Table 3

Comparability of patients with type 2 diabetes between the IMEDS Distributed Database and other data sources commonly used for diabetes research: comorbidities and health services utilization

IMEDS-DDOther databasesReferences
SourceDataStudy period
Comorbid conditions in patients with type 2 diabetes
Combined comorbidity score23 (mean, SD)3.6 (4.0)2.4 (2.1)*Weng et al13IBM MarketScan Research Databases2015
2.5 (1.7)*Tang et al15CPRD2012–2014
Cardiovascular disease44.7%45.2%Weng et al13IBM MarketScan Research Databases2015
Heart failure16.9%9%–22%Dunlay et al17Type 2 Diabetes Mellitus and Heart Failure: A Scientific Statement from the American Heart Association and the Heart Failure Society of America2019
11.2%Bailey et al12NHANES1999–2012
Moderate-to-severe chronic kidney disease20.2%24.9%CDC National Diabetes Statistics Report10NHANES2013–2016
24.1%Iglay et al18Quintiles Electronic Medical Record
(EMR) research database (Q-EMR)
2014–2015
22% (20.4%–23.5%)Bailey et al12NHANES1999–2012
22.3%–23.5%McGurnaghan et al16SCI-Diabetes2014–2016
18.9%Tang et al15CPRD2012–2014
Neuropathy25.4%16.2%Pantalone et al19Cleveland Clinic electronic health record system2008–2013
28.5%Gregg et al20NHANES1999–2000
Retinopathy10.9%11.7%CDC National Diabetes Statistics Report10Behavioral Risk Factor Surveillance System2018
12.1%Weng et al13IBM MarketScan Research Databases2015
Health services utilization in patients with type 2 diabetes
Number of unique antihyperglycemics (mean, SD)1.3 (1.4)42.2% on monotherapyBachmann et al22National Patient-Centered Clinical Research Network (PCORnet)2012–2017
40.6% on monotherapyIglay et al18Q-EMR2014–2015
Number of unique non-antihyperglycemics (mean, SD)12.4 (9.0)8.3 (7.0)–10.1 (8.3)Mehta et al21Q-EMR linked to administrative claims from the Truven Health MarketScan database2012
Number of inpatient hospital encounters (mean, SD)0.7 (1.7)0.2 (0.5)–
0.4 (0.8)
Number of ambulatory encounters (mean, SD)36.6 (41.1)17.8 (18.6)–27.5 (25.0)
  • *Charlson Comorbidity Index.24

  • CDC, Centers for Disease Control and Prevention; CPRD, Clinical Practice Research Datalink; IMEDS, Innovation in Medical Evidence and Development Surveillance; IMEDS-DD, IMEDS Distributed Database; NHANES, National Health and Nutrition Examination Survey; SCI-Diabetes, Scottish Care Information-Diabetes system.