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Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching
AIMS/INTRODUCTION: The objective of the present study was to evaluate the risk of diabetic macrovascular complications and in‐hospital mortality among diabetic patients with irregular physician visits. MATERIALS AND METHODS: We carried out a health insurance‐based retrospective cohort study using cl...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wiley-Blackwell
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210063/ https://www.ncbi.nlm.nih.gov/pubmed/25411602 http://dx.doi.org/10.1111/jdi.12167 |
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author | Nishi, Takumi Babazono, Akira Maeda, Toshiki |
author_facet | Nishi, Takumi Babazono, Akira Maeda, Toshiki |
author_sort | Nishi, Takumi |
collection | PubMed |
description | AIMS/INTRODUCTION: The objective of the present study was to evaluate the risk of diabetic macrovascular complications and in‐hospital mortality among diabetic patients with irregular physician visits. MATERIALS AND METHODS: We carried out a health insurance‐based retrospective cohort study using claims data from diabetic patients who were newly hospitalized between April 2010 and September 2010 among beneficiaries of the Fukuoka National Health Insurance Organization. Regular visits were defined as physician visits for diabetes mellitus at least every 3 months between April 2009 and March 2010, whereas other visits or no visits were defined as irregular visits. We assigned 5,940 patients to the regular visit or the irregular visit groups using propensity score matching. We compared in‐hospital mortality and hospitalization for diabetic macrovascular complications between the two groups by multiple logistic regression models. RESULTS: The irregular visit group had a significantly higher risk of hospitalization for acute myocardial infarction (AMI), ischemic heart diseases (IHDs) except AMI, all IHDs, all strokes and diabetic macrovascular complications than did the regular visit group. Adjusted odds ratios for AMI, IHDs except AMI, all IHDs, all strokes, and diabetic macrovascular complications were 3.52 (95% confidence interval [CI] 1.79–6.96), 1.25 (95% CI 1.02–1.54), 1.37 (95% CI 1.12–1.66), 1.29 (95% CI 1.04–1.60), and 1.28 (95% CI 1.10–1.48), respectively. CONCLUSIONS: The present study shows that the irregular visit group had significantly higher risks of hospitalization for IHD and stroke among diabetic patients. Insurers need to motivate diabetic beneficiaries to make regular visits to physicians. |
format | Online Article Text |
id | pubmed-4210063 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Wiley-Blackwell |
record_format | MEDLINE/PubMed |
spelling | pubmed-42100632014-11-19 Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching Nishi, Takumi Babazono, Akira Maeda, Toshiki J Diabetes Investig Articles AIMS/INTRODUCTION: The objective of the present study was to evaluate the risk of diabetic macrovascular complications and in‐hospital mortality among diabetic patients with irregular physician visits. MATERIALS AND METHODS: We carried out a health insurance‐based retrospective cohort study using claims data from diabetic patients who were newly hospitalized between April 2010 and September 2010 among beneficiaries of the Fukuoka National Health Insurance Organization. Regular visits were defined as physician visits for diabetes mellitus at least every 3 months between April 2009 and March 2010, whereas other visits or no visits were defined as irregular visits. We assigned 5,940 patients to the regular visit or the irregular visit groups using propensity score matching. We compared in‐hospital mortality and hospitalization for diabetic macrovascular complications between the two groups by multiple logistic regression models. RESULTS: The irregular visit group had a significantly higher risk of hospitalization for acute myocardial infarction (AMI), ischemic heart diseases (IHDs) except AMI, all IHDs, all strokes and diabetic macrovascular complications than did the regular visit group. Adjusted odds ratios for AMI, IHDs except AMI, all IHDs, all strokes, and diabetic macrovascular complications were 3.52 (95% confidence interval [CI] 1.79–6.96), 1.25 (95% CI 1.02–1.54), 1.37 (95% CI 1.12–1.66), 1.29 (95% CI 1.04–1.60), and 1.28 (95% CI 1.10–1.48), respectively. CONCLUSIONS: The present study shows that the irregular visit group had significantly higher risks of hospitalization for IHD and stroke among diabetic patients. Insurers need to motivate diabetic beneficiaries to make regular visits to physicians. Wiley-Blackwell 2013-12-04 2014-07 /pmc/articles/PMC4210063/ /pubmed/25411602 http://dx.doi.org/10.1111/jdi.12167 Text en © 2013 The Authors. Journal of Diabetes Investigation published by Asian Association of the Study of Diabetes (AASD) and Wiley Publishing Asia Pty Ltd This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/3.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Articles Nishi, Takumi Babazono, Akira Maeda, Toshiki Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching |
title | Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching |
title_full | Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching |
title_fullStr | Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching |
title_full_unstemmed | Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching |
title_short | Risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching |
title_sort | risk of hospitalization for diabetic macrovascular complications and in‐hospital mortality with irregular physician visits using propensity score matching |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210063/ https://www.ncbi.nlm.nih.gov/pubmed/25411602 http://dx.doi.org/10.1111/jdi.12167 |
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