Impact of individual concordant and discordant conditions on diabetes control goal achievement, adjusted, OR (95% CI), with prevalence of conditions, among patients with diabetes age 18–75
| Prevalence % (n=23 430) | HgbA1c control | LDL control | BP control | ||||
|---|---|---|---|---|---|---|---|
| OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value | ||
| Lack of control goal achievement | |||||||
| Obesity | 22 | 0.9 (0.8 to 0.97) | 0.0060 | 0.9 (0.85 to 0.97) | 0.0050 | ||
| Depression | 15 | 0.9 (0.8 to 0.9) | 0.0010 | ||||
| Anxiety disorders | 8.0 | 0.8 (0.8 to 0.9) | 0.0010 | ||||
| CNS/PNS disorders* | 7.8 | 0.8 (0.7 to 0.9) | 0.0000 | ||||
| Congestive heart failure | 5.0 | 0.8 (0.7 to 0.9) | 0.0060 | ||||
| Skin ulcer | 4.8 | 0.8 (0.7 to 0.9) | 0.0010 | ||||
| Degenerative eye problem | 4.3 | 0.7 (0.6 to 0.8) | 0.0000 | ||||
| Substance use disorders | 0.8 | 0.6 (0.43 to 0.8) | 0.0010 | ||||
| Mixed lack of achievement and achievement | |||||||
| Hypertension | 74 | 1.1 (1.04 to 1.2) | 0.0030 | 1.2 (1.1 to 1.3) | 0.0000 | 0.6 (0.55 to 0.6) | 0.0000 |
| Control goal achievement | |||||||
| Hyperlipidemia | 77 | 1.1 (1.1 to 1.2) | 0.0000 | 1.3 (1.2 to 1.3) | 0.0000 | 1.3 (1.17 to 1.3) | 0.0000 |
| Osteoarthritis | 16 | 1.2 (1.1 to 1.3) | 0.0000 | ||||
| Coronary atherosclerosis | 14 | 1.3 (1.2 to 1.4) | 0.0000 | 1.5 (1.4 to 1.6) | 0.0000 | 1.3 (1.21 to 1.4) | 0.0000 |
| Allergic rhinitis | 11 | 1.2 (1.1 to 1.3) | 0.0000 | ||||
| Cancer | 7.6 | 1.3 (1.1 to 1.4) | 0.0000 | ||||
| Cardiac dysrhythmia | 7.3 | 1.2 (1.05 to 1.3) | 0.0040 | ||||
| Kidney and vesicoureteral disorders† | 4.8 | 1.2 (1.05 to 1.4) | 0.0090 | ||||
| Gout or other crystal arthropathy | 4.4 | 1.2 (1.1 to 1.4) | 0.0050 | ||||
| Benign prostatic hypertrophy | 4.1 | 1.3 (1.1 to 1.6) | 0.0010 | 1.2 (1.05 to 1.4) | 0.0090 | ||
| Bipolar disorder | 3.7 | 1.2 (1.1 to 1.4) | 0.0090 | ||||
| Rheumatoid arthritis | 1.5 | 1.6 (1.3 to 2.1) | 0.0000 | ||||
| Schizophrenia and psychotic disorders | 1.1 | 1.7 (1.2 to 2.2) | 0.0010 | ||||
| Aneurysm | 0.7 | 1.9 (1.2 to 3) | 0.0060 | ||||
| Epilepsy | 0.7 | 2.1 (1.4 to 3.1) | 0.0000 | ||||
| Myocardial infarction§ | 0.5 | 2.0 (1.2 to 3.2) | 0.0080 | ||||
| Parkinson’s disease | 0.4 | 2.8 (1.4 to 5.4) | 0.0020 | 2.4 (1.47 to 3.9) | 0.0000 | ||
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.
§Within past 2 years.
CNS/PNS, central nervous system and peripheral nervous system; HbA1c, glycated haemoglobin.