorbidities have better detection of chronic conditions, but poorer management and control: findings from six middle-income countries.BMC public health · 2020Article
- The comorbidity burden of type 2 diabetes mellitus: patterns, clusters and predictions from a large English primary care cohort.BMC medicine · 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
- Outcomes of preexisting diabetes mellitus in breast, colorectal, and prostate cancer.Journal of cancer survivorship : research and practice · 2017Article
- Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records.British journal of cancer · 2017Article
- Primary Care Performance Measurement and Reporting at a Regional Level: Could a Matrix Approach Provide Actionable Information for Policy Makers and Clinicians?Healthcare policy = Politiques de sante · 2016Review
- In This Issue: Multilevel Effects.Annals of family medicine · 2015Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
purposeThe purpose of this study was to examine the association between the prevalence of both diabetes-concordant and diabetes-discordant conditions and the quality of diabetes care at the family practice level in England. We hypothesized that the prevalence of concordant (or discordant) conditions would be associated with better (or worse) quality of diabetes care.
methodsWe conducted a cross-sectional study using practice-level data (7,884 practices). We estimated the practice-level prevalence of diabetes and 15 other chronic conditions, which were classified as diabetes concordant (ie, with the same pathophysiologic risk profile and therefore more likely to be part of the same management plan) or diabetes discordant (ie, not directly related in either their pathogenesis or management). We measured quality of diabetes care with diabetes-specific indicators (8 processes and 3 intermediate outcomes of care). We used linear regression models to quantify the effect of the prevalence of the conditions on aggregate achievement rate for quality of diabetes care.
resultsConsistent with the proposed model, the prevalence rates of 4 of 7 concordant conditions (obesity, chronic kidney disease, atrial fibrillation, heart failure) were positively associated with quality of diabetes care. Similarly, negative associations were observed as predicted for 2 of the 8 discordant conditions (epilepsy, mental health). Observations for other concordant and discordant conditions did not match predictions in the hypothesized model.
conclusionsThe quality of diabetes care provided in English family practices is associated with the prevalence of other major chronic conditions at the practice level. The nature and direction of the observed associations cannot be fully explained by the concordant-discordant model.
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