Health care service use and costs for a cohort of high-needs elderly diabetic patients

Buja, Alessandra; Caberlotto, Riccardo; Pinato, Carlo; Mafrici, Simona Fortunata; Bolzonella, Umberto; Grotto, Giulia; Baldovin, Tatjana; Rigon, Stefano; Toffanin, Roberto; Baldo, Vincenzo

doi:10.1016/j.pcd.2020.12.002

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…The choice of these healthcare services was affected by the knowledge possessed by diabetic patients, which affected their utilization of these services[ 31 ]. Older adults with diabetes have been found to utilize emergency services and some outpatient visit services more than younger individuals[ 32 ]. A study conducted by Shalev et al [ 33 ] revealed that gender influences the utilization of health care services as females use more health care services and have a high morbidity rate compared to males.…”

Section: Resultsmentioning

confidence: 99%

Accessibility and utilization of healthcare services among diabetic patients: Is diabetes a poor man’s ailment?

Eseadi,

Amedu,

Ilechukwu

et al. 2023

World J Diabetes

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Diabetes mellitus is one of the most common causes of chronic kidney disease. Kidney involvement in patients with diabetes has a wide spectrum of clinical presentations ranging from asymptomatic to overt proteinuria and kidney failure. The development of kidney disease in diabetes is associated with structural changes in multiple kidney compartments, such as the vascular system and glomeruli. Glomerular alterations include thickening of the glomerular basement membrane, loss of podocytes, and segmental mesangiolysis, which may lead to microaneurysms and the development of pathognomonic Kimmelstiel-Wilson nodules. Beyond lesions directly related to diabetes, awareness of the possible coexistence of nondiabetic kidney disease in patients with diabetes is increasing. These nondiabetic lesions include focal segmental glomerulosclerosis, IgA nephropathy, and other primary or secondary renal disorders. Differential diagnosis of these conditions is crucial in guiding clinical management and therapeutic approaches. However, the relationship between diabetes and the kidney is bidirectional; thus, new-onset diabetes may also occur as a complication of the treatment in patients with renal diseases. Here, we review the complex and multifaceted correlation between diabetes and kidney diseases and discuss clinical presentation and course, differential diagnosis, and therapeutic oppor-tunities offered by novel drugs.

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Section: Resultsmentioning

confidence: 99%

Accessibility and utilization of healthcare services among diabetic patients: Is diabetes a poor man’s ailment?

Eseadi,

Amedu,

Ilechukwu

et al. 2023

World J Diabetes

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show abstract

“…The input data consisted of age, sex and ICPC-2 diagnoses registered by a GP in 2013. Nine ACG risk variables commonly used in previous studies [19][20][21] were applied. The descriptions of each variable found below are copied from the ACG system V.11.0 Installation and Usage Guide, 22 and is provided in table format in online supplemental table S1.…”

Section: Independent Variablesmentioning

confidence: 99%

Association between Johns Hopkins Adjusted Clinical Groups risk scores and self-reported outcome measures: an observational study among individuals with complex or long-term conditions in Norway

Hosar,

Steinsbekk

2023

BMJ Open

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ObjectiveInvestigate the association between Johns Hopkins Adjusted Clinical Groups (ACG) risk scores and low scores in self-reported outcome measures (SROMs) among individuals with complex or long-term conditions.DesignLongitudinal study using five ACG risk scores based on diagnoses from general practitioner (GP) visits in 1 year and responses to a survey including three SROMs 4 months later.SettingFour adjacent municipalities in Central Norway.ParticipantsNon-institutionalised individuals ≥18 years with ≥1 diagnosis code indicating a complex or long-term condition, ≥1 visit to a GP, and who participated in the survey (n=2944).MeasuresDependent variables were low scores in the three SROMs (threshold for being defined as a low score in parentheses): Patient Activation Measure (level 1–2), EQ-5D (<0.4) or self-rated health (‘Poor’). Independent variables were five ACG variables.ResultsThe individuals with the lowest scores in the three SROMs were mostly three separate groups. The lowest Patient Activation Measure scores were associated with high scores in the ACG variables unscaled total cost predicted risk (adjusted odds ratio (adjOR) 1.80) and positive frailty flag (adjOR 1.76). The lowest EQ-5D scores were associated with high scores in the ACG variables unscaled concurrent risk (adjOR 1.60) and probability persistent high user scores (adjOR 2.83). The lowest self-rated health scores were associated with high scores in the ACG variable unscaled concurrent risk scores (adjOR 1.77), unscaled total cost predicted risk scores (adjOR 2.14) and receiving a positive frailty flag (adjOR 1.82).ConclusionsThere were associations between ACG risk scores and subsequent low SROM scores. This suggests a potential to use diagnosis-based risk stratification systems as a proxy for SROMs to identify individuals with complex or long-term conditions for person-centred healthcare intervention.

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Design Empowering Active Aging: A Resource-Based Design Toolkit

Dong

2022

International Journal of Human–Computer Interaction

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Health care service use and costs for a cohort of high-needs elderly diabetic patients

Cited by 4 publications

References 34 publications

Accessibility and utilization of healthcare services among diabetic patients: Is diabetes a poor man’s ailment?

Accessibility and utilization of healthcare services among diabetic patients: Is diabetes a poor man’s ailment?

Association between Johns Hopkins Adjusted Clinical Groups risk scores and self-reported outcome measures: an observational study among individuals with complex or long-term conditions in Norway

Design Empowering Active Aging: A Resource-Based Design Toolkit

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