Journal article
Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
Preventing chronic disease, Vol.21, E60
08/15/2024
DOI: 10.5888/pcd21.240052
PMCID: PMC11329104
PMID: 39146456
Abstract
Poorly controlled diabetes is a principal cause of end stage renal disease (ESRD), generating an estimated 44% of new cases. Diabetes self-management education and support (DSMES) has been documented to reduce adverse outcomes such as ESRD. Helping patients better manage their condition could ultimately reduce ESRD prevalence.IntroductionPoorly controlled diabetes is a principal cause of end stage renal disease (ESRD), generating an estimated 44% of new cases. Diabetes self-management education and support (DSMES) has been documented to reduce adverse outcomes such as ESRD. Helping patients better manage their condition could ultimately reduce ESRD prevalence.We compared the county-level availability of DSMES and dialysis as of November 2022 sorted by the estimated prevalence of diabetes among residents aged 18 years or older. The locations of DSMES programs and ESRD dialysis facilities were obtained from 2 professional organizations and the Centers for Medicare & Medicade Services. Estimated diabetes prevalence was obtained from the Centers for Disease Control and Prevention's PLACES data set. Counties were considered to have high diabetes prevalence if they fell into the top quartile for diabetes prevalence in 2019 (≥14.4% of adults). Analyses were conducted in 2023.MethodsWe compared the county-level availability of DSMES and dialysis as of November 2022 sorted by the estimated prevalence of diabetes among residents aged 18 years or older. The locations of DSMES programs and ESRD dialysis facilities were obtained from 2 professional organizations and the Centers for Medicare & Medicade Services. Estimated diabetes prevalence was obtained from the Centers for Disease Control and Prevention's PLACES data set. Counties were considered to have high diabetes prevalence if they fell into the top quartile for diabetes prevalence in 2019 (≥14.4% of adults). Analyses were conducted in 2023.DSMES was available in 41.0% of counties but in only 20.7% of counties with high diabetes prevalence versus 47.9% of low prevalence counties. Dialysis facilities were present in 59.2% of all counties, in 52.8% of all high diabetes prevalence counties, and in 61.4% of other counties. DSMES availability was linked to the presence of a hospital in the county, with only 6.3% of counties without a hospital offering the service.ResultsDSMES was available in 41.0% of counties but in only 20.7% of counties with high diabetes prevalence versus 47.9% of low prevalence counties. Dialysis facilities were present in 59.2% of all counties, in 52.8% of all high diabetes prevalence counties, and in 61.4% of other counties. DSMES availability was linked to the presence of a hospital in the county, with only 6.3% of counties without a hospital offering the service.DSMES could play a role in reducing the prevalence of ESRD. Public health professionals need to be aware of the differing levels of local availability of this service and work to develop partnerships to provide DSMES in high-prevalence areas not currently served.ImplicationsDSMES could play a role in reducing the prevalence of ESRD. Public health professionals need to be aware of the differing levels of local availability of this service and work to develop partnerships to provide DSMES in high-prevalence areas not currently served.
Details
- Title: Subtitle
- Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
- Creators
- Janice C Probst - Office of Minority HealthNicholas Yell - Office of Minority HealthGabriel A Benavidez - Baylor UniversityMary Katherine McNatt - A.T. Still UniversityTeri Browne - University of South CarolinaLaura Herbert - University of South CarolinaWhitney E Zahnd - University of IowaElizabeth Crouch - University of South Carolina
- Resource Type
- Journal article
- Publication Details
- Preventing chronic disease, Vol.21, E60
- Publisher
- CENTERS DISEASE CONTROL & PREVENTION; ATLANTA
- DOI
- 10.5888/pcd21.240052
- PMID
- 39146456
- PMCID
- PMC11329104
- ISSN
- 1545-1151
- eISSN
- 1545-1151
- Grant note
- Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS): U1CRH45498
This project was supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under grant number no. U1CRH45498, Rural Health Research Grant Program Cooperative Agreement. Tables detailing diabetes prevalence and availability of DSMES and dialysis for 3,141 US counties are available from the corresponding author. The information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the US government. The authors declared no potential conflicts of interest with respect to the research, authorship, or publication of this article and received no additional external financial support for its research, authorship, or publication. No copyrighted material, surveys, instruments, or tools were used in this article.
- Language
- English
- Date published
- 08/15/2024
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984696781602771
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