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When a discordant condition is present, time limitations, competing demands, and other challenges may cause patients with diabetes to receive lower quality care for diabetes and the discordant condition as compared to having a single condition alone [ 8, 15].
Relative to white patients without comorbidities, mean systolic blood pressure was similar among black patients without comorbidities and with one or more discordant condition but was higher among black patients with one (5.9 mmHg, P < 0.001) and two or more concordant comorbid conditions (6.2 mmHg, P < 0.001).
Relative to white patients without comorbidity, the mean systolic blood pressure was lower among South Asian patients without comorbidity (−2.3 mmHg, P < 0.05) and with one or more discordant condition but was similar in South Asian patients with concordant comorbid conditions.
Similar(57)
Discordant conditions included depression.
People with diabetes with discordant conditions were not better managed than those without comorbidity.
Of the 50 discordant conditions, 19 were concordant with diabetes on 1 2 individual diabetes care goals.
A number of discordant conditions were also significantly co-prescribed more often in the group with T2DM (p < 0.0001).
Without a comprehensive set of concordant and discordant conditions, we cannot fully examine this framework for potential clinical use.
It was higher among people with one concordant condition and lower in patients with one or more discordant conditions compared with those without comorbidity.
4 Although the synergies between certain conditions were discussed in the articles reviewed here, examples of specific discordant conditions were rare.
Conditions that were concordant for the majority of care goals were established as having overall concordance with diabetes, and vice versa for discordant conditions.
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