Long-term Effectiveness of the National Diabetes Quality Assessment Program in South Korea
Authors' conclusion
In Korea, the achievement of NDQAP indicators was associated with a decreased risk of diabetes complications and all-cause mortality.
Study context
- Population
- Individuals with diabetes who visited a primary care clinic from 1 July 2012 to 30 June 2013, Health Insurance Review and Assessment Service database, South Korea
- Participants
- 399,984 individuals
- Exposure
- Management in high-quality institutions vs not
- Outcome
- Diabetes complications (PDR, ESKD, amputation, MI, stroke) and all-cause mortality
- Follow-up
- Mean 7.6 ± 1.8 years
Methodological detailsnationwide database, Cox proportional hazards models
- Nationwide database
- Cox proportional hazards models
Main finding
As reported in the abstract
High-quality institutions vs Not high-quality institutionsHazard ratio (95% CI)
PDR
0.82(0.80–0.85)
ESKD
0.77(0.73–0.81)
Amputation
0.75(0.69–0.83)
MI
0.85(0.82–0.89)
Stroke
0.86(0.84–0.88)
All-cause mortality
0.96(0.94–0.98)
Observational data: associations, not effects.
Further findings
Events during follow-up (whole cohort) · mean follow-up 7.6 ± 1.8 years
- Proliferative diabetic retinopathy (PDR)
- 20,054 (5.0%)
- End-stage kidney diseases (ESKD)
- 6,281 (1.6%)
- Amputations
- 1,943 (0.5%)
- MI
- 9,706 (2.4%)
- Strokes
- 26,975 (6.7%)
- All-cause mortality
- 35,799 (8.9%)
Original publication
Long-term Effectiveness of the National Diabetes Quality Assessment Program in South Korea. Diabetes Care. Published 20 July 2023. doi:10.
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