This indicator shows the number and percent of people with diabetes receiving angiotensin converting enzyme inhibitor (ACEI) or an angiotensin receptor blocker (ARB) in three or four quarters in the relevant year
Variation in ACEI and ARB use can occur in clinical practice due to disparities in the prevalence of diabetes-related renal and cardiovascular complications in different populations. Understanding and addressing variation in ACEI and ARB use is essential for optimising patient care, improving medication adherence, and achieving better health outcomes for individuals with cardiovascular and renal conditions.
People with diabetes receiving an ACEI or ARB in three or four quarters in a year
Numerator detail
Medications: ACEI: 2794 benazepril, 2841 captopril, 2770 cilazapril, 2711 enalapril maleate, 2797 lisinopril, 2806 perindopril, 2772 quinapril, 1031 trandolapril, 4164 ramipril
ACEI with diuretics: 2840 captopril with hydrochlorothiazide; 1127 cilazapril with hydrochlorothiazide; 2708 enalapril with hydrochlorothiazide; 2795 lisinopril with hydrochlorothiazide; 3749 quinapril with hydrochlorothiazide
ARB: 1254 candesartan cilexetil, 1061 losartan potassium
ARB with diuretics: 1068 losartan with hydrochlorothiazide; 3788 losartan with hydrochlorothiazide
4105 entresto (sacubitril with valsartan)
Count of distinct master NHIs identified as having diabetes on the VDR
Denominator detail
Denominator exclusions
Disaggregation
For single map analysis: By year (2018‒22), age group (0‒14 years, 15‒24 years, 25‒44 years, 45‒64 years, 65‒74 years and 75+ years), gender (female and male), ethnic group (Māori, Pacific peoples, Indian and European/other) and Health New Zealand district of domicile.
For PHO analysis: By year (2022), age group (0‒14 years, 15‒24 years, 25‒44 years, 45‒64 years, 65‒74 years and 75+ years), gender (female and male), ethnic group (Māori, Pacific peoples, Indian and European/other), PHO most recently enrolled with (for the relevant year), PHO group (small, medium, medium‒large and large).
- Data is not presented where the number of people in the numerator was less than 10. This is to preserve confidentiality.
- Ethnicity data presented is prioritised ethnic group (Māori, Pacific peoples, Indian and European/other).
- For all indicators, individuals with missing values for any of the variables of interest (age, gender, ethnicity and district) are excluded completely. For instance, if there are any missing values for age, they are excluded from all analyses. This approach ensures a consistent denominator throughout the analyses.
- Demographic information is taken from the VDR.
Exclusions
- People who died during the year
- People not enrolled in a PHO