Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants
Authors: P. Dileep Kumar
Journal: Annals of Internal Medicine (2019)

Letters16 July 2019Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician AssistantsP. Dileep Kumar, MDP. Dileep Kumar, MDEast Michigan Hospitalists, Port Huron, Michigan (P.D.K.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0199 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Jackson and colleagues' (1) conclusion that nurse practitioners (NPs) and physician assistants (PAs) can effectively manage a chronic condition, such as diabetes mellitus, in a controlled setting is reasonable. However, Peters' editorial (2) makes assumptions that are not supported by evidence. The editorialist states that NPs and PAs are competent primary care providers. Although Jackson and colleagues did not find any clinically significant difference in intermediate diabetes outcomes among patients treated by physicians, NPs, or PAs, their study was confined to a closed, team-based system (U.S. Department of Veterans Affairs [VA] primary care facilities) and concerned a ...References1. Jackson GL, Smith VA, Edelman D, et al. Intermediate diabetes outcomes in patients managed by physicians, nurse practitioners, or physician assistants. A cohort study. Ann Intern Med. 2018;169:825-35. [PMID: 30458506]. doi:10.7326/M17-1987 LinkGoogle Scholar2. Peters AL. The changing definition of a primary care provider. Ann Intern Med. 2018;169:875-6. [PMID: 30458467]. doi:10.7326/M18-2941 LinkGoogle Scholar3. Shaffer T, Tuggy M, Abercrombie S, et al. Education gaps between family physicians and licensed nurse practitioners. Ann Fam Med. 2012;10:270-1. [PMID: 22585894] doi:10.1370/afm.1409 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: East Michigan Hospitalists, Port Huron, Michigan (P.D.K.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0199. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIntermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants George L. Jackson , Valerie A. Smith , David Edelman , Sandra L. Woolson , Cristina C. Hendrix , Christine M. Everett , Theodore S. Berkowitz , Brandolyn S. White , and Perri A. Morgan Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants George L. Jackson , Valerie A. Smith , David Edelman , Cristina C. Hendrix , and Perri A. Morgan Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants James Grote Metrics 16 July 2019Volume 171, Issue 2Page: 144KeywordsDiabetes mellitusDisclosureGraduate medical educationHospitalistsNursesPhysiciansPrimary care physicians ePublished: 16 July 2019 Issue Published: 16 July 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...