Adherence to Chronic Kidney Disease Screening Guidelines Among Patients With Type 2 Diabetes in a US Administrative Claims Database

Folkerts, Kerstin; Petruski‐Ivleva, Natalia; Comerford, Erin; Blankenburg, Michael; Evers, Thomas; Fried, Linda F.; Kövesdy, Csaba P.

doi:10.1016/j.mayocp.2020.07.037

Cited by 30 publications

(34 citation statements)

References 21 publications

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“…A Joinpoint was identified for neuropathy in age-band 1, the positive and statistically significant APC in the later segment indicates an increase in neuropathy event rates between 2017–2020. Process measures for diabetes care of patients were comparable to similar measures across the United States and Japan [ 32 – 34 ]. In this study, the process measures exhibited some variation but did not demonstrate marked increase over the observation period ( S4 Table ).…”

Section: Resultsmentioning

confidence: 99%

Trends in diabetes-related complications in Singapore, 2013–2020: A registry-based study

et al. 2022

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Background Diabetes mellitus (DM) is a growing global health problem. In Singapore, the prevalence of Type 2 DM is rising, but comprehensive information about trends in DM-related complications is lacking. Objectives We utilized the Singapore Health Services (SingHealth) diabetes registry (SDR) to assess trends in DM micro and macro-vascular complications at the population level, explore factors influencing these trends. Methods We studied trends for ten DM-related complications: ischemic heart disease (IHD), acute myocardial infarction (AMI), peripheral arterial disease (PAD) and strokes, diabetic eye complications, nephropathy, neuropathy, diabetic foot, major and minor lower extremity amputation (LEA). The complications were determined through clinical coding in hospital (inpatient and outpatient) and primary care settings within the SingHealth cluster. We described event rates for the complications in 4 age-bands. Joinpoint regression was used to identify significant changes in trends. Results Among 222,705 patients studied between 2013 and 2020. 48.6% were female, 70.7% Chinese, 14.7% Malay and 10.6% Indian with a mean (SD) age varying between 64.6 (12.5) years in 2013 and 65.7 (13.2) years in 2020. We observed an increase in event rates in IHD, PAD, stroke, diabetic eye complications nephropathy, and neuropathy. Joinpoints was observed for IHD and PAD between 2016 to 2018, with subsequent plateauing of event rates. Major and minor LEA event rates decreased through the study period. Conclusion We found that DM and its complications represent an important challenge for healthcare in Singapore. Improvements in the trends of DM macrovascular complications were observed. However, trends in DM microvascular complications remain a cause for concern.

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Section: Resultsmentioning

confidence: 99%

Trends in diabetes-related complications in Singapore, 2013–2020: A registry-based study

et al. 2022

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“…Other investigations assessing CKD monitoring in a T2D population with a previous CKD diagnosis also found that uACR was largely undertested despite clinical practice guideline recommendations. 30,31 The severe undertesting of uACR observed in this study and others raises concerns about management of these patients, especially when the observed association between a low uACR testing rate and higher state-level health care costs are considered.…”

Section: Patterns By Age Racial Group and Ckd Stagementioning

confidence: 72%

Validation of the FINE-CKD model for future health technology assessments for finerenone in patients with chronic kidney disease and type 2 diabetes

2022

Am J Manag Care

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“…1,23 Despite the importance of identifying and managing albuminuria, insufficient testing of uACR has been noted in patients with T2D. 7,[30][31][32][33] However, this has not been well evaluated in patients with CKD and T2D, in whom albuminuria is prevalent. In addition, neither variations in testing adequacy across the United States in T2D and CKD nor the economic burdens associated with inadequate testing have been studied.…”

Section: Discussionmentioning

confidence: 99%

Geographical variation in kidney function testing and associations with health care costs among patients with chronic kidney disease and type 2 diabetes

Betts¹,

Song²,

Elliott³

et al. 2022

Am J Manag Care

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Adherence to Chronic Kidney Disease Screening Guidelines Among Patients With Type 2 Diabetes in a US Administrative Claims Database

Cited by 30 publications

References 21 publications

Trends in diabetes-related complications in Singapore, 2013–2020: A registry-based study

Trends in diabetes-related complications in Singapore, 2013–2020: A registry-based study

Validation of the FINE-CKD model for future health technology assessments for finerenone in patients with chronic kidney disease and type 2 diabetes

Geographical variation in kidney function testing and associations with health care costs among patients with chronic kidney disease and type 2 diabetes

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