The influence of age on the management of patients with diabetes in the israeli population

Amit Tirosh*, Zvi Stern, Marianna Mazar, Ronit Calderon-Margalit

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The authors' aim was to study the association between age and the quality of community health care of diabetes mellitus (DM). This was a cross-sectional study of patients with DM in the setting of a large health maintenance organization (HMO) in Israel. The population included DM patients aged 40-84 years who were identified at emergency rooms or through the HMO's computerized database. A set of quality care indicators were determined. Logistic regressions were used to estimate the odds ratios (OR) for diabetes care indicators, controlling for age and other potential confounders. Older patients were more likely to be in the target range of glycemic control and to be vaccinated against influenza. Patients older than age 70 years received fewer recommendations for physical activity (OR 0.41, P<0.01) and self-foot examination (OR 0.57, P=0.024). The authors found decreased performance of recommendations for physical activity and self-foot examination, and a higher performance of annual blood tests and immunizations among elderly patients with diabetes. (Population Health Management 2013;16:276-282).

Original languageAmerican English
Pages (from-to)276-282
Number of pages7
JournalPopulation Health Management
Issue number4
StatePublished - 1 Aug 2013


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