20009094

Source:http://linkedlifedata.com/resource/pubmed/id/20009094

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Predicate	Object
rdf:type	pubmed:Citation
lifeskim:mentions	umls-concept:C0001554, umls-concept:C0007222, umls-concept:C0011847, umls-concept:C0015031, umls-concept:C0030705, umls-concept:C0034510, umls-concept:C0035648, umls-concept:C0680240, umls-concept:C0683481, umls-concept:C1273870
pubmed:issue	3
pubmed:dateCreated	2010-3-1
pubmed:abstractText	OBJECTIVE Patient-physician race/ethnicity concordance can improve care for minority patients. However, its effect on cardiovascular disease (CVD) care and prevention is unknown. We examined associations of patient race/ethnicity and patient-physician race/ethnicity concordance on CVD risk factor levels and appropriate modification of treatment in response to high risk factor values (treatment intensification) in a large cohort of diabetic patients. RESEARCH DESIGN AND METHODS The study population included 108,555 adult diabetic patients in Kaiser Permanente Northern California in 2005. Probit models assessed the effect of patient race/ethnicity on risk factor control and treatment intensification after adjusting for patient and physician-level characteristics. RESULTS African American patients were less likely than whites to have A1C <8.0% (64 vs. 69%, P < 0.0001), LDL cholesterol <100 mg/dl (40 vs. 47%, P < 0.0001), and systolic blood pressure (SBP) <140 mmHg (70 vs. 78%, P < 0.0001). Hispanic patients were less likely than whites to have A1C <8% (62 vs. 69%, P < 0.0001). African American patients were less likely than whites to have A1C treatment intensification (73 vs. 77%, P < 0.0001; odds ratio [OR] 0.8 [95% CI 0.7-0.9]) but more likely to receive treatment intensification for SBP (78 vs. 71%, P < 0.0001; 1.5 [1.3-1.7]). Hispanic patients were more likely to have LDL cholesterol treatment intensification (47 vs. 45%, P < 0.05; 1.1 [1.0-1.2]). Patient-physician race/ethnicity concordance was not significantly associated with risk factor control or treatment intensification. CONCLUSIONS Patient race/ethnicity is associated with risk factor control and treatment intensification, but patient-physician race/ethnicity concordance was not. Further research should investigate other potential drivers of disparities in CVD care.
pubmed:grant	http://linkedlifedata.com/resource/pubmed/grant/2P30-AG-021684-06, http://linkedlifedata.com/resource/pubmed/grant/K12HD052163, http://linkedlifedata.com/resource/pubmed/grant/P20-MD-000148, http://linkedlifedata.com/resource/pubmed/grant/P20-MD-000182, http://linkedlifedata.com/resource/pubmed/grant/R01-AG-029316-01
pubmed:commentsCorrections	http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-10369059, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-10450723, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-10977060, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-11955024, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-12815085, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-14534227, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-14583685, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-14656957, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-15009789, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-15015865, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-15096336, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-15110215, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-15677789, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-16306546, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-16405705, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-16585661, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-16936167, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-17122717, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-18219539, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-19228862, http://linkedlifedata.com/resource/pubmed/commentcorrection/20009094-7637407
pubmed:language	eng
pubmed:journal	http://linkedlifedata.com/resource/pubmed/journal/7805975
pubmed:citationSubset	IM
pubmed:status	MEDLINE
pubmed:month	Mar
pubmed:issn	1935-5548
pubmed:author	pubmed-author:MangioneCarol MCM, pubmed-author:SchmittdielJulie AJA, pubmed-author:SelbyJoe VJV, pubmed-author:SubramanianUshaU, pubmed-author:TraylorAna HAH, pubmed-author:UratsuConnie SCS
pubmed:issnType	Electronic
pubmed:volume	33
pubmed:owner	NLM
pubmed:authorsComplete	Y
pubmed:pagination	520-5
pubmed:dateRevised	2011-7-25
pubmed:meshHeading	pubmed-meshheading:20009094-Adult, pubmed-meshheading:20009094-Aged, pubmed-meshheading:20009094-Aged, 80 and over, pubmed-meshheading:20009094-Cardiovascular Diseases, pubmed-meshheading:20009094-Diabetes Complications, pubmed-meshheading:20009094-Diabetes Mellitus, pubmed-meshheading:20009094-Drug Therapy, pubmed-meshheading:20009094-Ethnic Groups, pubmed-meshheading:20009094-Female, pubmed-meshheading:20009094-Humans, pubmed-meshheading:20009094-Male, pubmed-meshheading:20009094-Middle Aged, pubmed-meshheading:20009094-Patients, pubmed-meshheading:20009094-Physician-Patient Relations, pubmed-meshheading:20009094-Race Relations, pubmed-meshheading:20009094-Risk Factors, pubmed-meshheading:20009094-Social Class
pubmed:year	2010
pubmed:articleTitle	Patient race/ethnicity and patient-physician race/ethnicity concordance in the management of cardiovascular disease risk factors for patients with diabetes.
pubmed:affiliation	Goldman School of Public Policy, University of California, Berkeley, California, and the Care Management Institute, Kaiser Permanente, Oakland, California, USA.
pubmed:publicationType	Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural