Race and referral to diabetes education in primary care patients with prediabetes and diabetes

The Diabetes Educator
Denise R Hooks-AndersonJeffrey F Scherrer

Abstract

The purpose of the study was to determine whether there are any race-related disparities in the prevalence of provisions for diabetes education in primary care clinics for patients with diabetes and prediabetes. A retrospective cross-sectional study of 3967 patients aged 14 to >89 years with prediabetes and diabetes. Medical record data from patient encounters within primary care clinics at a large academic medical health system between July 1, 2008, and July 31, 2013, were used to determine rates of referral for diabetes education by race. Multivariate logistic regression models were used to assess associations between race and referral to diabetes education. Separate regression models were computed for patients who were prediabetic and diabetic. Adjusted models included age, sex, A1C, health care utilization, smoking, and diagnosis for depression, hyperlipidemia, hypertension, vascular disease, and obesity. Compared to that of white patients, a significantly higher prevalence of African American patients with prediabetes were referred to diabetes education, and this association was also observed in patients with diabetes. In fully adjusted models, white patients with prediabetes were significantly less likely to be referred. ...Continue Reading

References

Sep 12, 1996·The New England Journal of Medicine·M E GornickB C Vladeck
Feb 8, 2002·The New England Journal of Medicine·William C KnowlerUNKNOWN Diabetes Prevention Program Research Group
Nov 22, 2002·Health Affairs·Beth A VirnigBryan Dowd
Nov 25, 2003·Diabetes Care·A Marshall McBeanDorothea Musgrave
Aug 19, 2005·The New England Journal of Medicine·Amal N TrivediJohn Z Ayanian
Mar 29, 2006·Archives of Internal Medicine·Thomas D SequistJohn Z Ayanian
Aug 7, 2008·Journal of General Internal Medicine·Monica E PeekMarshall H Chin
Apr 16, 2011·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Yehuda HandelsmanUNKNOWN AACE Task Force for Developing Diabetes Comprehensive Care Plan
Sep 1, 2011·The Diabetes Educator·Ian DuncanKaren Fitzner
Oct 12, 2011·Archives of Internal Medicine·Dominick L FroschCarol M Mangione
Mar 14, 2013·The Diabetes Educator·Stephanie Y Brown-GuionLeonard E Egede
Apr 26, 2013·The New England Journal of Medicine·Mohammed K AliEdward W Gregg
Dec 21, 2013·Diabetes Care·UNKNOWN American Diabetes Association

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Citations

Oct 19, 2017·Family Practice·Denise R Hooks-AndersonJeffrey F Scherrer
Feb 7, 2018·International Urology and Nephrology·Farrukh M KoraishyJeffrey F Scherrer
Apr 23, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Betsy WanJeffrey F Scherrer
Sep 15, 2016·The Diabetes Educator·Catherine A CheslaJun Ma
Nov 6, 2020·Current Diabetes Reports·Minal R Patel

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