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Table 2—

Diabetes-related risk factor control and other quality-of-care measures

General medicineDiabetes/ endocrinologyP value
Risk factor control*    
HbA1c    
    Measured in prior year 1,136 (96.7) 583 (98.8) 0.01 
    Patients at goal 34.0% 34.0% 0.7 
    Mean value (%) 8.1 ± 2.1 7.9 ± 1.8 0.01 
Blood pressure    
    Measured in prior year 1,142 (97.2) 563 (95.4) 0.08 
    Patients at goal 30.4% 38.2% 0.01 
    Mean value (mmHg)    
        Systolic 136.0 ± 19.9 132.1 ± 20.5 0.01 
        Diastolic 75.7 ± 11.7 73.3 ± 11.1 <0.01 
Total cholesterol    
    Measured in prior year 1,029 (87.6) 513 (86.9) 0.9 
    Patients at goal 64.2% 66.9% 0.2 
    Mean value (mg/dl) 189.7 ± 47.5 187.1 ± 62.4 0.2 
LDL cholesterol    
    Measured in prior year 963 (82.0) 490 (83.0) 0.4 
    Patients at goal 45.8% 52.9% <0.01 
    Mean value (mg/dl) 108.9 ± 38.8 102.1 ± 38.0 <0.01 
Other quality measures    
    Documented foot examination, prior year 415 (35.2) 375 (63.6) <0.01 
    Documented retinal examination, prior year 489 (41.6) 327 (55.4) <0.01 
    Urine albumin screening, prior year 464 (39.5) 384 (65.1) <0.01 
    Self-glucose monitoring 641 (54.6) 520 (88.1) <0.01 
    Smoking assessment, prior year 464 (39.5) 246 (41.7) 0.4 
    Antiplatelet therapy/patients with coronary artery disease 311/967 (32.1) 166/463 (35.9) 0.2 
General medicineDiabetes/ endocrinologyP value
Risk factor control*    
HbA1c    
    Measured in prior year 1,136 (96.7) 583 (98.8) 0.01 
    Patients at goal 34.0% 34.0% 0.7 
    Mean value (%) 8.1 ± 2.1 7.9 ± 1.8 0.01 
Blood pressure    
    Measured in prior year 1,142 (97.2) 563 (95.4) 0.08 
    Patients at goal 30.4% 38.2% 0.01 
    Mean value (mmHg)    
        Systolic 136.0 ± 19.9 132.1 ± 20.5 0.01 
        Diastolic 75.7 ± 11.7 73.3 ± 11.1 <0.01 
Total cholesterol    
    Measured in prior year 1,029 (87.6) 513 (86.9) 0.9 
    Patients at goal 64.2% 66.9% 0.2 
    Mean value (mg/dl) 189.7 ± 47.5 187.1 ± 62.4 0.2 
LDL cholesterol    
    Measured in prior year 963 (82.0) 490 (83.0) 0.4 
    Patients at goal 45.8% 52.9% <0.01 
    Mean value (mg/dl) 108.9 ± 38.8 102.1 ± 38.0 <0.01 
Other quality measures    
    Documented foot examination, prior year 415 (35.2) 375 (63.6) <0.01 
    Documented retinal examination, prior year 489 (41.6) 327 (55.4) <0.01 
    Urine albumin screening, prior year 464 (39.5) 384 (65.1) <0.01 
    Self-glucose monitoring 641 (54.6) 520 (88.1) <0.01 
    Smoking assessment, prior year 464 (39.5) 246 (41.7) 0.4 
    Antiplatelet therapy/patients with coronary artery disease 311/967 (32.1) 166/463 (35.9) 0.2 

Data are means ± SD, n (%), or percentages.

*

All risk factor control P values adjusted for age. Goals are as follows: HbA1c <7.0%, blood pressure <130/80 mmHg, total cholesterol <200 mg/dl, and LDL cholesterol <100 mg/dl. Patients at goal = among patients with measured risk factors.

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