From: Re-Think the Strip: de-implementing a low value practice in primary care
Characteristic | Total (N = 12,949) | Comparison practices (n = 9,142) | Intervention practices (n = 3,807) | p value |
---|---|---|---|---|
N (%) | N (%) | N (%) | ||
Patient type | < 0.001 | |||
Existing T2DM patients | 9,647 (74.5) | 6,925 (75.7) | 2,722 (71.5) | |
New T2DM patients or new to practice | 3,302 (25.5) | 2,217 (24.3) | 1,085 (28.5) | |
Age (mean, SD) | 67.35 ± 12.47 range [19–105] | 67.38 ± 12.40 range [20–101] | 67.27 ± 12.65 range [19–105] | 0.649 |
Gender | 0.028 | |||
Female | 6,960 (53.7) | 4,857 (53.1) | 2,103 (55.2) | |
Male | 5,989 (46.3) | 4,285 (46.9) | 1,704 (44.8) | |
Race | < 0.001 | |||
White | 8,417 (65.0) | 6,286 (68.8) | 2,131 (56.0) | |
Black or African American | 3,565 (27.5) | 2,268 (24.8) | 1,297 (34.1) | |
Asian | 346 (2.7) | 211 (2.3) | 135 (3.5) | |
American Indian, Alaska Native, Native Hawaiian, or Pacific Islander | 63 (0.5) | 39 (0.4) | 24 (0.6) | |
Other or unknown | 558 (4.3) | 338 (3.7) | 220 (5.8) | |
Ethnicity, Latino Hispanic | < 0.001 | |||
Latino or Hispanic | 429 (3.3) | 264 (2.9) | 165 (4.3) | |
Non-Latino/Hispanic or Unknown | 12,520 (96.7) | 8,878 (97.1) | 3,642 (95.7) | |
Body Mass Index (BMI) | 33.55 ± 7.43 | 33.61 ± 7.44 | 33.42 ± 7.41 | 0.196 |
Smoking status | .078 | |||
Smoker | 1,697 (13.1) | 1,238 (13.5) | 459 (12.1) | |
Mean baseline A1c* | 6.86 ± 0.87 | 6.86 ± 0.87 | 6.87 ± 0.86 | 0.492 |
Receipt of lancet or test strip Rx, baseline* | 3,835 (29.6) | 2,789 (30.5) | 1,046 (27.5) | 0.001 |
Medication | ||||
Sulfonylurea or glinide | 2,591 (20.0) | 1,824 (20.0) | 767 (20.1) | .800 |
GLP-1 analog, SGLT 2 inhibitor, or DPP-IV | 3,061 (23.6) | 2,123 (23.2) | 938 (24.6) | .084 |
Some other oral medication | 7,200 (55.6) | 4,984 (54.5) | 2,216 (58.2) | <.001 |
No oral medication | 4,932 (38.1) | 3,602 (39.4) | 1,330 (34.9) | <.001 |
Insurance at baseline | .307 | |||
Commercial | 2,184 (16.9) | 1,530 (16.7) | 654 (17.2) | |
Blue Cross Blue Shield | 3248 (25.1) | 2,318 (25.3) | 930 (24.4) | |
Medicaid | 477 (3.7) | 317 (3.5) | 160 (4.2) | |
Medicare | 6,833 (52.8) | 4,831 (52.8) | 2,002 (52.6) | |
None, self-pay, or unknown | 207 (1.6) | 146 (1.6) | 61 (1.6) |