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In summary, our data add to a growing literature suggesting that once SES and other risk factors are controlled for, mortality is no higher among African American than white patients with diabetes.
The effect estimates were also not sensitive to whether the models controlled for mortality trends in the rest of the United States, eastern U.S. states, or neighboring states, but were consistently smaller when counts for the bordering states were included.
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We then estimated the mortality differentials, using a cohort and a period approach, to control for mortality improvement over time.
This is consistent with several studies assessing glucose complexity in non-critically ill diabetic patients [ 28, 29] and in critically ill patients after controlling for mortality [ 19].
Models were estimated with and without the component of unobserved heterogeneity of frailty and controlling for mortality improvement over time from both cohort and period perspectives.
The results also hold when controlling for mortality-related expenditures.
For example the estimated percent decrease in mortality was 2.5%9595% CI, 1.1 4.0%), based on a model that used a strike period indicator for full strike months plus a 1-month lag (August 1967 April 1968) and that controlled for time trends, mortality counts in bordering states, and nationwide monthly mortality counts for influenza/pneumonia, cardiovascular, and other respiratory deaths.
Age was used as the underlying time and was thus inherently controlled for in the mortality analyses.
Bach et al found that after controlling for population mortality (non-cancer related death), the difference in cancer-related mortality between blacks and white was diminished [ 24].
Consequently, the Winmodest statistical package was used to control for early mortality and to analyze the survival data in greater detail.
We verified the sensitivity of the inferences to the specific choice of model used to control for SES and COPD mortality rate, and the results are qualitatively robust, as shown in Table 3.
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CEO of Professional Science Editing for Scientists @ prosciediting.com