(Press-News.org) Background and Goal: The Enhanced Primary Care Diabetes (EPCD) model is a nurse-led care delivery model that leverages multidisciplinary support to improve diabetes care quality in primary care settings. This study assessed whether patients of different racial and ethnic groups benefited equally.
Study Approach: The authors reviewed health records for 1,749 adults aged 18 to 75 years from 13 family medicine and internal medicine practices in Mayo Clinic Rochester who joined the EPCD program from Jan. 1 to Dec. 31, 2020. They followed each patient’s progress through Aug. 1, 2022, to see how long it took to meet five publicly-reported diabetes care goals known as D5: a blood pressure reading lower than 140/90; taking a statin medicine to lower bad cholesterol; blood sugar or HbA1c reading of less than 8%; living tobacco-free; and taking a daily dose of aspirin as appropriate. They then compared those times across racial and ethnic groups, accounting for differences in age, sex, where patients live, type of diabetes, number of medications, insulin use, and any gaps in care at the start.
Main Results:
60.7% (1,061 patients) met the D5 during the study period.
Black patients with diabetes were less likely than White patients to reach the D5 (HR 0.68; 95% CI, 0.52-0.90; P = .007). There was no difference among Asian and Hispanic patients compared to White patients.
Compared to White patients, Asian patients had fewer nurse touch points (median 0.8 per year) during the study period, while Black patients had more (median 2.2 per year). Hispanic patients had no significant difference.
Factors tied to slower D5 attainment included younger age, insulin use, fewer baseline D5 components met, and a lower medication count at program entry.
Why It Matters: Black patients were significantly less likely to attain the D5 despite being engaged with the care team nurses more often than White patients. The findings of the study highlight the need to tailor chronic disease programs to socioeconomic and cultural context.
Diabetes Care Delivery and Outcomes by Race and Ethnicity: Evaluation of an Enhanced Primary Care Practice Model in the US Upper Midwest
Joseph R. Herges, PharmD
Department of Pharmacy, Mayo Clinic, Rochester, Minnesota
Lauren R. Stonerock, PharmD
Department of Pharmacy, Trinity Health, Grand Rapids, Michigan
TEMPORARY LINK
______________________________________
END
Study finds uneven progress toward diabetes goals across patient groups in the enhanced primary care diabetes program
Diabetes care delivery and outcomes by race and ethnicity: evaluation of an enhanced primary care practice model in the US Upper Midwest
2025-07-28
ELSE PRESS RELEASES FROM THIS DATE:
Veterans experiencing homelessness who secure housing more likely to get cancer health screenings
2025-07-28
Editorial
Background: This editorial reviews Decker et al’s study of more than 100,000 veterans experiencing homelessness who were overdue for colorectal or breast cancer screening. About 57,000 secured housing during a 24-month window and were more than twice as likely to get screened after doing so.
Editorial Stance: The author calls the findings from Decker et al a “rare, measurable improvement” in care for people who have experienced homelessness. Although causality cannot be claimed from this observational work, the author praises the ...
Family physicians improve rural maternity outcomes but those in high-need states need support
2025-07-28
Background and Goal: This study explores the geographic distribution of family physicians providing maternity care and identifies opportunities for family physicians to expand access to maternity care.
Study Approach: The study merged county-level counts of OB-GYNs, certified nurse-midwives, and hospitals offering obstetric services from the 2021–2022 HRSA Area Health Resource File with 2013–2021 American Board of Family Medicine data on family physicians who reported delivering babies.
Researchers used ...
Tip sheet summaries Annals of Family Medicine July/August 2025
2025-07-28
Editorial
Veterans Experiencing Homelessness Who Secure Housing More Likely to Get Cancer Health Screenings
Background: This editorial reviews Decker et al’s study of more than 100,000 veterans experiencing homelessness who were overdue for colorectal or breast cancer screening. About 57,000 secured housing during a 24-month window and were more than twice as likely to get screened after doing so.
Editorial Stance: The author calls the findings from Decker et al a “rare, measurable improvement” in care for ...
TFLN-based RGB multiplexer for energy-efficient laser beam scanning
2025-07-28
As technology advances, photonic systems are gaining ground over traditional electronics, using light to transmit and process information more efficiently. One such optical system is laser beam scanning (LBS), where laser beams are rapidly steered to scan, sense, or display information. This technology is used in applications ranging from barcode scanners at grocery stores to laser projectors in light shows. To process a wider range of signals or enable full-color output, these systems utilize multiplexers that merge the red, green, and blue (RGB) laser beams into a single beam.
Traditionally, this was achieved ...
On a Florida bombing range, endangered woodpeckers get a second chance
2025-07-28
Florida’s Avon Park bombing range is teeming with life. Over 40 at-risk species occupy this 106,000-acre expanse used by the U.S. Air Force for training exercises.
Conservation biologists from Michigan State University are using the range to test something other than weapons: innovative strategies to save threatened species.
Using decades’ worth of monitoring data, researchers are looking back through time to understand the outcome of interventions designed to rescue a population of imperiled red-cockaded woodpeckers.
What they’ve found is a promising story of success.
Their results, published ...
Study identifies gene clusters in rhizobia linked to robust legume growth
2025-07-28
CHAMPAIGN, Ill. — In a new study, scientists used nearly every tool in their toolkit — genomics, transcriptomics, greenhouse experiments and advanced statistical methods — to gain new insight into the complex chemical interactions that take place in underground root nodules, where legumes like soybeans exchange vital nutrients with soil microbes called rhizobia.
Reported in the Proceedings of the National Academy of Sciences, their study identified clusters of rhizobial genes that appear to move rapidly through bacterial populations and drive greater plant biomass ...
Remapping the evolutionary tree of butterflies
2025-07-28
Embargo 28 July 2025 20:00 UK / 15:00 US Eastern Times
Peer-reviewed / Experimental / Insects
REMAPPING THE EVOLUTIONARY TREE OF BUTTERFLIES
Some butterflies can smell others of the same species, allowing them to identify each other in areas where multiple species all look the same, new research finds.
A large international team has genetically mapped glasswing butterflies found across Central and South America, rewriting the evolutionary tree and highlighting six new species.
The ...
Employees who spot problems help the bottom line, so why do leaders give more power to bootlickers?
2025-07-28
Two new studies find that leaders are less likely to empower followers who raise concerns about workplace decisions, even though these “challenging voice” employees play a critical role in highlighting problems and identifying solutions. The studies also outline what drives these decisions.
“We know that employee performance improves and employee turnover declines when employees are empowered – that’s good,” says Bradley Kirkman, co-author of a paper on the two studies. “We also know that having employees who use challenging voice are also beneficial to the bottom line – because ...
Could living near water mean you’ll live longer?
2025-07-28
COLUMBUS, Ohio – Living within miles of the ocean breeze may be linked to a longer life, but you shouldn’t count on the same benefits if you live in a riverside city, suggests a recent study.
Researchers from The Ohio State University analyzed population data — including life expectancy — in more than 66,000 census tracts throughout the U.S. and compared it based on proximity to waterways. Their study was published online in the journal Environmental Research.
A correlation between longer life expectancy and water was clear for those who live within about 30 miles of an ocean or gulf. But for those who live in urban settings and near an inland ...
Alcohol withdrawal syndrome linked to worse surgical outcomes, higher costs
2025-07-28
Key Takeaways
Among 3 million surgical patients, 0.5% developed alcohol withdrawal syndrome (AWS), with 0.2% experiencing severe delirium tremens (DT).
AWS was associated with a 37% higher risk of complications, including respiratory failure and sepsis, and a 40% increased mortality risk if DT occurred.
Hospital stays were 5 days longer, and costs rose by $10,000 per patient with AWS, totaling $165 million in excess costs nationwide.
CHICAGO — Patients who develop alcohol withdrawal syndrome (AWS) after major surgery face significantly higher risks of complications, longer hospital stays, and increased health care costs, ...
LAST 30 PRESS RELEASES:
World’s leading medical journal details the climate emergency
GLP-1 drugs effective for weight loss, but more independent studies needed
Researchers uncover previously unexplored details of mosquito’s specialized detection mechanisms
Stem cell therapy linked to lower risk of heart failure after a heart attack
The NHS is reaching a crisis point in consultant recruitment, new report warns
UNM research suggests Halloween fireballs could signal increased risk of cosmic impact or airburst in 2032 and 2036
Biochar’s hidden helper: Dissolved organic matter boosts lead removal from polluted water
Sunlight turns everyday fabrics into ocean microfibers, new study finds
Antibiotics linked to lower risk of complications after obstetric tear
Rapid blood pressure fluctuations linked to early signs of brain degeneration in older adults
How microbes control mammalian cell growth
Emergency department pilot program serves rural families
Amid renewable-energy boom, study explores options for electricity market
Study finds improvement in knee pain with exercise and physical therapy
Researchers uncover key mechanism behind chemotherapy-induced nerve damage
Mayo Clinic researchers find enhancing the body’s ‘first responder’ cells may boost immune therapy for cancer
Secret to a long life? In bowhead whales, a protein repairs damaged DNA
MIT study: Identifying kids who need help learning to read isn’t as easy as A, B, C
Plant biomass substance helps combat weeds
Veterans with epilepsy after traumatic brain injury may have higher mortality rates
Who is more likely to lose vision due to high brain pressure?
Scripps Research professor awarded $3.2 million to advance type 1 diabetes research
Anna Wuttig wins Bayer Foundation Early Excellence in Science Award
Electric vehicles outperform gasoline cars in lifetime environmental impact
Kilimanjaro has lost 75 percent of its natural plant species over the last century
Spider web “decorations” may help pinpoint location of captured prey
Ancient tombs reveal the story of Chinese history
1 in 3 university students surveyed from a Parisian suburb report being unable to access desired food, with this food insecurity associated with academic dropout
Researchers uncover oldest 3D burrow systems in Hubei's Shibantan Biota
Discovery of a new principle: chiral molecules adhere to magnets
[Press-News.org] Study finds uneven progress toward diabetes goals across patient groups in the enhanced primary care diabetes programDiabetes care delivery and outcomes by race and ethnicity: evaluation of an enhanced primary care practice model in the US Upper Midwest