PT  - JOURNAL ARTICLE
AU  - Johannes, Bobbie L.
AU  - Wood, G. Craig
AU  - Mainous, Arch G.
AU  - Cook, Adam
AU  - Kulchak Rahm, Alanna
AU  - Still, Christopher D.
AU  - Bailey-Davis, Lisa
TI  - Interpersonal Continuity of Care May Help Delay Progression to Type 2 Diabetes
AID  - 10.3122/jabfm.2023.230382R2
DP  - 2024 Sep 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 936--938
VI  - 37
IP  - 5
4099  - http://www.jabfm.org/content/37/5/936.short
4100  - http://www.jabfm.org/content/37/5/936.full
SO  - J Am Board Fam Med2024 Sep 01; 37
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.