Type 2 & other diabetes

Cross‐country inequalities in disease burden and care quality of chronic kidney disease due to type 2 diabetes mellitus, 1990–2021: Findings from the global burden of disease study 2021

Diabetes Obes MetabPublished Secondary analysis of the Global Burden of Disease 2021 study

Authors' conclusion

Our study highlights considerable disparities in the burden and care quality of CKD-T2DM. Regions experiencing an increasing burden and a declining care quality simultaneously underscore the need for further research and tailored health interventions.

Study context

Population
Countries/territories, global; CKD due to T2D (CKD-T2DM), 1990–2021
Methodological detailstrend analysis (estimated annual percentage change), cross-country inequality analysis (slope index of inequality, concentration index)
  • Trend analysis (estimated annual percentage change)
  • Cross-country inequality analysis (slope index of inequality, concentration index)

Primary result

As reported in the abstract

1990 to 2021

Estimated annual percentage change of global ASDR (increased); 95% CI 0.75, 0.87

0.81

Estimated annual percentage change of age-standardized quality-of-care index (QCI) (slightly decreased); 95% CI −0.09, −0.07

−0.08

Further findings

Association with socio-demographic index (SDI)

ASDR escalated with increasing SDI, peaking at mid-level SDI, then decreased
Age-standardized QCI was higher with increasing SDI

Cross-country inequality in ASDR (concentrated in lower-SDI countries/territories) · 1990 and 2021

Slope index of inequality (SII) 1990; 95% CI −136.94, −56.35
−96.64
SII 2021; 95% CI −166.36, −69.94
−118.15
Concentration index 1990; 95% CI −0.1904, −0.0692
−0.1298
Concentration index 2021; 95% CI −0.1819, −0.0389
−0.1104

Cross-country inequality in age-standardized QCI (higher at higher SDI) · 1990 and 2021

SII 1990; 95% CI 10.74, 19.45
15.09
SII 2021; 95% CI 10.92, 20.59
15.75
Concentration index 1990; 95% CI 0.0283, 0.0503
0.0393
Concentration index 2021; 95% CI 0.0264, 0.0536
0.0400

Original publication

Cross‐country inequalities in disease burden and care quality of chronic kidney disease due to type 2 diabetes mellitus, 1990–2021: Findings from the global burden of disease study 2021. Diabetes Obes Metab. Published 30 September 2024. doi:10.1111/dom.15969

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