|
 |
|
|||||||
|
|||||||||
© 2003 by the American Diabetes Association, Inc.
Clinical Care/Education/Nutrition |
Lipid Testing Among Patients With Diabetes Who Receive Diabetes Care From Primary Care Physicians
Medical Review of North Carolina, Cary, North Carolina
School of Public Health, University of North Carolina, Chapel Hill, North Carolina
School of Medicine, University of North Carolina, Chapel Hill, North Carolina
Rho, Chapel Hill, North Carolina
OBJECTIVE—To identify factors related to lipid testing among patients with diabetes who receive diabetes care from primary care physicians.
RESEARCH DESIGN AND METHODS—North Carolina Medicare claims were used to identify individuals with diabetes who received diabetes care from primary care physicians. Lipid testing was related to sociodemographic characteristics, comorbid conditions, physician specialty, and mortality.
RESULTS—Based on Medicare claims from July 1997 through June 1999, 13,660 diabetic North Carolina residents with Medicare, 65–75 years of age, had received HbA1c testing from a single primary care physician during at least three of four consecutive 6-month time intervals. During these 2 years, 31% had no lipid profile and 24% had only one lipid profile. Caucasians were 1.6 times more likely than African Americans to receive lipid profiles. Patients not receiving state Medicare assistance were 1.4 times more likely to have a lipid profile than the presumably lower-income patients receiving assistance. Patients with stroke and heart failure were less likely to receive lipid profiles. Those with no lipid profile were almost twice as likely to die from cardiovascular disease than those with at least two lipid profiles.
CONCLUSIONS—Adherence to lipid testing recommendations by primary care physicians for elderly patients with diabetes has much room for improvement. The most vulnerable patients (African Americans, the economically disadvantaged, and the medically complex) are the least likely to receive lipid testing.
Abbreviations: CMS, Centers for Medicare & Medicaid Service • CVD, cardiovascular disease • HDL-C, HDL cholesterol
CiteULike 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  P. Thiebaud, M. Demand, S. A. Wolf, L. L. Alipuria, Q. Ye, and P. R. Gutierrez Impact of Disease Management on Utilization and Adherence With Drugs and Tests: The case of diabetes treatment in the Florida: A Healthy State (FAHS) program Diabetes Care, September 1, 2008; 31(9): 1717 - 1722. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. E. Peek, A. Cargill, and E. S. Huang Diabetes Health Disparities: A Systematic Review of Health Care Interventions Med Care Res Rev, October 1, 2007; 64(5_suppl): 101S - 156S. [Abstract] [PDF]
|
|
|
|
 |
|
 J. M. Gill, A. J. Foy Jr, and Y. Ling Quality of Outpatient Care for Diabetes Mellitus in a National Electronic Health Record Network American Journal of Medical Quality, January 1, 2006; 21(1): 13 - 17. [Abstract] [PDF]
|
|
|
|
|
|
D. J. Wexler, R. W. Grant, J. B. Meigs, D. M. Nathan, and E. Cagliero Sex Disparities in Treatment of Cardiac Risk Factors in Patients With Type 2 Diabetes Diabetes Care, March 1, 2005; 28(3): 514 - 520. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Imperatore, B. L. Cadwell, L. Geiss, J. B. Saadinne, D. E. Williams, E. S. Ford, T. J. Thompson, K. M. Venkat Narayan, and E. W. Gregg Thirty-year Trends in Cardiovascular Risk Factor Levels among US Adults with Diabetes: National Health and Nutrition Examination Surveys, 1971-2000 Am. J. Epidemiol., September 15, 2004; 160(6): 531 - 539. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. W. Bergstrom The Need to Improve Diabetes Care, May 1, 2003; 26(5): 1633 - 1634. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Diabetes | Diabetes Care | Clinical Diabetes | Diabetes Spectrum |