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Does Personalized Diabetes Management Improve Outcomes?
Diabetes Care; ePub 2016 Dec 5; Bertsimas, et al
Substantial improvements in HbA1c outcomes were observed in patients treated with a personalized approach to diabetes management via a data-driven algorithm, a recent study found. Outcomes were modeled under 13 pharmacological therapies based on electronic medical records from 1999 to 2014 for 10,806 patients with type 2 diabetes from Boston Medical Center. Researchers found:
- Among the 48,140 patient visits in the test set, the algorithm’s recommendation mirrored the observed standard of care in 68.2% of visits.
- When recommendations differed, the mean posttreatment glycated HbA1c under the algorithm was lower than standard of care by 0.44 ± 0.03%, from 8.37% under the standard of care to 7.93% under the algorithm.
The authors suggest that the prototyped dashboard visualizing the recommendation algorithm can be used by providers to inform diabetes care and improve outcomes.
Bertsimas D, Kallus N, Weinstein AM, Zhuo YD. Personalized diabetes management using electronic medical records. [Published online ahead of print December 5, 2016]. Diabetes Care. doi:10.2337/dc16-0826.