Navigation Links
Study finds people have difficulty controlling multiple chronic conditions
Date:7/31/2012

DENVER, July 31, 2012 Most people who have diabetes, high blood pressure, and high cholesterol have difficultly managing all three conditions; indeed, success is fleeting for those who do manage all three, according to a Kaiser Permanente Institute for Health Research study that appears online in the American Heart Association journal Circulation: Cardiovascular Quality and Outcomes.

The study of close to 29,000 individuals enrolled at Kaiser Permanente Colorado and Denver Health found that only 30.3 percent at Kaiser Permanente and 16.2 percent of individuals at Denver Health were able to simultaneously control their diabetes, hypertension, and hyperlipidemia (high cholesterol), as measured by risk factor control guidelines defined by the American Diabetes Association. But among those individuals that achieved simultaneous control of their conditions, few were able to maintain it at either institution.

Specifically, the study found that among those individuals with at least 90 days of follow-up after achieving simultaneous control, 39 percent from Kaiser Permanente and 23 percent from Denver Health subsequently lost and then regained control, and 56 percent and 64 percent lost control and never regained it. Only 5 percent at Kaiser Permanente and 13 percent at Denver Health never lost control of their chronic conditions--efforts to understand the strategies used by these individuals to care for their diabetes may provide insight into improving self-care and health outcomes, according to the researchers.

The researchers defined risk factor control using the 2002 guidelines from the American Diabetes Association, which were in place for the majority of the study period.

"Diabetes and other chronic conditions associated with it are very difficult but not impossible diseases to manage, for reasons we're just beginning to understand," said Emily B. Schroeder, MD, PhD, a research scientist with the Kaiser Permanente Institute for Health Research and the lead author of the study. "This research tells us to look more closely at how certain patients are able to control their multiple conditions, so clinicians can help patients recover and avoid greater risks of developing other ailments, including cardiovascular and kidney disease."

Multiple chronic conditions pose a significant and increasing burden in the United States according to the U.S. Department of Health and Human Services, with more than 75 million people in America reporting two or more chronic conditions. These individuals must maintain good nutrition and physical activity, manage complex medication regimens, and monitor themselves for achievement of treatment goals.

"This study highlights the fact that having several chronic health problems is common. We can't treat these conditions in isolation," said Edward P. Havranek, MD, a physician with Denver Health and co-author on the study. "We need to learn to help patients find ways to manage difficult combinations of conditions through strong relationships with primary care providers, simplified medicine regimens, and training in good diet and exercise."

This study marks the latest effort by Kaiser Permanente to better understand the impacts of diabetes. Earlier this year, a Kaiser Permanente study published in the Journal of the American Board of Family Medicine found that when patients with diabetes experience interruptions in health insurance coverage, they are less likely to receive the screening tests and vaccines they need to protect their health. The study found this was true even when patients received free or reduced-cost medical care at federally funded safety net clinics.


'/>"/>
Contact: Vincent Staupe
vstaupe@golinharris.com
415-318-4386
Kaiser Permanente
Source:Eurekalert

Related medicine news :

1. Smile! It Might Lower Your Stress Level, Study Shows
2. Less Invasive Surgery Safe for Harvesting Bypass Veins: Study
3. Canadians super-sizing Canadas Food Guide servings: York University study
4. Study: Methodology of determining financial viability of social security
5. HPV Test Beats Pap Long-Term: Study
6. Coordinated Care Boosts Cardiac Arrest Survival: Study
7. Abandoning PSA Screening Could Cost Lives: Study
8. Women and Children First? Not So, Says Study
9. Alcohol Is a Social Lubricant, Study Confirms
10. Booze, Energy Drinks, Casual Sex Combo Common in College: Study
11. Health coaches could be key to successful weight loss, study suggests
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains ... possible to save lost souls in the Philippines. “The Journey: From the Mountains to ... dedicated teacher of the Bible. She has taught all ages and currently teaches a ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
(Date:10/12/2017)... ... ... Asante, a nationally recognized health system in southern Oregon, ... health joint venture through an agreement, effective October 1, 2017, to create AccentCare ... company with Asante, delivering clinically integrated care, for the past eight years. This ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... Leading pediatric ... peers in Washington, D.C., for the 49th Congress of the International Society of ... Vice President of the Center for Cancer and Blood Disorders at Children’s ...
(Date:10/12/2017)... ... 2017 , ... In the United States, single-family home owners ... New York, New Jersey, Massachusetts, Texas, Virginia, Connecticut, and California—the average is $7,000 ... property-tax rates, which contributes to the relatively lower cost of living in places ...
Breaking Medicine News(10 mins):
(Date:9/12/2017)... NEW YORK , Sept. 12, 2017   EcoVadis , ... supply chains, has published the first annual edition of its Global CSR ... than 20,400 companies evaluated by EcoVadis, based on Scorecard Ratings that analyzed ... ... & Performance Index ...
(Date:9/12/2017)...  ValGenesis Inc., the global leader in Enterprise ... announce the appointment of Dr. Ajaz Hussain ... Directors and Chairman of Advisory Board beginning September ... to manage their entire validation lifecycle process electronically ... process. Furthermore, ValGenesis VLMS enables rigorous compliance, helps ...
(Date:9/9/2017)... , Sept. 8, 2017 Dealmed Medical Supplies, ... supplier of medical equipment, supplies, drugs, vaccines, and specialty ... entered into an agreement to acquire Vantage Medical Supplies, ... in Holtsville, New York . ... supplying new and emerging medical practices, will operate under ...
Breaking Medicine Technology: