ArticleBMC nephrology2018
The effect of continuity of care on the incidence of end-stage renal disease in patients with newly detected type 2 diabetic nephropathy: a retrospective cohort study.
Article in BMC nephrology, 2018. 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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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Effects of continuity of care on health outcomes among patients with diabetes mellitus and/or hypertension: a systematic review.BMC family practice · 2021Pooled it
- Association Between Team-Based Continuity of Care Measures and End-of-Life Health Care Outcomes: A Retrospective Cohort Study in Ontario, Canada.Medical care · 2026Article
- Continuity of care and risk of vision loss in patients with newly developed macular degeneration.Acta ophthalmologica · 2026Article
- Evidence of Overlapping Roles Between Clinics and Hospitals in Primary Care.Journal of Korean medical science · 2025Article
- Article
- Care Continuity, Nephrologists' Dialysis Facility Preferences, and Outcomes.JAMA health forum · 2025Article
- Finerenone: Who should prescribe it for CKD? The physician associate's perspective.Journal of nephrology · 2024Review
- Impact of the family doctor system on the continuity of care for diabetics in urban China: a difference-in-difference analysis.BMJ open · 2023Article
- Impact of continuity of care on risk for major osteoporotic fracture in patients with new onset rheumatoid arthritis.Scientific reports · 2022Article
- Emergency Department/Urgent Care as Usual Source of Care and Clinical Outcomes in CKD: Findings From the Chronic Renal Insufficiency Cohort Study.Kidney medicine · 2022Article
- Continuity of care and multimorbidity in the 50+ Swiss population: An analysis of claims data.SSM - population health · 2022Article
- Continuity of Care Is Associated with Medical Costs and Inpatient Days in Children with Cerebral Palsy.International journal of environmental research and public health · 2020Article
- Association between continuity of care and type 2 diabetes development among patients with thyroid disorder.Medicine · 2019Article
- Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetic nephropathy requires periodic monitoring, dietary modification, and early intervention to prevent the disease severity within limited resource settings. To emphasize the importance of continuous care for chronic diseases, various studies have focused on the association between continuity of care (COC) and common adverse outcomes. However, studies aimed at understanding the effect of COC on the incidence of chronic diseases, such as end-stage renal disease (ESRD), are few. The aim of this study was to determine whether there is an association between COC and the incidence of ESRD among patients with diabetic nephropathy. Moreover, we identified individual- and hospital-level factors associated with the incidence of ESRD among diabetic nephropathy patients.
methodsWe conducted a retrospective cohort study using the administrative National Health Insurance claims data from 2005 to 2012 in the Republic of Korea. The dependent variable, a binary variable, was the incidence of ESRD due to diabetic renal complication. In addition, using the COC index as a binary variable with a cutoff point of 0.75, we divided patients into a 'Good COC group' (COC index≥0.75) and a 'Bad COC group' (COC index< 0.75). The survival analysis was performed using the Cox proportional hazards models.
resultsAmong 3565 diabetic renal complication patients, ESRD occurred among 83 diabetes mellitus patients (2.3%). Nephropathy patients with lower COC level (< 0.75) had 1.99 times higher risk of ESRD incidence (95% confidence interval [CI]:1.27-3.12). In addition, the lowest income level patients had higher hazard ratio (HR) of ESRD than the highest income level patients (HR: 1.69 95% CI: 0.95-2.98), while patients with disabilities had 2.70 higher HR of ESRD than patients without disabilities (95% CI: 0.64-43).
conclusionsAmong patients with diabetic renal complication, higher continuity of care was associated with lower risk of ESRD. It is therefore recommended that continuous follow-up be encouraged to prevent ESRD among diabetic renal complication patients. Moreover, disparities in health outcomes between socially vulnerable groups including patients with disabilities and those in the lowest income level should be addressed.
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