Interpersonal Continuity of Care May Help Delay Progression to Type 2 Diabetes.

IF 2.4 3区医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of the American Board of Family Medicine Pub Date : 2025-02-20 DOI:10.3122/jabfm.2023.230382R2

Bobbie L Johannes, G Craig Wood, Arch G Mainous, Adam Cook, Alanna Kulchak Rahm, Christopher D Still, Lisa Bailey-Davis

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Abstract

Background: The association between interpersonal continuity of care (CoC) and progression from the prediabetic state to Type 2 Diabetes (T2D) remains unknown.

Aim: To evaluate the association between interpersonal CoC and the progression to T2D among persons with prediabetes.

Design and setting: A retrospective cohort study using electronic health record (EHR) data from 6620 patients at Geisinger, a large rural health care system in Danville, PA.

Methods: Cox regression methods were used to estimate the hazard ratio associated with progression to T2D within 3-years of being diagnosed with prediabetes.

Results: One additional visit with the primary care provider most frequently seen by the patient is associated with 14% decreased risk (HR = 0.86; 95% CI = 0.85, 0.87; P < .001) of transitioning to type 2 diabetes within 3 years of being diagnosed with prediabetes.

Conclusions: This study demonstrates an association between increased interpersonal CoC after a person is diagnosed with prediabetes and a reduced risk of progressing to T2D within 3 years.

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人际护理的连续性可能有助于延缓2型糖尿病的进展。

背景：人际护理连续性（CoC）与糖尿病前期发展为2型糖尿病（T2D）之间的关系尚不清楚。目的：探讨前驱糖尿病患者人际CoC与t2dm进展的关系。设计和背景：一项回顾性队列研究，使用Geisinger（宾夕法尼亚州丹维尔的一个大型农村医疗保健系统）6620名患者的电子健康记录（EHR）数据。方法：采用Cox回归方法估计被诊断为糖尿病前期3年内进展为T2D的风险比。结果：与患者最常见到的初级保健提供者多进行一次就诊与风险降低14%相关(HR = 0.86；95% ci = 0.85, 0.87；结论：本研究表明，在一个人被诊断为前驱糖尿病后，人际间CoC升高与3年内进展为T2D的风险降低之间存在关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Board of Family Medicine 医学-医学：内科

CiteScore

4.90

自引率

6.90%

发文量

168

审稿时长

4-8 weeks

期刊介绍： Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.