Type 2 & other diabetes

Ethnic disparities in quality of diabetes care in Scotland: A national cohort study

Diabet MedPublished National cohort study

Authors' conclusion

There are marked ethnic disparities in routine diabetes care in Scotland in the short- and medium-term following diabetes diagnosis. Further investigation is needed to establish and effectively address the underlying reasons.

Study context

Population
People newly diagnosed with T2D between 2009 and 2018, Scotland
Participants
162,122 people
Exposure
Eight ethnicity groups vs White
Outcome
Receipt of nine guideline indicated processes of care
Follow-up
First year post-diagnosis
Methodological detailslinked national diabetes registry, adjusted for confounders
  • Linked national diabetes registry
  • Adjusted for confounders

Main finding

As reported in the abstract

HbA1c monitoring
Each group vs whiteOdds ratio (95% CI)
African, Caribbean or Black44% lower odds
0.56(0.48–0.66)
Indian47% lower odds
0.53(0.47–0.61)
Other ethnicity50% lower odds
0.50(0.46–0.58)
Odds of eye screening lower in most ethnic groups vs White
30%-40%

Observational data: associations, not effects.

Further findings

Annual HbA1c monitoring and eye screening during follow-up · median 5 year follow-up

Differences largely persisted, attenuated slightly for HbA1c monitoring

Original publication

Ethnic disparities in quality of diabetes care in Scotland: A national cohort study. Diabet Med. Published 8 May 2024. doi:10.1111/dme.15336

Composed by AI from the published abstract and checked against it. How Briefs are made →

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