Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Jul;32(7):1213-7.
doi: 10.2337/dc08-2211. Epub 2009 Apr 14.

Secular trends in diabetes-related preventable hospitalizations in the United States, 1998-2006

Jing Wang  1 , Kumiko Imai, Michael M Engelgau, Linda S Geiss, Christina Wen, Ping Zhang
Affiliations

Secular trends in diabetes-related preventable hospitalizations in the United States, 1998-2006

Jing Wang et al. Diabetes Care. 2009 Jul.

Abstract

Objective: To examine secular trends in diabetes-related preventable hospitalizations among adults with diabetes in the U.S. from 1998 to 2006.

Research design and methods: We used nationally representative data from the National Inpatient Sample to identify diabetes-related preventable hospitalizations. Based on the Agency for Healthcare Research and Quality's Prevention Quality Indicators, we considered that hospitalizations associated with the following four conditions were preventable: uncontrolled diabetes, short-term complications, long-term complications, and lower-extremity amputations. Estimates of the number of adults with diabetes were obtained from the National Health Interview Survey. Rates of hospitalizations among adults with diabetes were derived and tested for trends.

Results: Age-adjusted rates for overall diabetes-related preventable hospitalizations per 100 adults with diabetes declined 27%, from 5.2 to 3.8 during 1998-2006 (P(trend) < 0.01). This rate decreased significantly for all but not for short-term complication (58% for uncontrolled diabetes, 37% for lower-extremity amputations, 23% for long-term complications [all P < 0.01], and 15% for the short-term complication [P = 0.18]). Stratified by age-group and condition, the decline was significant for all age-condition groups (all P < 0.05) except short-term complications (P = 0.33) and long-term complications (P = 0.08) for the age-group 18-44 years. The decrease was significant for all sex-condition combination subgroups (all P < 0.01).

Conclusions: We found a decrease in diabetes-related preventable hospitalizations in the U.S. from 1998 to 2006. This trend could reflect improvements in quality of primary care for individuals with diabetes.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Rates of diabetes-related preventable hospitalizations by age-group, U.S., 1998–2006.
Figure 2
Figure 2
Age-adjusted rates of diabetes-related preventable hospitalizations by sex, U.S., 1998–2006.
Figure 3
Figure 3
Age-adjusted rates of diabetes-related preventable hospitalizations by conditions, U.S., 1998–2006.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. American Diabetes Association. Economic costs of diabetes in the U.S. in 2007. Diabetes Care 2008; 31: 596– 615 - PubMed
    1. Pappas G, Hadden WC, Kozak LJ, Fisher GF: Potentially avoidable hospitalizations: inequalities in rates between US socioeconomic groups. Am J Public Health 1997; 87: 811– 816 - PMC - PubMed
    1. Bindman AB, Grumbach K, Osmond D, Komaromy M, Vranizan K, Lurie N, Billings J, Stewart A: Preventable hospitalizations and access to health care. JAMA 1995; 274: 305– 311 - PubMed
    1. Billings J, Zeitel L, Lukomnik J, Carey TS, Blank AE, Newman L: Impact of socioeconomic status on hospital use in New York City. Health Aff 1993; 12: 162– 173 - PubMed
    1. Agency for Healthcare Research and Quality. AHRQ Quality Indicators—Guide to Prevention Quality Indicators: Hospital Admission for Ambulatory Care Sensitive Conditions. Version 3.1. Rockville, MD, Agency for Healthcare Research and Quality, 2001. ( AHRQ Publ. No. 02-R0203)