{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T17:34:07Z","timestamp":1778434447435,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,12,21]],"date-time":"2016-12-21T00:00:00Z","timestamp":1482278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01-AG017473"],"award-info":[{"award-number":["R01-AG017473"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01-AG046860"],"award-info":[{"award-number":["R01-AG046860"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Objective: The objective of this study is to investigate relationships between adherence to recommended screening and medication use and severe macrovascular complications and all-cause mortality among persons aged above 68 years with diabetes mellitus (DM). Method: Data came from a 5% Medicare claims sample of beneficiaries initially diagnosed with DM during 2006-2008; follow-up was up to 7 years. Results: Adherence to screening guidelines led to reduced mortality\u2014hazard ratio (HR) = 0.57, 95% confidence interval [CI] = [0.56, 0.58]; congestive heart failure [CHF], HR = 0.89, CI = [0.87, 0.91]; acute myocardial infarction [AMI], HR = 0.90, CI = [0.85, 0.95]; and stroke\/transient ischemic attack [Stroke\/TIA], HR = 0.92, CI = [0.87, 0.97]\u2014during follow-up. Recommended medication use led to lower mortality: HR = 0.72, CI = [0.70, 0.73]; CHF, HR = 0.67, CI = [0.66, 0.69]; AMI, HR = 0.68, CI = [0.65, 0.71]; and Stroke\/TIA, HR = 0.79, CI = [0.76, 0.83]. Discussion: Elderly persons newly diagnosed with diabetes who adhered to recommended care experienced reduced risk of mortality and severe macrovascular complications.<\/jats:p>","DOI":"10.1177\/0898264316684270","type":"journal-article","created":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T06:23:42Z","timestamp":1496039022000},"page":"503-520","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Adherence to Guidelines for Screening and Medication Use: Mortality and Onset of Major Macrovascular Complications in Elderly Persons With Diabetes Mellitus"],"prefix":"10.1177","volume":"30","author":[{"given":"Arseniy P.","family":"Yashkin","sequence":"first","affiliation":[{"name":"Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Sloan","sequence":"additional","affiliation":[{"name":"Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,21]]},"reference":[{"key":"bibr1-0898264316684270","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.2337\/dc16-er09","volume":"39","author":"American Diabetes Association","year":"2016","journal-title":"Diabetes Care"},{"key":"bibr2-0898264316684270","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31829fa8ed"},{"key":"bibr3-0898264316684270","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2011.01.019"},{"key":"bibr4-0898264316684270","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000166617.68751.5f"},{"key":"bibr5-0898264316684270","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/00001648-199401000-00008","volume":"5","author":"Baron J. 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