A5013774525- Diabetes Management and Research
- Diabetes Treatment and Management
- Diabetes and associated disorders
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Childhood Cancer Survivors' Quality of Life
- Adolescent and Pediatric Healthcare
- Diabetes Management and Education
- Pancreatic function and diabetes
- Obesity, Physical Activity, Diet
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Chronic Disease Management Strategies
- Medication Adherence and Compliance
- Migration, Health and Trauma
- Primary Care and Health Outcomes
- Metabolism, Diabetes, and Cancer
- Substance Abuse Treatment and Outcomes
- Cardiac Health and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Electronic Health Records Systems
- Pharmaceutical Practices and Patient Outcomes
- Prenatal Substance Exposure Effects
- Data Quality and Management
- Bariatric Surgery and Outcomes
- Obesity and Health Practices
- Health Promotion and Cardiovascular Prevention
Kaiser Permanente Center for Health Research
2011-2021
Kaiser Permanente
2011-2021
HealthPartners
2015
Kaiser Permanente Washington Health Research Institute
2015
Pacific Health Research and Education Institute
2009-2011
Centers for Disease Control and Prevention
2009
National Center for Chronic Disease Prevention and Health Promotion
2009
University of Hawaiʻi at Mānoa
2002
Kuakini Medical Center
2002
Data on the incidence of diabetes mellitus (DM) among US youth according to racial/ethnic background and DM type are limited.To estimate in aged younger than 20 years race/ethnicity type.A multiethnic, population-based study (The SEARCH for Diabetes Youth Study) 2435 with newly diagnosed, nonsecondary 2002 2003, ascertained at 10 locations United States, covering a population more million person-years.Incidence rates by age group, sex, race/ethnicity, were calculated per 100,000 person-years...
Obesity's association with type 2 diabetes (T2DM) is well established, but less clear 1 (T1DM). We calculated the prevalence of overweight and obesity among diabetic youth in USA from a six-center, population-based study racially ethnically diverse diabetes, we compared these rates estimates nondiabetic youth.Diabetic participants were examined 2001-2004 for SEARCH Diabetes Youth (SEARCH) during same years National Health Nutrition Examination Survey (NHANES).3953 7666 aged 3-19...
Youth with type 1 diabetes mellitus are at risk for poor glycemic control as they age into adulthood. The aim of this study was to describe sociodemographic and clinical correlates associated the transfer care from pediatric adult providers among a cohort youth diagnosed in adolescence.
The objective of this study was to identify the number people with diabetes from a DataLink developed as part SUPREME-DM (SUrveillance, PREvention, and ManagEment Diabetes Mellitus) project, consortium 11 integrated health systems that use comprehensive EHR data for research.
Appropriate glycemic control is fundamental to diabetes care, but aggressive glucose targets and intensive therapy may unintentionally increase episodes of hypoglycemia. We quantified the burden severe hypoglycemia requiring medical intervention in a well-defined population insured individuals with receiving care integrated health delivery systems across U.S.This observational cohort study included 917,440 adults during 2005 2011 at participating SUrveillance, PREvention, ManagEment Diabetes...
An observational cohort analysis was conducted within the Surveillance, Prevention, and Management of Diabetes Mellitus (SUPREME-DM) DataLink, a consortium 11 integrated health-care delivery systems with electronic health records in 10 US states. Among nearly 7 million adults aged 20 years or older, we estimated annual diabetes incidence per 1,000 persons overall by age, sex, race/ethnicity, body mass index. We identified 289,050 incident cases diabetes. Age- sex-adjusted population stable...
To describe demographic and clinical characteristics associated with self-reported receipt of tests measurements recommended by the American Diabetes Association (ADA) for children youths diabetes.
OBJECTIVE: To estimate the prevalence of asthma among youth with types 1 and 2 diabetes examine associations between glycemic control. METHODS: This was a cross-sectional analysis data from SEARCH for Diabetes in Youth study, which included diagnosed type (n = 1683) 311) 2002 through 2005. Asthma status medications were ascertained medical records self-administered questionnaires, control assessed hemoglobin A1c measured at study visit. RESULTS: Prevalence all 10.9% (95% confidence interval...
To improve care and control for patients with adult-onset asthma, a better understanding of determinants their risk outcomes is important. We investigated how associations between asthma obesity may be modified by patient demographic characteristics. This retrospective study adults enrolled in several health plans across the U.S. (n = 2,860,305) examined interacting effects obesity, age, race, sex on control. Multivariable adjusted Cox logistic regression models estimated hazard ratios (HR),...
OBJECTIVE—To compare the prevalence of diabetes according to American Diabetes Association (ADA) and World Health Organization (WHO) classifications in a sample elderly Japanese-American men; examine association with total cardiovascular mortality by status using both classifications; determine whether fasting or 2-h glucose measurement is stronger predictor adverse outcomes. RESEARCH DESIGN AND METHODS—Examinations given from 1991 1993 Honolulu Heart Program were used as baseline for these...
Various phenotypes of overweight and obesity pose various health risks. The objective this study was to determine the prevalence 4 commonly measured cardiometabolic risk factors (CRFs) among adults with or obesity, but not diabetes, at time study.We analyzed data for 1,294,174 (aged ≥20 y) who were members one integrated systems. Each cohort member had a body mass index in 2012 2013 that indicated obesity. We determined presence CRFs within 1 year first BMI measurement: elevated blood...
Examining trends in cardiovascular events and mortality US health systems can guide the design of targeted clinical public strategies to reduce rates.We conducted an observational cohort study from 2005 2011 among 1.25 million diabetic subjects nondiabetic 11 that participate Surveillance, Prevention Management Diabetes Mellitus (SUPREME-DM) DataLink. Annual rates (per 1000 person-years) myocardial infarction/acute coronary syndrome (International Classification Diseases-Ninth Revision,...
Objective To compare cardiovascular disease risk factor testing rates and intermediate outcomes of care between American Indian/Alaska Native (AI/AN) patients with diabetes non-Hispanic Caucasians enrolled in nine commercial integrated delivery systems the USA. Research design methods We used modified Poisson regression models to annual control levels for glycated haemoglobin (HbA1c), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP); number unique drug classes;...
Background: The Patient-Centered Outcomes Research Institute (PCORI) created a new national network infrastructure to enable large-scale observational comparative effectiveness research across diverse clinical care settings. As part of testing the feasibility this effort, each data (CDRN) was required construct cohorts patients, including one patients with overweight and obesity. Objective: aim paper is report on development Patient Advance Learning (PORTAL) obese cohort, which includes from...
Background/Aims: Successful pragmatic trials require close partnership between researchers and health care organizations. We describe the process by which we engaged clinical operational leaders from three Kaiser Permanente (KP) regions to design a trial test alternative population-based models for diabetes prevention.
ABSTRACT: Objective: Trauma exposure is widely prevalent, with more than 60% of adolescents having experienced at least 1 traumatic event and a third those high risk to develop posttraumatic stress disorder (PTSD). Data are scarce out date on the services children PTSD receive, impeding efforts improve care outcomes. This study examines health service use for large diverse sample without diagnosis PTSD. Method: Using matched case-control study, we gathered information from 4 systems...