Care processes in people in remission from type 2 diabetes: A cohort study using the National Diabetes Audit.


Journal

Diabetic medicine : a journal of the British Diabetic Association
ISSN: 1464-5491
Titre abrégé: Diabet Med
Pays: England
ID NLM: 8500858

Informations de publication

Date de publication:
03 2023
Historique:
revised: 28 10 2022
received: 13 06 2022
accepted: 20 11 2022
pubmed: 29 11 2022
medline: 11 2 2023
entrez: 28 11 2022
Statut: ppublish

Résumé

People with type 2 diabetes can enter remission but may relapse or develop legacy complications. This analysis assesses whether people with remission from type 2 diabetes continue receiving annual care processes recommended in national guidelines and the potential impacts of formal recognition of remission. People with type 2 diabetes with and without formal recognition (diagnostic code) of remission, and with and without evidence of remission (HbA Of the 2,822,145 people with type 2 diabetes in the cohort, 16,460 (0.58%) were coded with remission in the 2018/19 NDA. After adjustment for age, sex, socioeconomic deprivation and ethnicity, people coded with remission were less likely to receive each care process than those without such coding irrespective of HbA People coded with remission of type 2 diabetes were less likely to receive diabetes care processes than those without such coding. People with evidence of remission had only a slightly reduced likelihood of receiving care processes. Formal recognition of remission may affect the provision or uptake of care processes.

Identifiants

pubmed: 36440921
doi: 10.1111/dme.15016
pmc: PMC10108144
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e15016

Subventions

Organisme : NHS England and NHS Improvement
Organisme : Diabetes UK
Pays : United Kingdom
Organisme : British Heart Foundation
ID : RE/18/6/34217
Pays : United Kingdom

Informations de copyright

© 2022 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.

Références

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Diabetes Care. 2022 May 1;45(5):1151-1161
pubmed: 35320360
Diabet Med. 2023 Mar;40(3):e15016
pubmed: 36440921
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Auteurs

Naomi Holman (N)

Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.

Kamlesh Khunti (K)

Diabetes Research Centre, University of Leicester, Leicester, UK.

Sarah H Wild (SH)

Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.

Naveed Sattar (N)

Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.

Peter Knighton (P)

NHS Digital, Leeds, UK.

Bob Young (B)

Diabetes UK, London, UK.

Edward W Gregg (EW)

School of Public Health, Imperial College London, London, UK.

Chirag Bakhai (C)

NHS England and NHS Improvement, London, UK.

Jonathan Valabhji (J)

NHS England and NHS Improvement, London, UK.
Department of Diabetes and Endocrinology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Division of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.

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Classifications MeSH