Glycemic control and diabetes complications across health status categories in older adults treated with insulin or insulin secretagogues: The Diabetes & Aging Study
Lipska K, Huang E, Liu J, Parker M, Laiteerapong N, Grant R, Moffet H, Karter A. Glycemic control and diabetes complications across health status categories in older adults treated with insulin or insulin secretagogues: The Diabetes & Aging Study. Journal Of The American Geriatrics Society 2023, 71: 3692-3700. PMID: 37638777, PMCID: PMC10872822, DOI: 10.1111/jgs.18565.Peer-Reviewed Original ResearchConceptsRisk of complicationsComplication riskPoor healthIntermediate healthOlder adultsGood healthRetrospective cohort studyEndocrine Society guidelinesIntegrated healthcare delivery systemType 2 diabetesProportional hazards modelHealth status categoriesHealthcare delivery systemMacrovascular eventsCohort studyGlycemic controlPrimary outcomeSevere hypoglycemiaSociety guidelinesClinical variablesInsulin secretagoguesHazards modelComplicationsCombined outcomeAging StudyThe Growing Role of Technology in the Care of Older Adults With Diabetes.
Huang E, Sinclair A, Conlin P, Cukierman-Yaffe T, Hirsch I, Huisingh-Scheetz M, Kahkoska A, Laffel L, Lee A, Lee S, Lipska K, Meneilly G, Pandya N, Peek M, Peters A, Pratley R, Sherifali D, Toschi E, Umpierrez G, Weinstock R, Munshi M. The Growing Role of Technology in the Care of Older Adults With Diabetes. Diabetes Care 2023, 46: 1455-1463. PMID: 37471606, PMCID: PMC10369127, DOI: 10.2337/dci23-0021.Peer-Reviewed Original ResearchConceptsOlder adultsAreas of careHealth care servicesDiabetes careContinuous glucose monitorEvidence-based technologiesDiabetes managementCare prioritiesClinical experienceClinical heterogeneityCare servicesDiabetesInsulin pumpCareScientific evidenceAdultsGlucose monitorDistinct subpopulationsCurrent knowledgeMajor barrierImportant populationPotential promiseCaregiversData‐driven classification of health status of older adults with diabetes: The diabetes and aging study
Huang E, Liu J, Lipska K, Grant R, Laiteerapong N, Moffet H, Schumm L, Karter A. Data‐driven classification of health status of older adults with diabetes: The diabetes and aging study. Journal Of The American Geriatrics Society 2023, 71: 2120-2130. PMID: 36883732, PMCID: PMC10363208, DOI: 10.1111/jgs.18310.Peer-Reviewed Original ResearchConceptsOlder adultsBaseline comorbiditiesCardiovascular eventsHigh prevalenceClass 3Integrated healthcare delivery systemRisk of complicationsType 2 diabetesClass 1Population health managementRace-adjusted ratesClass 2Healthcare delivery systemIncident complicationsCause mortalityMicrovascular eventsCohort studyComplication ratePrevalent comorbiditiesComorbid conditionsFuture complicationsHypoglycemic eventsDiabetes careCardiovascular conditionsLow prevalenceAdjustment for Social Risk Factors in a Measure of Clinician Quality Assessing Acute Admissions for Patients With Multiple Chronic Conditions
Lipska K, Altaf F, Barthel A, Spatz E, Lin Z, Herrin J, Bernheim S, Drye E. Adjustment for Social Risk Factors in a Measure of Clinician Quality Assessing Acute Admissions for Patients With Multiple Chronic Conditions. JAMA Health Forum 2023, 4: e230081. PMID: 36897581, DOI: 10.1001/jamahealthforum.2023.0081.Peer-Reviewed Original ResearchConceptsMultiple chronic conditionsSocial risk factorsMedicare-Medicaid dual eligibilityRisk factorsChronic conditionsSocioeconomic status indexMeasure scoresAcute admissionsCohort studyDual eligibilityHealthcare ResearchDual-eligible patientsRetrospective cohort studyUnplanned hospital admissionsRisk of hospitalizationArea Health Resource FileService beneficiaries 65 yearsBeneficiaries 65 yearsRisk factor adjustmentStatus indexMedicare administrative claimsHospital admissionOutcome measuresAdministrative claimsMAIN OUTCOME