RT Journal Article
SR Electronic
T1 Interpersonal Continuity of Care May Help Delay Progression to Type 2 Diabetes
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP jabfm.2023.230382R2
DO 10.3122/jabfm.2023.230382R2
A1 Johannes, Bobbie L.
A1 Wood, G. Craig
A1 Mainous, Arch G.
A1 Cook, Adam
A1 Kulchak Rahm, Alanna
A1 Still, Christopher D.
A1 Bailey-Davis, Lisa
YR 2024
UL http://www.jabfm.org/content/early/2024/12/23/jabfm.2023.230382R2.abstract
AB 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.