Search

BACKGROUND Prediction models are increasingly utilized in clinical practice but the optimal approach to collecting the needed inputs is unknown. OBJECTIVE Our objective was to compare a mortality prediction model inputs and scores based on chart abstraction versus patient survey. METHODS Older patients with type 2 diabetes at an urban, Chicago primary care practice were recruited and the Lee Mortality Index was calculated from retrospective chart review and patient surveys. RESULTS We saw non-significant differences in mortality scores (p=0.61) and subsequent diabetes in older adult health status class recommendations (p=0.70) comparing chart abstraction to survey data. However, there were large differences in certain domains such as functional status and presence of disease. Differences in chart review and survey resulted in 20% having discordant diabetes recommendations. CONCLUSIONS Healthcare organizations should work to systematically and routinely collect PROs that are inputs for widely used prediction models.

Objective: Communities of racial/ethnic minority groups experience a higher prevalence of type 2 diabetes (T2DM) with higher rates of diabetes-related complications compared to non-Hispanic Whites. Interventions that utilize community health workers (CHW) are often successful at improving glycemic control. This analysis aimed to examine the effectiveness of CHW interventions on glycemic control in people of racial/ethnic minority groups with T2DM. Methods: A search of electronic databases (PubMed, Scopus, CINAHL, PsycInfo) to identify articles published between 1985 and 20was conducted using broad search terms for diabetes, race/ethnicity, and disparities. To further refine articles to those focusing on CHW-based randomized controlled trials, abstracts were searched for “community workers” and “promotores.” A random effects model was used to calculate the effect of CHW interventions on hemoglobin A1c (HbA1c) with future plans to analyze effects on other cardiovascular risk factors such as body mass index, blood pressure, and cholesterol. Results: A total of 22 RCTs were identified, involving 4996 adults (26% Black, 50% Hispanic, 11% Asian, and 11% Pacific Islander) . CHW interventions among people of racial/ethnic minority groups was associated with a 0.44% (95% confidence interval: -0.56% to -0.31%; p Conclusion: CHW interventions are an effective means to lower HbA1c among people of racial/ethnic minority groups with T2DM. This finding is important for future healthcare policies, which should work to emphasize culturally sensitive interventions for patients with T2DM while maintaining cost effectiveness through CHWs. Future research should examine the effectiveness of CHWs for diabetes prevention. Disclosure R.Shetty: None. A.Deckard: None. W.Wan: n/a. A.Nathan: None. E.M.Staab: None. A.W.Rodriguez: None. A.Gandhi: None. A.A.Baig: None. N.Laiteerapong: None.