Table 3

Impact of individual concordant and discordant conditions on diabetes testing goal achievement, adjusted, OR (95% CI), with prevalence of conditions, among patients with diabetes age 18–75

Diabetes care goal achieved
Prevalence % (n=23 430)HbA1c testingLDL testingKidney testing
OR (95% CI)p ValueOR (95% CI)p ValueOR (95% CI)p Value
Lack of testing goal achievement
 Congestive heart failure5.00.6 (0.5 to 0.8)0.0000
 Substance use disorders0.80.6 (0.4 to 0.8)0.0010
 Anemia0.40.4 (0.2 to 0.7)0.0020
Testing goal achievement
 Hyperlipidemia771.4 (1.3 to 1.5)0.00002.9 (2.7 to 3.2)0.00001.4 (1.3 to 1.5)0.0000
 Hypertension741.1 (1.03 to 1.2)0.0060
 Obesity221.2 (1.1 to 1.3)0.0000
 Thyroid disorder151.2 (1.1 to 1.3)0.0010
 Coronary atherosclerosis141.3 (1.1 to 1.5)0.0010
 Renal failure111.3 (1.2 to 1.5)0.000029.1 (18.6 to 45.4)0.0000
 CNS/PNS disorders*7.81.2 (1.1 to 1.4)0.0060
 Kidney and vesicoureteral disorders†4.82 (1.5 to 2.7)0.0000
 Menopause and perimenopause3.61.5 (1.1 to 1.9)0.0030
  • Bold represents conditions associated with lack of goal achievement.

  • Adjusted for age, sex, race, insurance, number of face-to-face office visits in the baseline year, patient rural–urban commuting area, per cent with diabetes in patient’s county, per cent of Medicare patients with diabetes in patient’s county who achieved HbA1c testing, per cent below poverty line in patient’s zip code, per cent without high school education in patient’s zip code, health system.

  • All 62 conditions were included in the model. Only conditions with significant associations at p value<0.01 are listed in the table. All conditions are mutually exclusive.

  • *Excludes malignancies, multiple sclerosis and epilepsy.

  • ‡Excludes kidney failure.

  • CNS/PNS, central nervous system and peripheral nervous system; HbA1c, glycated haemoglobin.