Glucose testing and insufficient follow-up of abnormal results: a cohort study
Glucose testing and insufficient follow-up of abnormal results: a cohort study
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DOI：
10.1186/1472-6963-6-87
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发表时间：
2006-07-12
影响因子：
2.8
通讯作者：
Mushlin, Alvin I.
中科院分区：
文献类型：
--
作者：
Kern, Lisa M.;Callahan, Mark A.;Mushlin, Alvin I.
Background: More than 6 million Americans have undiagnosed diabetes. Several national organizations endorse screening for diabetes by physicians, but actual practice is poorly understood. Our objectives were to measure the rate, the predictors and the results of glucose testing in primary care, including rates of follow-up for abnormal values.Methods: We conducted a retrospective cohort study of 301 randomly selected patients with no known diabetes who received care at a large academic general internal medicine practice in New York City. Using medical records, we collected patients' baseline characteristics in 1999 and followed patients through the end of 2002 for all glucose tests ordered. We used multivariate logistic regression to measure associations between diabetes risk factors and the odds of glucose testing.Results: Three-fourths of patients (78%) had at least 1 glucose test ordered. Patient age (>= 45 vs.
