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Diabetes complications Alternate Name* Rate of serious complications in the last year among people with diabetes INDICATOR DESCRIPTION Description* 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 people 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 Diabetes complications http://indicatorlibrary.hqontario.ca/Indicator/Summary/Diabetes-complications/EN 1 Data Source Ontario Health Insurance Plan (OHIP) Claims History Database Registered Persons Database (RPDB) Discharge Abstract Database (DAD) Ontario Diabetes Database (ODD) Data provided to HQO by Institute for Clinical Evaluative Sciences (ICES) Reported Levels of comparability /stratifications (defined) Time Age Income Rurality Region Sex OTHER RELEVANT INFORMATION Caveats and Limitations The indictor 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 type1 and type 2 diabetes Comments Summary NA TAGS TAGS* Primary Care Outcome Chronic Disease Effective Ontario Health Insurance Plan (OHIP) Claims History Database Registered Persons Database (RPDB) Discharge Abstract Database (DAD) Ontario Diabetes Database (ODD) Diabetes complications http://indicatorlibrary.hqontario.ca/Indicator/Summary/Diabetes-complications/EN 2 PUBLISH PUBLISH DATETIME* 28/02/2017 13:26:00 Diabetes complications http://indicatorlibrary.hqontario.ca/Indicator/Summary/Diabetes-complications/EN 3