All-cause and cardiovascular mortality in middle-aged people with type 2 diabetes compared with people without diabetes in a large U.K. primary care database. Taylor, K. S., Heneghan, C. J., Farmer, A. J., Fuller, A. M., Adler, A. I., Aronson, J. K., & Stevens, R. J. Diabetes Care, 36(8):2366--2371, August, 2013. doi abstract bibtex OBJECTIVE: Middle-aged people with diabetes have been reported to have significantly higher risks of cardiovascular events than people without diabetes. However, recent falls in cardiovascular disease rates and more active management of risk factors may have abolished the increased risk. We aimed to provide an up-to-date assessment of the relative risks associated with type 2 diabetes of all-cause and cardiovascular mortality in middle-aged people in the U.K. RESEARCH DESIGN AND METHODS: Using data from the General Practice Research Database, from 2004 to 2010, we conducted a cohort study of 87,098 people, 40-65 years of age at baseline, comparing 21,798 with type 2 diabetes and 65,300 without diabetes, matched on age, sex, and general practice. We produced hazard ratios (HRs) for mortality and compared rates of blood pressure testing, cholesterol monitoring, and use of aspirin, statins, and antihypertensive drugs. RESULTS People with type 2 diabetes, compared with people without diabetes, had a twofold increased risk of all-cause mortality (HR 2.07 [95% CI 1.95-2.20], adjusted for smoking) and a threefold increased risk of cardiovascular mortality (3.25 [2.87-3.68], adjusted for smoking). Women had a higher relative risk than men, and people \textless55 years of age had a higher relative risk than those \textgreater55 years of age. Monitoring and medication rates were higher in those with diabetes (all P \textless 0.001). CONCLUSIONS: Despite efforts to manage risk factors, administer effective treatments, and develop new therapies, middle-aged people with type 2 diabetes remain at significantly increased risk of death.
@article{taylor_all-cause_2013,
title = {All-cause and cardiovascular mortality in middle-aged people with type 2 diabetes compared with people without diabetes in a large {U}.{K}. primary care database},
volume = {36},
issn = {1935-5548},
doi = {10.2337/dc12-1513},
abstract = {OBJECTIVE: Middle-aged people with diabetes have been reported to have significantly higher risks of cardiovascular events than people without diabetes. However, recent falls in cardiovascular disease rates and more active management of risk factors may have abolished the increased risk. We aimed to provide an up-to-date assessment of the relative risks associated with type 2 diabetes of all-cause and cardiovascular mortality in middle-aged people in the U.K.
RESEARCH DESIGN AND METHODS: Using data from the General Practice Research Database, from 2004 to 2010, we conducted a cohort study of 87,098 people, 40-65 years of age at baseline, comparing 21,798 with type 2 diabetes and 65,300 without diabetes, matched on age, sex, and general practice. We produced hazard ratios (HRs) for mortality and compared rates of blood pressure testing, cholesterol monitoring, and use of aspirin, statins, and antihypertensive drugs. RESULTS People with type 2 diabetes, compared with people without diabetes, had a twofold increased risk of all-cause mortality (HR 2.07 [95\% CI 1.95-2.20], adjusted for smoking) and a threefold increased risk of cardiovascular mortality (3.25 [2.87-3.68], adjusted for smoking). Women had a higher relative risk than men, and people {\textless}55 years of age had a higher relative risk than those {\textgreater}55 years of age. Monitoring and medication rates were higher in those with diabetes (all P {\textless} 0.001).
CONCLUSIONS: Despite efforts to manage risk factors, administer effective treatments, and develop new therapies, middle-aged people with type 2 diabetes remain at significantly increased risk of death.},
language = {eng},
number = {8},
journal = {Diabetes Care},
author = {Taylor, Kathryn S. and Heneghan, Carl J. and Farmer, Andrew J. and Fuller, Alice M. and Adler, Amanda I. and Aronson, Jeffrey K. and Stevens, Richard J.},
month = aug,
year = {2013},
pmid = {23435157},
pmcid = {PMC3714501},
keywords = {Adult, Cardiovascular Diseases, Cause of Death, Databases, Factual, Diabetes Mellitus, Type 2, Female, Great Britain, Humans, Male, Middle Aged, Risk, Sex Factors},
pages = {2366--2371}
}
Downloads: 0
{"_id":"23CCat5eLdRua5vX5","bibbaseid":"taylor-heneghan-farmer-fuller-adler-aronson-stevens-allcauseandcardiovascularmortalityinmiddleagedpeoplewithtype2diabetescomparedwithpeoplewithoutdiabetesinalargeukprimarycaredatabase-2013","downloads":0,"creationDate":"2017-08-15T09:38:11.842Z","title":"All-cause and cardiovascular mortality in middle-aged people with type 2 diabetes compared with people without diabetes in a large U.K. primary care database","author_short":["Taylor, K. S.","Heneghan, C. J.","Farmer, A. J.","Fuller, A. M.","Adler, A. I.","Aronson, J. K.","Stevens, R. J."],"year":2013,"bibtype":"article","biburl":"http://bibbase.org/zotero/veegee78","bibdata":{"bibtype":"article","type":"article","title":"All-cause and cardiovascular mortality in middle-aged people with type 2 diabetes compared with people without diabetes in a large U.K. primary care database","volume":"36","issn":"1935-5548","doi":"10.2337/dc12-1513","abstract":"OBJECTIVE: Middle-aged people with diabetes have been reported to have significantly higher risks of cardiovascular events than people without diabetes. However, recent falls in cardiovascular disease rates and more active management of risk factors may have abolished the increased risk. We aimed to provide an up-to-date assessment of the relative risks associated with type 2 diabetes of all-cause and cardiovascular mortality in middle-aged people in the U.K. RESEARCH DESIGN AND METHODS: Using data from the General Practice Research Database, from 2004 to 2010, we conducted a cohort study of 87,098 people, 40-65 years of age at baseline, comparing 21,798 with type 2 diabetes and 65,300 without diabetes, matched on age, sex, and general practice. We produced hazard ratios (HRs) for mortality and compared rates of blood pressure testing, cholesterol monitoring, and use of aspirin, statins, and antihypertensive drugs. RESULTS People with type 2 diabetes, compared with people without diabetes, had a twofold increased risk of all-cause mortality (HR 2.07 [95% CI 1.95-2.20], adjusted for smoking) and a threefold increased risk of cardiovascular mortality (3.25 [2.87-3.68], adjusted for smoking). Women had a higher relative risk than men, and people \\textless55 years of age had a higher relative risk than those \\textgreater55 years of age. Monitoring and medication rates were higher in those with diabetes (all P \\textless 0.001). CONCLUSIONS: Despite efforts to manage risk factors, administer effective treatments, and develop new therapies, middle-aged people with type 2 diabetes remain at significantly increased risk of death.","language":"eng","number":"8","journal":"Diabetes Care","author":[{"propositions":[],"lastnames":["Taylor"],"firstnames":["Kathryn","S."],"suffixes":[]},{"propositions":[],"lastnames":["Heneghan"],"firstnames":["Carl","J."],"suffixes":[]},{"propositions":[],"lastnames":["Farmer"],"firstnames":["Andrew","J."],"suffixes":[]},{"propositions":[],"lastnames":["Fuller"],"firstnames":["Alice","M."],"suffixes":[]},{"propositions":[],"lastnames":["Adler"],"firstnames":["Amanda","I."],"suffixes":[]},{"propositions":[],"lastnames":["Aronson"],"firstnames":["Jeffrey","K."],"suffixes":[]},{"propositions":[],"lastnames":["Stevens"],"firstnames":["Richard","J."],"suffixes":[]}],"month":"August","year":"2013","pmid":"23435157","pmcid":"PMC3714501","keywords":"Adult, Cardiovascular Diseases, Cause of Death, Databases, Factual, Diabetes Mellitus, Type 2, Female, Great Britain, Humans, Male, Middle Aged, Risk, Sex Factors","pages":"2366--2371","bibtex":"@article{taylor_all-cause_2013,\n\ttitle = {All-cause and cardiovascular mortality in middle-aged people with type 2 diabetes compared with people without diabetes in a large {U}.{K}. primary care database},\n\tvolume = {36},\n\tissn = {1935-5548},\n\tdoi = {10.2337/dc12-1513},\n\tabstract = {OBJECTIVE: Middle-aged people with diabetes have been reported to have significantly higher risks of cardiovascular events than people without diabetes. However, recent falls in cardiovascular disease rates and more active management of risk factors may have abolished the increased risk. We aimed to provide an up-to-date assessment of the relative risks associated with type 2 diabetes of all-cause and cardiovascular mortality in middle-aged people in the U.K.\nRESEARCH DESIGN AND METHODS: Using data from the General Practice Research Database, from 2004 to 2010, we conducted a cohort study of 87,098 people, 40-65 years of age at baseline, comparing 21,798 with type 2 diabetes and 65,300 without diabetes, matched on age, sex, and general practice. We produced hazard ratios (HRs) for mortality and compared rates of blood pressure testing, cholesterol monitoring, and use of aspirin, statins, and antihypertensive drugs. RESULTS People with type 2 diabetes, compared with people without diabetes, had a twofold increased risk of all-cause mortality (HR 2.07 [95\\% CI 1.95-2.20], adjusted for smoking) and a threefold increased risk of cardiovascular mortality (3.25 [2.87-3.68], adjusted for smoking). Women had a higher relative risk than men, and people {\\textless}55 years of age had a higher relative risk than those {\\textgreater}55 years of age. Monitoring and medication rates were higher in those with diabetes (all P {\\textless} 0.001).\nCONCLUSIONS: Despite efforts to manage risk factors, administer effective treatments, and develop new therapies, middle-aged people with type 2 diabetes remain at significantly increased risk of death.},\n\tlanguage = {eng},\n\tnumber = {8},\n\tjournal = {Diabetes Care},\n\tauthor = {Taylor, Kathryn S. and Heneghan, Carl J. and Farmer, Andrew J. and Fuller, Alice M. and Adler, Amanda I. and Aronson, Jeffrey K. and Stevens, Richard J.},\n\tmonth = aug,\n\tyear = {2013},\n\tpmid = {23435157},\n\tpmcid = {PMC3714501},\n\tkeywords = {Adult, Cardiovascular Diseases, Cause of Death, Databases, Factual, Diabetes Mellitus, Type 2, Female, Great Britain, Humans, Male, Middle Aged, Risk, Sex Factors},\n\tpages = {2366--2371}\n}\n\n","author_short":["Taylor, K. S.","Heneghan, C. J.","Farmer, A. J.","Fuller, A. M.","Adler, A. I.","Aronson, J. K.","Stevens, R. J."],"key":"taylor_all-cause_2013","id":"taylor_all-cause_2013","bibbaseid":"taylor-heneghan-farmer-fuller-adler-aronson-stevens-allcauseandcardiovascularmortalityinmiddleagedpeoplewithtype2diabetescomparedwithpeoplewithoutdiabetesinalargeukprimarycaredatabase-2013","role":"author","urls":{},"keyword":["Adult","Cardiovascular Diseases","Cause of Death","Databases","Factual","Diabetes Mellitus","Type 2","Female","Great Britain","Humans","Male","Middle Aged","Risk","Sex Factors"],"downloads":0},"search_terms":["cause","cardiovascular","mortality","middle","aged","people","type","diabetes","compared","people","without","diabetes","large","primary","care","database","taylor","heneghan","farmer","fuller","adler","aronson","stevens"],"keywords":["adult","cardiovascular diseases","cause of death","databases","factual","diabetes mellitus","type 2","female","great britain","humans","male","middle aged","risk","sex factors"],"authorIDs":[],"dataSources":["FmCWXwJibZiWNzpdc"]}