Quality of Care in Patients with Diabetes
Authors: Rhoda H. Cobin, Helena W. Rodbard
Journal: Annals of Internal Medicine (2002)

Letters2 July 2002Quality of Care in Patients with DiabetesRhoda H. Cobin, MD and Helena W. Rodbard, MDRhoda H. Cobin, MDAmerican Association of Clinical Endocrinologists, Jacksonville, FL 32204 (Cobin)American College of Endocrinology, Jacksonville, FL 32204 (Rodbard)Search for more papers by this author and Helena W. Rodbard, MDAmerican Association of Clinical Endocrinologists, Jacksonville, FL 32204 (Cobin)American College of Endocrinology, Jacksonville, FL 32204 (Rodbard)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-1-200207020-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The Board of Directors of the American Association of Clinical Endocrinologists (AACE) and the Trustees of the American College of Endocrinology (ACE) express their unanimous concern about conclusions reached by, and generalizations stemming from, the study by Greenfield and colleagues on profiling care by different groups of physicians (1). Their findings are of indeterminate validity because of multiple methodologic flaws. Although we applaud the authors for their enhanced statistical approach to assessing the quality of medical care received by persons with diabetes, they may have inadvertently introduced enough noise into the data to bias their results.We ...References1. Greenfield S, Kaplan SH, Kahn R, Ninomiya J, Griffith JL. Profiling care provided by different groups of physicians: effects of patient case-mix (bias) and physician-level clustering on quality assessment results. Ann Intern Med. 2002;136:111-21. [PMID: 11790062] LinkGoogle Scholar2. . Summaries for patients. Comparing the quality of diabetes care by generalists and specialists. Ann Intern Med. 2002;136:I42. [PMID: 11928735] LinkGoogle Scholar3. Campbell DT, Stanley JC. Experimental and Quasi-experimental Designs for Research. Boston: Houghton Mifflin; 1963. Google Scholar4. Cook TD, Campbell DT. Design and Analysis Issues for Field Setting. Boston: Houghton Mifflin; 1979. Google Scholar5. Levetan CS, Passaro MD, Jablonski KA, Ratner RE. Effect of physician specialty on outcomes in diabetic ketoacidosis. Diabetes Care. 1999;22:1790-5. [PMID: 10546009] CrossrefMedlineGoogle Scholar6. Levetan CS, Passaro MD, Jablonski KA, Ratner RE. Effect of physician specialty on outcomes in diabetic ketoacidosis. Diabetes Care. 1999;22:1790-5. [PMID: 10546009] CrossrefMedlineGoogle Scholar7. Hellman R, Regan J, Rosen H. Effect of intensive treatment of diabetes on the risk of death or renal failure in NIDDM and IDDM. Diabetes Care. 1997;20:258-64. [PMID: 9051368] CrossrefMedlineGoogle Scholar8. The American Association of Clinical Endocrinologists medical guidelines for the management of diabetes mellitus: the AACE system of intensive diabetes self-management. 2000 update. Endocrine Practice. 2000; 6:42-84. Google Scholar Author, Article, and Disclosure InformationAuthors: Rhoda H. Cobin, MD; Helena W. Rodbard, MDAffiliations: American Association of Clinical Endocrinologists, Jacksonville, FL 32204 (Cobin)American College of Endocrinology, Jacksonville, FL 32204 (Rodbard) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoProfiling Care Provided by Different Groups of Physicians: Effects of Patient Case-Mix (Bias) and Physician-Level Clustering on Quality Assessment Results Sheldon Greenfield , Sherrie H. Kaplan , Richard Kahn , John Ninomiya , and John L. Griffith Quality of Care in Patients with Diabetes Sam Weir , Robert Stone , Philip Levy , Stephen F. Hodgson , and Barbara Fleming Quality of Care in Patients with Diabetes Sheldon Greenfield , Sherrie H. Kaplan , and Richard Kahn Quality of Care in Patients with DiabetesQuality of Care in Patients with Diabetes Parthiv J. Mahadevia , Seth Himelhoch , and Joel Braunstein Metrics Cited bySubspecialist Care Improves Diabetes Outcomes 2 July 2002Volume 137, Issue 1Page: 70-71KeywordsAngiotensin converting enzymeHealth care qualityHemoglobinPatientsQuality improvementQuality of lifeResearch designStatistical dataStatistical methodsType 2 diabetes ePublished: 2 July 2002 Issue Published: 2 July 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...