All-cause mortality in the Canterbury (New Zealand) insulin-treated diabetic registry population
All-cause mortality in the Canterbury (New Zealand) insulin-treated diabetic registry population
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DOI:
10.2337/diacare.24.1.56
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发表时间:
2001-01-01
期刊:
影响因子:
16.2
通讯作者:
Moir, CL
中科院分区:
文献类型:
--
作者:
Brown, LJ;Scott, RS;Moir, CL
OBJECTIVE - To establish all-cause death rates and life expectancies of and risk factors for mortality in insulin-treated diabetic individuals living in Canterbury, New Zealand.RESEARCH DESIGN AND METHODS - Insulin-treated diabetic subjects (n = 1,008) on the Canterbury Diabetes Registry were tracked over 9 years, and their vital status was determined. Death rates were standardized using direct and indirect methods. Cox proportional hazard regression was used to model the effects of demographic and clinical covariates on survival time.RESULTS - At study entry, age ranged from 2.9 to 92.7 years, with mean 48.7 +/- 20.4 years; age at diagnosis was 0.2-88.9 years, mean 34.5 +/- 20.0 years; and duration of diabetes was 0.1-58.5 years, mean 14.0 +/- 10.6 years. There were 303 deaths in 7,372 person-years of follow-up with a standardized mortality ratio (SMR) of 2.6 (95% CI 2.4-3.0). Relative mortality was greatest for those aged 30-39 years (SMR 9.2 [4.8-16.2]). The death rate for the diabetic cohort standardized against the Segi world standard population was 16.2 per 1,000. Attained age, sex, and clinical subtype were significant predictors of mortality. The SMR for subjects with type 1 diabetes and age at onset