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Associations between healthcare utilization and access and diabetic retinopathy complications using All of Us nationwide survey data

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Listed:
  • Alison X Chan
  • John J McDermott IV
  • Terrence C Lee
  • Gordon Y Ye
  • Bita Shahrvini
  • Bharanidharan Radha Saseendrakumar
  • Sally L Baxter

Abstract

Purpose: Inadequacies in healthcare access and utilization substantially impact outcomes for diabetic patients. The All of Us database offers extensive survey data pertaining to social determinants that is not routinely available in electronic health records. This study assesses whether social determinants were associated with an increased risk of developing proliferative diabetic retinopathy or related complications (e.g. related diagnoses or procedures). Methods: We identified 729 adult participants in the National Institutes of Health All of Us Research Program data repository with diabetic retinopathy (DR) who answered survey questions pertaining to healthcare access and utilization. Electronic health record data regarding co-morbidities, laboratory values, and procedures were extracted. Multivariable logistic regression with bi-directional stepwise variable selection was performed from a wide range of predictors. Statistical significance was defined as p

Suggested Citation

  • Alison X Chan & John J McDermott IV & Terrence C Lee & Gordon Y Ye & Bita Shahrvini & Bharanidharan Radha Saseendrakumar & Sally L Baxter, 2022. "Associations between healthcare utilization and access and diabetic retinopathy complications using All of Us nationwide survey data," PLOS ONE, Public Library of Science, vol. 17(6), pages 1-11, June.
    • Handle: RePEc:plo:pone00:0269231
    DOI: 10.1371/journal.pone.0269231
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    1. Brandy M Mapes & Christopher S Foster & Sheila V Kusnoor & Marcia I Epelbaum & Mona AuYoung & Gwynne Jenkins & Maria Lopez-Class & Dara Richardson-Heron & Ahmed Elmi & Karl Surkan & Robert M Cronin & , 2020. "Diversity and inclusion for the All of Us research program: A scoping review," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-14, July.
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    Cited by:

    1. Habtamu Wagnew Abuhay & Tigabu Kidie Tesfie & Meron Asmamaw Alemayehu & Muluken Chanie Agimas & Getaneh Awoke Yismaw & Gebrie Getu Alemu & Nebiyu Mekonnen Derseh & Bantie Getnet Yirsaw, 2025. "Prevalence of diabetic retinopathy and its associated factors among adults in East African countries: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 20(1), pages 1-17, January.

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