Identifying Profiles of Patients With Uncontrolled Type 2 Diabetes Who Would Benefit From Referral to an Endocrinologist
Main finding · HbA1c reduction ≥1%Result — go to the resultOdds ratio 2.27 95% CI 1.6–3.2Authors' conclusion
EndoG demonstrated superior HbA1c control over time and achieved better outcomes compared to PcPG. The identification of 96 profiles benefiting from endocrinologist referral emphasizes the potential of personalized referral.
Study context
- Population
- Patients with glycemic uncontrolled T2D, Maccabi Healthcare Services diabetes registry508 matched pairs
- Participants
- 508 vs 508
- Exposure
- Endocrinologist care vs primary care physician care
- Endocrinologists (EndoG)n = 508
- PcPGn = 508reference
- Outcome
- HbA1c reduction ≥1%
- Follow-up
- Within 1 year
Methodological detailsmatched pairs, conditional logistic regression
- Matched pairs
- Conditional logistic regression
Main finding
As reported in the abstract
Odds ratio
2.27
95% CI 1.6–3.2
EndoGvs PcPG
OR 2.27 (95% CI 1.6–3.2)
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| LDL-C <100 mg/dl | 1.68 (1.02–2.76) | |
| 0.20.5125Odds ratio (log scale) |
Patient profiles with positive outcomes
- Profiles with positive outcomes, all favoring endocrinologist treatment
- 96
Original publication
Identifying Profiles of Patients With Uncontrolled Type 2 Diabetes Who Would Benefit From Referral to an Endocrinologist. Endocr Pract. Published 17 August 2023. doi:10. 1016/ j. eprac. 2023. 08. 002
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