Adherence to Guidelines for Screening and Medication Use: Mortality and Onset of Major Macrovascular Complications in Elderly Persons With Diabetes Mellitus.
Journal Article (Multicenter Study;Journal Article)
Objective
The objective of this study is to investigate relationships between adherence to recommended screening and medication use and severe macrovascular complications and all-cause mortality among persons aged above 68 years with diabetes mellitus (DM).Method
Data came from a 5% Medicare claims sample of beneficiaries initially diagnosed with DM during 2006-2008; follow-up was up to 7 years.Results
Adherence to screening guidelines led to reduced mortality-hazard ratio (HR) = 0.57, 95% confidence interval [CI] = [0.56, 0.58]; congestive heart failure [CHF], HR = 0.89, CI = [0.87, 0.91]; acute myocardial infarction [AMI], HR = 0.90, CI = [0.85, 0.95]; and stroke/transient ischemic attack [Stroke/TIA], HR = 0.92, CI = [0.87, 0.97]-during follow-up. Recommended medication use led to lower mortality: HR = 0.72, CI = [0.70, 0.73]; CHF, HR = 0.67, CI = [0.66, 0.69]; AMI, HR = 0.68, CI = [0.65, 0.71]; and Stroke/TIA, HR = 0.79, CI = [0.76, 0.83].Discussion
Elderly persons newly diagnosed with diabetes who adhered to recommended care experienced reduced risk of mortality and severe macrovascular complications.Full Text
Duke Authors
Cited Authors
- Yashkin, AP; Sloan, F
Published Date
- April 2018
Published In
Volume / Issue
- 30 / 4
Start / End Page
- 503 - 520
PubMed ID
- 28553792
Pubmed Central ID
- PMC6660239
Electronic International Standard Serial Number (EISSN)
- 1552-6887
International Standard Serial Number (ISSN)
- 0898-2643
Digital Object Identifier (DOI)
- 10.1177/0898264316684270
Language
- eng