Association of Clinical and Social Complexity with Glucose Control Outcomes in Diabetic Patients: Results of Stepwise Regression Models
| Tested Diabetes Cohort Odds Ratio for Poor Glucose Control (95% CI) | ||||||
|---|---|---|---|---|---|---|
| OCHIN (n = 63,906) | HCN (n = 9422) | |||||
| Step 1 Model | Step 2 Model | Full Model | Step 1 Model | Step 2 Model | Full Model | |
| Charlson Comorbidity Index: 0 to 1 | Referent | Referent | Referent | Referent | Referent | Referent |
| Charlson Comorbidity Index: 2 to 3 | 0.96 (0.92 to 0.96) | 0.98 (0.94 to 1.02) | 0.99 (0.94 to 1.03) | 0.99 (0.88 to 1.15) | 0.99 (0.88 to 1.11) | 0.99 (0.88 to 1.11) |
| Charlson Comorbidity Index: 4 to 5 | 1.15 (1.08 to 1.22) | 1.19 (1.11 to 1.26) | 1.19 (1.12 to 1.27) | 1.15 (0.90 to 1.46) | 1.14 (0.90 to 1.45) | 1.14 (0.89 to 1.45) |
| Charlson Comorbidity Index: 6+ | 1.06 (0.96 to 1.17) | 1.11 (1.00 to 1.23) | 1.12 (1.01 to 1.24) | 0.89 (0.69 to 1.15) | 0.89 (0.68 to 1.15) | 0.87 (0.67 to 1.13) |
| Mental/Behavioral Health Conditions: 0 | Referent | Referent | Referent | Referent | ||
| Mental/Behavioral Health Conditions: 1 | 0.90 (0.86 to 0.94) | 0.91 (0.87 to 0.96) | 1.09 (0.97 to 1.22) | 1.09 (0.97 to 1.22) | ||
| Mental/Behavioral Health Conditionss: more than 1 | 0.79 (0.71 to 0.88) | 0.81 (0.73 to 0.90) | 0.98 (0.79 to 1.22) | 0.97 (0.78 to 1.20) | ||
| Social Deprivation Indexs (Increase of 10 percentile ranks) | 1.05 (1.04 to 1.06) | 1.03 (1.01 to 1.06) | ||||
Full results from stepwise logistic regression model of the odds of poor diabetes control, controlling for age, gender, Charlson Comorbidity Index category, number of mental and behavioral health diagnoses and social deprivation index (SDI) score of the patients neighborhood. SDI scores were calculated using national percentile ranks of the SDI Index. Diabetic patients were defined as those with at least one HbA1c measurement in 2015. Poor control was defined as HbA1c > 9 at the last test in 2015.
CI, confidence interval; OCHIN, Oregon Community Health Information Network; HCN, Health Choice Network.