All-Cause Mortality in the Canterbury (New Zealand) Insulin-Treated Diabetic Registry Population

التفاصيل البيبلوغرافية
العنوان: All-Cause Mortality in the Canterbury (New Zealand) Insulin-Treated Diabetic Registry Population
المؤلفون: Russell S. Scott, Cameron L. Moir, Laurie Brown
المصدر: Diabetes Care. 24:56-63
بيانات النشر: American Diabetes Association, 2001.
سنة النشر: 2001
مصطلحات موضوعية: Adult, Male, Gerontology, Time Factors, Adolescent, Endocrinology, Diabetes and Metabolism, Population, Type 2 diabetes, Life Expectancy, Sex Factors, Risk Factors, Diabetes mellitus, Diabetes Mellitus, Internal Medicine, medicine, Humans, Insulin, Registries, Child, education, Aged, Aged, 80 and over, Advanced and Specialized Nursing, Type 1 diabetes, education.field_of_study, business.industry, Mortality rate, Age Factors, Middle Aged, medicine.disease, Standardized mortality ratio, Child, Preschool, Cohort, Life expectancy, Regression Analysis, Female, business, New Zealand, Demography
الوصف: OBJECTIVE— To establish all-cause death rates and life expectancies of and risk factors for mortality in insulin-treated diabetic individuals living in Canterbury, New Zealand. RESEARCH DESIGN AND METHODS— Insulin-treated diabetic subjects(n = 1,008) on the Canterbury Diabetes Registry were tracked over 9 years, and their vital status was determined. Death rates were standardized using direct and indirect methods. Cox proportional hazard regression was used to model the effects of demographic and clinical covariates on survival time. RESULTS— At study entry, age ranged from 2.9 to 92.7 years,with mean 48.7 ± 20.4 years; age at diagnosis was 0.2-88.9 years, mean 34.5 ± 20.0 years; and duration of diabetes was 0.1-58.5 years, mean 14.0 ± 10.6 years. There were 303 deaths in 7,372 person-years of follow-up with a standardized mortality ratio (SMR) of 2.6 (95% CI 2.4-3.0). Relative mortality was greatest for those aged 30-39 years (SMR 9.2[4.8-16.2]). The death rate for the diabetic cohort standardized against the Segi world standard population was 16.2 per 1,000. Attained age, sex, and clinical subtype were significant predictors of mortality. The SMR for subjects with type 1 diabetes and age at onset CONCLUSIONS— Mortality rates for insulin-treated diabetic individuals remain high, resulting in shortened life spans relative to the general population. Marked differences in mortality exist between clinical groups of subjects. Further research is needed to improve diabetes classification and to clarify differences in health outcomes.
تدمد: 1935-5548
0149-5992
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::12e0a5446619022ba5e4a2186153b308Test
https://doi.org/10.2337/diacare.24.1.56Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....12e0a5446619022ba5e4a2186153b308
قاعدة البيانات: OpenAIRE