Gender differences in the relationship between diabetes process of care indicators and cardiovascular outcomes

European Journal of Public Health
Chiara SeghieriGiuseppe Seghieri

Abstract

Adherence to recommended guidelines in the care for diabetes has been demonstrated to significantly prevent the excess risk of hospitalization and mortality for cardiovascular diseases. Aim of this study was to evaluate whether adherence to a standardized process quality-of-care-indicator in diabetes, is able to predict, equally in men and women, first hospitalization or mortality risk after acute myocardial infarction (AMI), ischemic stroke (IS), congestive heart failure (CHF), lower extremity amputations (LEA) or any of above major adverse cardiovascular events (MACE). Guideline composite indicator (GCI), a process indicator including one annual assessment of HbA1c and at least two among eye examination, serum lipids measurement and microalbuminuria, was measured in the year 2006 in 91 826 (46 167 M/45 659 F) diabetic patients, living in Tuscany (Italy). By a Cox-proportional hazard regression model, the effect of GCI adherence was assessed on adjusted hospitalization mortality risk for AMI, IS, CHF, LEA and MACE in both genders in a follow-up period of 6 years (2007-12). After adjusting for covariates, adherence to CGI exerted a significant positive effect on AMI, CHF and LEA outcomes among men, whereas among women, GCI adhe...Continue Reading

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Citations

Aug 16, 2016·Frontiers in Neuroendocrinology·Caterina PalleriaEmilio Russo
Dec 7, 2020·Primary Care Diabetes·Mehrab SayadiIman Razeghian-Jahromi
Apr 21, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Kjersti NøklebyAnne K Jenum
Sep 18, 2017·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Mandip S DhamoonBaiju R Shah

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