Trends in mortality and hospitalisations for cardiovascular, kidney and liver disease in people with type 2 diabetes in England, 2009–2019
Authors' conclusion
By examining longitudinal trends in mortality and hospitalisations according to different characteristics in people with type 2 diabetes in England, we have identified important targets for improvement through changes in health policy and care delivery.
Study context
- Population
- People with T2D aged ≥20 years in England, 2009–2019, National Diabetes Audit
- Exposure
- 2018-2019 vs 2009-2011
- Outcome
- Total and cause-specific mortality rates; hospitalisation rates for MI, stroke, HF, kidney and liver disease
Methodological detailsNational Diabetes Audit data, discretised Poisson regression adjusted for age, sex, ethnicity, socio-economic deprivation and diabetes duration
- National Diabetes Audit data
- Discretised Poisson regression adjusted for age, sex, ethnicity, socio-economic deprivation and diabetes duration
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Total mortality by ethnicity, aged 20-74 years
| RR (CI) | ||
|---|---|---|
| WhiteUnchanged · over the same time period | 1.00 (0.99–1.01) | |
| 0.512Relative risk (log scale) |
Total mortality by area deprivation
| RR (CI) | ||
|---|---|---|
| Least deprived | 0.91 (0.88–0.94) | |
| Most deprived | 0.97 (0.95–1.00) | |
| 0.512Relative risk (log scale) |
Composite of CV hospitalisations and mortality by age · 2009-2011 vs 2018-2019
| RR (CI) | ||
|---|---|---|
| Aged 20-49 years | 1.20 (1.14–1.27) | |
| Aged 50-74 years | 1.04 (1.03–1.05) | |
| Aged ≥75 yearsDeclined | 0.85 (0.84–0.86) | |
| 0.512Relative risk (log scale) |
Total mortality by area deprivation
- Total mortality declined more in least vs most deprived areas
Hospitalisation for kidney and liver disease
- Rates increased in all age groups
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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