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COMMENTS AND OPINIONS
Hemoglobin A1c Testing, Board-Recertification Scores, and Treatment Outcomes
Simon G. Kassabian, MD
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The publication by Holmboe et al1 titled "Association Between Maintenance of Certification Examination Scores and Quality of Care for Medicare Beneficiaries" provides a valuable insight. A few points, however, may be added in reviewing this matter.
The statement that "evidence-based processes of care" were used in this study seems to have applied in the time frame used, 2002 and 2003, when patient care was examined. Recent findings,2-3 however, suggest an updated perspective4-6 in the value of the practice examined in the study by Holmboe et al.1 Though unknown at the time of the study, the updated perspective includes the risk-benefit ratio of treatments that may have resulted from extensive hemoglobin A1c testing. The impact of effective diabetic control may have caused inadvertent harm despite well-intended care and stricter implementation. Even without this possibility, it supports compliance characteristics of physicians depending on standards of care, regardless of . . . [Full Text of this Article]
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RELATED ARTICLE
Association Between Maintenance of Certification Examination Scores and Quality of Care for Medicare Beneficiaries
Eric S. Holmboe, Yun Wang, Thomas P. Meehan, Janet P. Tate, Shih-Yieh Ho, Katie S. Starkey, and Rebecca S. Lipner
Arch Intern Med. 2008;168(13):1396-1403.
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