ArticleJournal of diabetes and its complications2015
The impact of a patient's concordant and discordant chronic conditions on diabetes care quality measures.
Article in Journal of diabetes and its complications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global prevalence of multimorbidity among people living with type 2 diabetes: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Quality performance and associated factors in Swiss diabetes care - A cross-sectional study.PloS one · 2020Trial
- Diabetes care performance across Europe: a cascade of care approach accounting for population diversity in 10 countries.BMC public health · 2026Article
- Perceived Connections Between Personal Values and Health in High-Risk Patients with Multimorbidity: A Qualitative Study.Journal of general internal medicine · 2026Article
- All-cause healthcare utilization among older adults with type 2 diabetes and cardiovascular and mental health comorbidities.BMC geriatrics · 2026Article
- Unravelling the Belgian cascade of hypertension care and its determinants: insights from a cross-sectional analysis.BMC public health · 2024Article
- Factors Associated with Controlled Glycemic Levels in Type 2 Diabetes Patients: Study from a Large Medical Center and Its Satellite Clinics in Southeast Region in the USA.Healthcare (Basel, Switzerland) · 2023Article
- Classification of patients with osteoarthritis through clusters of comorbidities using 633 330 individuals from Spain.Rheumatology (Oxford, England) · 2023Article
- Estimating health spending associated with chronic multimorbidity in 2018: An observational study among adults in the United States.PLoS medicine · 2023Observational
- Factors associated with diabetes concordant comorbidities among adult diabetic patients in Central Ethiopia: a cross-sectional study.Frontiers in clinical diabetes and healthcare · 2023Article
- Association between cardiometabolic disease multimorbidity and all-cause mortality in 2 million women and men registered in UK general practices.BMC medicine · 2021Article
- Multimorbidity and achievement of treatment goals among patients with type 2 diabetes: a primary care, real-world study.BMC health services research · 2021Article
- Are there sex differences in potentially inappropriate prescribing in adults with multimorbidity?Journal of the American Geriatrics Society · 2021Article
- Clustering of comorbidities.Future healthcare journal · 2021Article
- Occurrence of comorbidities in newly diagnosed type 2 diabetes patients and their impact after 11 years' follow-up.Scientific reports · 2021Article
- Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis.Scientific reports · 2021Article
- Untangling the complexity of multimorbidity with machine learning.Mechanisms of ageing and development · 2020Review
- Article
- Multiple Chronic Conditions in Spousal Caregivers of Older Adults With Functional Disability: Associations With Caregiving Difficulties and Gains.The journals of gerontology. Series B, Psychological sciences and social sciences · 2020Article
- A population-based study of the association between food insecurity and potentially avoidable hospitalization among persons with diabetes using linked survey and administrative data.International journal of population data science · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
aimsMost patients with diabetes have comorbid chronic conditions that could support (concordant) or compete with (discordant) diabetes care. We sought to determine the impact of the number of concordant and discordant chronic conditions on diabetes care quality.
methodsLogistic regression analysis of electronic health record data from 7 health systems on 24,430 patients with diabetes aged 18-75 years. Diabetes testing and control quality care goals were the outcome variables. The number of diabetes-concordant and the number of diabetes-discordant conditions were the main explanatory variables. Analysis was adjusted for health care utilization, health system and patient demographics.
resultsA higher number of concordant conditions were associated with higher odds of achieving testing and control goals for all outcomes except blood pressure control. There was no to minimal positive association between the number of discordant conditions and outcomes, except for cholesterol testing which was less likely with 4+ discordant conditions.
conclusionsHaving more concordant conditions makes diabetes care goal achievement more likely. The number of discordant conditions has a smaller, inconsistently significant impact on diabetes goal achievement. Interventions to improve diabetes care need to align with a patient's comorbidities, including the absence of comorbidities, especially concordant comorbidities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.