Novel Use and Utility of Integrated Electronic Health Records to Assess Rates of Prediabetes Recognition and Treatment: Brief Report From an Integrated Electronic Health Records Pilot Study
Novel Use and Utility of Integrated Electronic Health Records to Assess Rates of Prediabetes Recognition and Treatment: Brief Report From an Integrated Electronic Health Records Pilot Study
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DOI：
10.2337/dc13-1223
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发表时间：
2014-02-01
期刊：
影响因子：
16.2
通讯作者：
O'Connor, Patrick J.
中科院分区：
文献类型：
--
作者：
Schmittdiel, Julie A.;Adams, Sara R.;O'Connor, Patrick J.
本研究使用新的方法来检查诊断和治疗糖尿病前期的频率在现实世界的临床环境中使用电子健康记录（EHR）数据。120名患有糖尿病前期的成年人（空腹血糖[FPG] 100-125 mg/dL或糖化血红蛋白5.7-6.4% [39-46 mmol/mol]）在2006年至2010年期间，并在识别后6个月内检查诊断和治疗率。在识别糖尿病前期后的6个月内，18%的患者重新检测了血糖水平; 13%的患者接受了前驱糖尿病/高血糖症的医生诊断; 31.0%的患者在临床记录中记录了前驱糖尿病、糖尿病或生活方式;以及
OBJECTIVEThis study uses novel methods to examine the frequency of diagnosis and treatment of prediabetes in real-world clinical settings using electronic health record (EHR) data.RESEARCH DESIGN AND METHODSWe identified a cohort of 358,120 adults with incident prediabetes (fasting plasma glucose [FPG] 100-125 mg/dL or glycated hemoglobin 5.7-6.4% [39-46 mmol/mol]) between 2006 and 2010 and examined rates of diagnosis and treatment in the 6 months after identification.RESULTSIn the 6 months after identification of prediabetes, 18% of patients had their blood glucose levels retested; 13% received a physician diagnosis of prediabetes/hyperglycemia; 31.0% had prediabetes, diabetes, or lifestyle documented in the clinical notes; and