A Risk Stratification Approach to Allocating Diabetes Education and Support Services.
A Risk Stratification Approach to Allocating Diabetes Education and Support Services.
复制标题
分配糖尿病教育和支持服务的风险分层方法。
DOI：
10.1089/dia.2021.0253
复制
发表时间：
2022
影响因子：
5.4
通讯作者：
Siminerio,Linda
中科院分区：
文献类型：
--
作者：
Zupa,MargaretF;Krall,Jodie;Collins,Kevin;Marroquin,Oscar;Ng,JasonM;Siminerio,Linda
The objective of this study was to describe a predictive modeling approach to risk stratify people with type 2 diabetes for diabetes self-management education and support (DSMES) services. With data from a large health system, a predictive model including age, glycated hemoglobin (HbA1c), and insulin use among other factors, was developed to assess risk of future high HbA1c. The model was retrospectively applied to a cohort of people who received DSMES over a 2-year period to assess the impact of DSMES on glycemia by risk strata. Of 6934 eligible people, 4014 (58%) were in the composite low-risk group and 2604 (38%) were in the composite high-risk group. Mean HbA1c change after DSMES was −0.38% in the low-risk group and −0.84% in the high-risk group. This analysis demonstrates the potential application of predictive modeling as one approach to target DSMES resources to people who will benefit most.
