Type 2 & other diabetes

Trends in all-cause mortality among adults with diagnosed type 2 diabetes in West Malaysia: 2010 – 2019

Diabetes Res Clin PractPublished Population-based cohort study

Authors' conclusion

Mortality trends worsened in certain T2D population in Malaysia.

Study context

Population
People with diagnosed T2D aged 40–79 registered in the National Diabetes Registry (2009–2018), West Malaysia, linked to death records (censored 31 December 2019)
Participants
One million people
Exposure
T2D population vs Malaysian general population
Outcome
10-year all-cause mortality trends: standardized absolute mortality rates and SMRs relative to the Malaysian general population
Follow-up
Censored on 31 December 2019
Methodological detailsregistry linkage, standardized mortality rates and standardized mortality ratios (SMRs) vs Malaysian general population
  • Registry linkage
  • Standardized mortality rates and SMRs vs Malaysian general population

Main finding

As reported in the abstract

All-cause standardized mortality rates, trend

Males aged 40-49, AAPC

2.46 %

95 % CI 0.42 %, 4.55 %

Males aged 50-59, AAPC

1.91 %

95 % CI 0.73 %, 3.10 %

Females aged 40-49, AAPC

3.39 %

95 % CI 1.32 %, 5.50 %

Observational data: associations, not effects.

Further findings

SMR

OutcomeMalesFemales
Overall SMR vs Malaysian general population1.83 (CI 1.80–1.86)1.85 (CI 1.82–1.89)

Overall SMR vs Malaysian general population

SMR higher in younger age groups; increasing trend with >15 years disease duration or prior CVD

Original publication

Trends in all-cause mortality among adults with diagnosed type 2 diabetes in West Malaysia: 2010 – 2019. Diabetes Res Clin Pract. Published 5 October 2023. doi:10.1016/j.diabres.2023.110944

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