PMID- 34736802
OWN - NLM
STAT- MEDLINE
DCOM- 20220131
LR  - 20220131
IS  - 1873-2607 (Electronic)
IS  - 0749-3797 (Linking)
VI  - 62
IP  - 1
DP  - 2022 Jan
TI  - Diabetes Prevention in a U.S. Healthcare System: A Portrait of Missed 
      Opportunities.
PG  - 50-56
LID - S0749-3797(21)00414-1 [pii]
LID - 10.1016/j.amepre.2021.06.018 [doi]
AB  - INTRODUCTION: Type 2 diabetes is a widespread, preventable illness. The U.S. 
      Preventive Services Task Force (USPSTF) has screening guidelines for diabetes 
      prevention. The aim is to establish the extent to which U.S. Preventive Services 
      Task Force's guidelines for prediabetes screening, diagnosis, and treatment are 
      followed in a large health system and to identify missed opportunities for 
      diabetes prevention. METHODS: A comprehensive analysis of the electronic health 
      records for the entire patient population of a large health center between August 
      1, 2019 and October 31, 2020 was analyzed, focusing on 21,448 patients eligible 
      for prediabetes screening according to USPSTF recommendations. Compliance with 
      U.S. Preventive Services Task Force recommendations for screening, diagnosis, and 
      treatment was assessed. RESULTS: Of the 21,448 patients identified as eligible 
      for prediabetes screening, 13,465 (62.8%) were screened in accordance with the 
      USPSTF recommendations. Of those patients screened, 3,430 met the requirements 
      for a prediabetes diagnosis. Only 185 (5.4%) of patients who screened positive 
      for prediabetes received a formal diagnosis of prediabetes, and no patients who 
      received a diagnosis received appropriate treatment for their prediabetes. Women 
      were more likely than men to be screened (p<0.001), and non-Hispanic Whites were 
      less likely than non-Hispanic Blacks and Hispanics to be formally diagnosed even 
      after screening positive (p<0.001). CONCLUSIONS: Although a majority of eligible 
      patients receive appropriate screening for prediabetes, diagnosis and treatment 
      of patients who screen positive for prediabetes is not common practice. Future 
      research and policy may benefit from a focus on classifying diabetes prevention 
      as a quality metric and incentivizing behaviors consistent with diabetes 
      prevention.
CI  - Copyright (c) 2021 American Journal of Preventive Medicine. All rights reserved.
FAU - Mainous, Arch G 3rd
AU  - Mainous AG 3rd
AD  - Department of Health Services Research, Management & Policy, College of Public 
      Health and Health Professions, University of Florida, Gainesville, Florida; UF 
      Community Health & Family Medicine, College of Medicine, University of Florida, 
      Gainesville, Florida. Electronic address: arch.mainous@ufl.edu.
FAU - Rooks, Benjamin J
AU  - Rooks BJ
AD  - UF Community Health & Family Medicine, College of Medicine, University of 
      Florida, Gainesville, Florida.
FAU - Wright, Robert U
AU  - Wright RU
AD  - U.S. Air Force, Flight Medicine Clinic, FE Warren Air Force Base, Cheyenne, 
      Wyoming.
FAU - Sumfest, Jill M
AU  - Sumfest JM
AD  - GatorCare Health Management Corporation, University of Florida, Gainesville, 
      Florida.
FAU - Carek, Peter J
AU  - Carek PJ
AD  - UF Community Health & Family Medicine, College of Medicine, University of 
      Florida, Gainesville, Florida.
LA  - eng
PT  - Journal Article
DEP - 20211101
PL  - Netherlands
TA  - Am J Prev Med
JT  - American journal of preventive medicine
JID - 8704773
SB  - IM
MH  - Delivery of Health Care
MH  - *Diabetes Mellitus, Type 2/diagnosis/prevention & control
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening
MH  - *Prediabetic State/diagnosis/therapy
MH  - Preventive Health Services
EDAT- 2021/11/06 06:00
MHDA- 2022/02/01 06:00
CRDT- 2021/11/05 05:42
PHST- 2021/03/29 00:00 [received]
PHST- 2021/06/11 00:00 [revised]
PHST- 2021/06/15 00:00 [accepted]
PHST- 2021/11/06 06:00 [pubmed]
PHST- 2022/02/01 06:00 [medline]
PHST- 2021/11/05 05:42 [entrez]
AID - S0749-3797(21)00414-1 [pii]
AID - 10.1016/j.amepre.2021.06.018 [doi]
PST - ppublish
SO  - Am J Prev Med. 2022 Jan;62(1):50-56. doi: 10.1016/j.amepre.2021.06.018. Epub 2021 
      Nov 1.