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Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death.

Publication ,  Journal Article
Chen, Y; Sloan, FA; Yashkin, AP
Published in: Journal of diabetes and its complications
November 2015

Analyze relationships between adherence to guidelines for diabetes care - regular screening; physical activity; and medication - and diabetes complications and mortality.Outcomes were onset of congestive heart failure (CHF), stroke, renal failure, moderate complications of lower extremities, lower-limb amputation, proliferative diabetic retinopathy (PDR), and mortality during follow-up. Participants were persons aged 65+ in the Health and Retirement Study (HRS) 2003 Diabetes Study and had Medicare claims in follow-up period (2004-8).Adherence to screening recommendations decreased risks of developing CHF (odds ratio (OR)=0.83; 95% confidence interval (CI): 0.72-0.96), stroke (OR=0.80; 95% CI: 0.68-0.94); renal failure (OR=0. 82; 95% CI: 0.71-0.95); and death (OR=0.86; 95% CI: 0.74-0.99). Adherence to physical activity recommendation reduced risks of stroke (OR=0.64; 95% CI: 0.45-0.90), renal failure (OR=0.71; 95% CI: 0.52-0.97), moderate lower-extremity complications (OR=0.71; 95% CI: 0.51-0.99), having a lower limb amputation (OR=0.31, 95% CI: 0.11-0.85), and death (OR=0.56, 95% CI: 0.41-0.77). Medication adherence was associated with lower risks of PDR (OR=0.35, 95% CI: 0.13-0.93).Adherence to screening, physical activity and medication guidelines was associated with lower risks of diabetes complications and death. Relative importance of adherence differed among outcome measures.

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Published In

Journal of diabetes and its complications

DOI

EISSN

1873-460X

ISSN

1056-8727

Publication Date

November 2015

Volume

29

Issue

8

Start / End Page

1228 / 1233

Related Subject Headings

  • United States
  • Risk
  • Practice Guidelines as Topic
  • Patient Compliance
  • Motor Activity
  • Medication Adherence
  • Medicare Part B
  • Medicare Part A
  • Mass Screening
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Chen, Y., Sloan, F. A., & Yashkin, A. P. (2015). Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death. Journal of Diabetes and Its Complications, 29(8), 1228–1233. https://doi.org/10.1016/j.jdiacomp.2015.07.005
Chen, Yiqun, Frank A. Sloan, and Arseniy P. Yashkin. “Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death.Journal of Diabetes and Its Complications 29, no. 8 (November 2015): 1228–33. https://doi.org/10.1016/j.jdiacomp.2015.07.005.
Chen Y, Sloan FA, Yashkin AP. Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death. Journal of diabetes and its complications. 2015 Nov;29(8):1228–33.
Chen, Yiqun, et al. “Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death.Journal of Diabetes and Its Complications, vol. 29, no. 8, Nov. 2015, pp. 1228–33. Epmc, doi:10.1016/j.jdiacomp.2015.07.005.
Chen Y, Sloan FA, Yashkin AP. Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death. Journal of diabetes and its complications. 2015 Nov;29(8):1228–1233.
Journal cover image

Published In

Journal of diabetes and its complications

DOI

EISSN

1873-460X

ISSN

1056-8727

Publication Date

November 2015

Volume

29

Issue

8

Start / End Page

1228 / 1233

Related Subject Headings

  • United States
  • Risk
  • Practice Guidelines as Topic
  • Patient Compliance
  • Motor Activity
  • Medication Adherence
  • Medicare Part B
  • Medicare Part A
  • Mass Screening
  • Male