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INDICATOR NAME
Name
Diabetes complications
Alternate Name
Rate of serious complications in the last year among people with diabetes
 
INDICATOR DESCRIPTION
Description
This indicator measures the rate of serious chronic complications (including hospitalizations for coronary artery disease, cerebrovascular disease and peripheral vascular disease (amputation), as well as end stage renal disease) and death in the last year among people with diabetes aged 20 and older.
HQO Reporting tool/product
Public reporting
Dimension
Effective
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Rate per 100 patients
Calculation Methods
Numerator divided by the denominator times 100
Numerator (short description i.e. not inclusions/exclusions)

Number of people with diabetes with any of the complications listed below:

1. Death

2. Coronary artery disease hospitalization (i.e. AMI)

3. Cerebral vascular disease (CVD) hospitalization (i.e. Stroke)

4. Peripheral vascular disease (PVD) hospitalization (i.e. Surgeries for peripheral vascular disease including amputations)

5. Incident end stage renal disease (i.e. requiring dialysis)

6. Any complication (calculated  as the first occurrence of any of the above)

Denominator (short description i.e. not inclusions/exclusions)
All cases of diabetes that are prevalent on April 1 of each fiscal year
Adjustment (risk, age/sex standardization)- generalized
Risk adjusted
Data Source
Discharge Abstract Database (DAD), Ontario Diabetes Database (ODD), Ontario Health Insurance Plan (OHIP) Claims History Database, Postal Code Conversion File Plus (PCCF+), Registered Persons Database (RPDB)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
Reported Levels of comparability /stratifications (defined)
Age, Income, Region, Rurality, Sex, Time
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
The indicator is targeting only the serious complications of diabetes. Some of the outcomes may not be directly related to diabetes (such as death). The indicator is not adjusted for comorbidities. ODD doesn’t distinguish type 1 and type 2 diabetes
Comments Summary
Minor methodology changes are applied to 2015/16 analysis which may result in small changes of the results compared to previous year data.
 
TAGS
Sector
Primary Care
Type
Outcome
Topic
Chronic Disease
Dimension
Effective
Source
Discharge Abstract Database (DAD), Ontario Diabetes Database (ODD), Ontario Health Insurance Plan (OHIP) Claims History Database, Postal Code Conversion File Plus (PCCF+), Registered Persons Database (RPDB)
 
PUBLISH
Publish Datetime
20/12/2019 14:05:00