Abstract:
OBJECTIVE:To investigate the relationship between lifestyle counseling in primary care settings and clinical outcomes in patients with diabetes. RESEARCH DESIGN AND METHODS:We retrospectively studied hyperglycemic adults with diabetes treated at primary care practices between 2000 and 2014. We analyzed the relationship between frequency of lifestyle counseling (identified using natural language processing of electronic notes) and a composite outcome of death and cardiovascular events during subsequent follow-up. RESULTS:Among patients with monthly counseling or more, 10-year cumulative incidence of the primary outcome was 33.0% compared with 38.1% for less than monthly counseling (P = 0.0005). In multivariable analysis, higher frequency of lifestyle counseling was associated with lower incidence of the primary outcome (hazard ratio 0.88 [95% CI 0.82-0.94]; P < 0.001). CONCLUSIONS:More frequent lifestyle counseling was associated with a lower incidence of cardiovascular events and death among patients with diabetes.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Zhang H,Goldberg SI,Hosomura N,Shubina M,Simonson DC,Testa MA,Turchin Adoi
10.2337/dc19-0629subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1833-1836issue
9eissn
0149-5992issn
1935-5548pii
dc19-0629journal_volume
42pub_type
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