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首页> 外文期刊>Diabetes care >The Probability of A1C Goal Attainment in Patients With Uncontrolled Type 2 Diabetes in a Large Integrated Delivery System: A Prediction Model
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The Probability of A1C Goal Attainment in Patients With Uncontrolled Type 2 Diabetes in a Large Integrated Delivery System: A Prediction Model

机译:大型综合交付系统中不受控制的2型糖尿病患者A1C目标达到的可能性:预测模型

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摘要

OBJECTIVE To assess patient characteristics and treatment factors associated with uncontrolled type 2 diabetes (T2D) and the probability of hemoglobin A(1c)(A1C) goal attainment. RESEARCH DESIGN AND METHODS This was a retrospective cohort study using the electronic health record at Cleveland Clinic. Patients with uncontrolled T2D (A1C >9%) were identified on the index date of 31 December 2016 (n= 6,973) and grouped by attainment (n= 1,653 [23.7%]) or nonattainment (n= 5,320 [76.3%]) of A1C 9% achieved an A1C <8% at 1 year. While most identified predictive factors are nonmodifiable by the clinician, pursuit of frequent patient engagement and tailored drug regimens may help to improve A1C goal attainment.
机译:目的评估与不受控制的2型糖尿病(T2D)相关的患者特征和治疗因素及血红蛋白A(1C)(A1C)目标达到的概率。 研究设计和方法这是克利夫兰诊所的电子健康纪录的回顾性队列研究。 在2016年12月31日的指数日(n = 6,973)的指数日期内确定了不受控制的T2D(A1C> 9%),并通过达到(n = 1,653 [23.7%])或非遗传(n = 5,320 [76.3%])进行分组 A1C 9%在1年内达到A1C <8%。 虽然临床医生不可替代的最识别的预测因素,但追求频繁的患者参与和量身定制的药物方案可能有助于改善A1C的目标达成。

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