Table 4.
Impact of Concordant and Discordant Conditions on Diabetes Control Goal Achievement (n=23,430)
Diabetes Control Goal Achieved |
||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
|
HbA1c Control |
LDL Cholesterol Control |
Blood Pressure Control |
All Control (HbA1c, LDL, BP) |
||||||||
Number of Comorbid Conditions |
OR | 95% CI | P value | OR | 95% CI | P value | OR | 95% CI | P value | OR | 95% CI | P value |
Concordant comorbid conditions |
||||||||||||
0-1 | -- | -- | -- | -- | ||||||||
2-3 | 1.2 | (1.1- 1.3) |
<0.00 1* |
1.5 | (1.4-1.6) | <0.00 1* |
0.80 | (0.76- 0.87) |
<0.00 1* |
1.21 | (1.1-1.3) | <0.00 1* |
4+ | 1.4 | (1.2- 1.6) |
<0.00 1* |
1.8 | (1.6-2.0) | <0.00 1* |
0.90 | (0.82-0.99) | 0.037* | 1.44 | (1.3-1.6) | <0.00 1* |
Discordant comorbid conditions |
||||||||||||
0-1 | -- | -- | ||||||||||
2-3 | 1.2 | (1.1- 1.3) |
<0.00 1* |
1.0 | (0.95- 1.1) |
0.587 | 1.1 | (1.002- 1.1) |
0.044* | 1.1 | (0.98- 1.14) |
0.169 |
4+ | 1.4 | (1.3- 1.6) |
<0.00 1* |
0.90 | (0.83- 1.01) |
0.077 | 1.1 | (1.0005- 1.2) |
0.049* | 1.1 | (1.003- 1.25) |
0.045 * |
Adjusted for age, sex, race, insurance, having Medicaid ever, number of face-to-face office visits in the baseline year, patient rural-urban commuting area, percent with diabetes in patient's county, percent with diabetes in patient's county who achieved HbA1c testing, percent below poverty line in patient's zip code, percent without high school education in patient's zip code, health system
p value < 0.05