Table 4.
Association Between EHR and Follow-up HbA1c and LDL-C Values
Baseline Test Value* | EHR Status | Average Change (95% CI) |
---|---|---|
HbA1c | ||
| ||
<7% | EHR vs. no EHR | −0.045% (−0.054% to −0.036%) |
| ||
7%–8.9% | EHR vs. no EHR | −0.079% (−0.092% to −0.065%) |
| ||
≥9% | EHR vs. no EHR | −0.143% (−0.180% to −0.106%) |
| ||
LDL-C | ||
<2.6 mmol/L (<100 mg/dL) | EHR vs. no EHR | −0.019 mmol/L (−0.025 to −0.012 mmol/L) |
[−0.721 mg/dL (−0.986 to −0.456 mg/dL)] | ||
| ||
2.6–3.3 mmol/L (100–129 mg/dL) | EHR vs. no EHR | −0.037 mmol/L (−0.046 to −0.028 mmol/L) |
[−1.435 mg/dL (−1.770 to −1.100 mg/dL)] | ||
| ||
≥3.4 mmol/L (≥130 mg/dL) | EHR vs. no EHR | −0.057 mmol/L (−0.071 to −0.042 mmol/L) |
[−2.189 mg/dL (−2.741 to −1.637 mg/dL)] |
EHR = electronic health record; HbA1c = hemoglobin A1c; LDL-C = low-density lipoprotein cholesterol.
Baseline test value was defined as the last measure in 2003 (before the study period).These analyses excluded patients with no baseline measurement. “EHR” is defined after the second post-EHR test for each patient because the post-EHR treatment patterns would probably not be experienced by the patient until after his or her first post-EHR measurement is available. The models are separate multivariate linear regressions based on baseline HbA1c or LDL-C value with a fixed effect at the patient level (using the Stata xtreg command with the fe option), adjusted for calendar quarter and calendar year.