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    Stratification strategy for evaluating the influence of diabetes complication severity index on the risk of hospitalization: A record linkage data in Western Australia

    Access Status
    Fulltext not available
    Authors
    Ha, N.
    Harris, M.
    Robinson, S.
    Preen, D.
    Moorin, Rachael
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Ha, N. and Harris, M. and Robinson, S. and Preen, D. and Moorin, R. 2017. Stratification strategy for evaluating the influence of diabetes complication severity index on the risk of hospitalization: A record linkage data in Western Australia. Journal of Diabetes and its Complications. 31 (7): pp. 1175-1180.
    Source Title
    Journal of Diabetes and its Complications
    DOI
    10.1016/j.jdiacomp.2017.03.015
    ISSN
    1056-8727
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/53136
    Collection
    • Curtin Research Publications
    Abstract

    Objective: This study aimed to develop a risk stratification strategy for evaluating the relationship between complications of diabetes and the risk of diabetic-related hospitalization to accurately classify diabetes severity. Methods: The study used administrative health records for 40,624 individuals with diabetes aged =. 18. years in Western Australian. The adapted Diabetes Complication Severity Index (DCSI), socio-demographic and clinical characteristics were used in random effects negative binomial and threshold effect models to determine the optimal stratification strategy for diabetes severity based on the homogeneity of the risk of hospitalization in response to variation of the DCSI. Results: The optimal stratification of people with diabetes was specified by four sub-populations. The first sub-population was no complications with an inverse association with the risk of hospitalizations (coefficient. -0.247, SE 0.03). Further three sub-populations with DCSI at one (coefficient 0.289, SE 0.01), two (coefficient 0.339, SE 0.01) and three or more (coefficient 0.381, SE 0.01) were used to accurately describe the impact of DCSI on the risk of hospitalization. Conclusion: A stratification into four subpopulations based on the homogeneous impact of diabetes DCSI on the risk of hospitalization may be more suitable for evaluating health care interventions and planning health care provision.

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