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Ethnicity

Alison K Wright, Evangelos Kontopantelis, Richard Emsley, Iain Buchan, Naveed Sattar, Martin K Rutter, Darren M. Ashcroft

Type
Lifestyle Risk Factor
ID
PH714
Version ID
1428
Data Sources
Valid event data range
01/01/1998 - 31/03/2015
Sex
Female, Male
Agreement Date
2017-03-30
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

OBJECTIVES:

This study 1) investigated life expectancy and cause-specific mortality rates associated with type 2 diabetes and 2) quantified these relationships in ethnic subgroups.

RESEARCH DESIGN AND METHODS:

This was a cohort study using Clinical Practice Research Datalink data from 383 general practices in Englandwith linked hospitalization andmortality records. A total of 187,968 patients with incident type 2 diabetes from 1998 to 2015 were matched to 908,016 control subjects. Abridged life tables estimated years of life lost, and a competing risk survival model quantified cause-specific hazard ratios (HRs).

RESULTS:

A total of 40,286 deaths occurred in patientswith type 2 diabetes. At age 40,white menwith diabetes lost 5 years of life andwhitewomen lost 6 years compared with those without diabetes. A loss of between 1 and 2 years was observed for South Asians and blacks with diabetes. At age older than 65 years, South Asians with diabetes had up to 1.1 years’ longer life expectancy than South Asians without diabetes. Compared with whites with diabetes, South Asians with diabetes had lower adjusted risks formortality fromcardiovascular (HR 0.82; 95% CI 0.75, 0.89), cancer (HR 0.43; 95% CI 0.36, 0.51), and respiratory diseases (HR 0.60; 95% CI 0.48, 0.76). A similar pattern was observed in blacks with diabetes compared with whites with diabetes.

CONCLUSIONS:

Type 2 diabetes was associated with more years of life lost among whites than among South Asians or blacks, with older South Asians experiencing longer life expectancy compared with South Asians without diabetes. The findings support optimized cardiovascular disease risk factor management, especially in whites with type 2 diabetes.

Publications

  • Alison K Wright, Evangelos Kontopantelis, Richard Emsley, Iain Buchan, Naveed Sattar, Martin K Rutter, Darren M. Ashcroft, Life Expectancy and Cause-Specific Mortality in Type 2 Diabetes A Population-Based Cohort Study Quantifying Relationships in Ethnic Subgroups. Diabetes Care, 40(3), 338-345, 2017.

Clinical Code List

Rows: 132
Code Description Entity type Category Coding System (Read)
9S1..00 White res56: ethnicity diagnostic Read
9S10.00 White British res56: ethnicity diagnostic Read
9S11.00 White Irish res56: ethnicity diagnostic Read
9S13.00 White Scottish res56: ethnicity diagnostic Read
9S14.00 Other white British ethnic group res56: ethnicity diagnostic Read
9S2..00 Black Caribbean res56: ethnicity diagnostic Read
9S3..00 Black African res56: ethnicity diagnostic Read
9S4..00 Black, other, non-mixed origin res56: ethnicity diagnostic Read
9S41.00 Black British res56: ethnicity diagnostic Read
9S42.00 Black Caribbean/W.I./Guyana res56: ethnicity diagnostic Read
9S42.11 Black Caribbean res56: ethnicity diagnostic Read
9S42.12 Black West Indian res56: ethnicity diagnostic Read
9S42.13 Black Guyana res56: ethnicity diagnostic Read
9S43.00 Black N African/Arab/Iranian res56: ethnicity diagnostic Read
9S43.11 Black North African res56: ethnicity diagnostic Read
9S43.12 Black Arab res56: ethnicity diagnostic Read
9S43.13 Black Iranian res56: ethnicity diagnostic Read
9S44.00 Black - other African country res56: ethnicity diagnostic Read
9S45.00 Black E Afric Asia/Indo-Caribb res56: ethnicity diagnostic Read
9S45.11 Black East African Asian res56: ethnicity diagnostic Read
9S45.12 Black Indo-Caribbean res56: ethnicity diagnostic Read
9S47.00 Black - other Asian res56: ethnicity diagnostic Read
9S48.00 Black Black - other res56: ethnicity diagnostic Read
9S5..00 Black - other, mixed res56: ethnicity diagnostic Read
9S51.00 Other Black - Black/White orig res56: ethnicity diagnostic Read
9S52.00 Other Black - Black/Asian orig res56: ethnicity diagnostic Read
9S6..00 Indian res56: ethnicity diagnostic Read
9S7..00 Pakistani res56: ethnicity diagnostic Read
9S8..00 Bangladeshi res56: ethnicity diagnostic Read
9S9..00 Chinese res56: ethnicity diagnostic Read
9SA..00 Other ethnic non-mixed (NMO) res56: ethnicity diagnostic Read
9SA2.00 Brit. ethnic minor. unsp (NMO) res56: ethnicity diagnostic Read
9SA3.00 Caribbean I./W.I./Guyana (NMO) res56: ethnicity diagnostic Read
9SA3.11 Caribbean Island (NMO) res56: ethnicity diagnostic Read
9SA3.12 West Indian (NMO) res56: ethnicity diagnostic Read
9SA3.13 Guyana (NMO) res56: ethnicity diagnostic Read
9SA4.00 N African Arab/Iranian (NMO) res56: ethnicity diagnostic Read
9SA4.11 North African Arab (NMO) res56: ethnicity diagnostic Read
9SA4.12 Iranian (NMO) res56: ethnicity diagnostic Read
9SA5.00 Other African countries (NMO) res56: ethnicity diagnostic Read
9SA6.00 E Afric Asian/Indo-Carib (NMO) res56: ethnicity diagnostic Read
9SA6.11 East African Asian (NMO) res56: ethnicity diagnostic Read
9SA6.12 Indo-Caribbean (NMO) res56: ethnicity diagnostic Read
9SA7.00 Indian sub-continent (NMO) res56: ethnicity diagnostic Read
9SA8.00 Other Asian (NMO) res56: ethnicity diagnostic Read
9SA9.00 Irish (NMO) res56: ethnicity diagnostic Read
9SAA.00 Greek/Greek Cypriot (NMO) res56: ethnicity diagnostic Read
9SAA.11 Greek (NMO) res56: ethnicity diagnostic Read
9SAA.12 Greek Cypriot (NMO) res56: ethnicity diagnostic Read
9SAB.00 Turkish/Turkish Cypriot (NMO) res56: ethnicity diagnostic Read
9SAB.11 Turkish (NMO) res56: ethnicity diagnostic Read
9SAB.12 Turkish Cypriot (NMO) res56: ethnicity diagnostic Read
9SAC.00 Other European (NMO) res56: ethnicity diagnostic Read
9SAD.00 Other ethnic NEC (NMO) res56: ethnicity diagnostic Read
9SB..00 Other ethnic, mixed origin res56: ethnicity diagnostic Read
9SB1.00 Other ethnic, Black/White orig res56: ethnicity diagnostic Read
9SB2.00 Other ethnic, Asian/White orig res56: ethnicity diagnostic Read
9SB3.00 Other ethnic, mixed white orig res56: ethnicity diagnostic Read
9SB4.00 Other ethnic, other mixed orig res56: ethnicity diagnostic Read
9SB5.00 Black Caribbean and White res56: ethnicity diagnostic Read
9SB6.00 Black African and White res56: ethnicity diagnostic Read
9SC..00 Vietnamese res56: ethnicity diagnostic Read
9SG..00 Other black ethnic group res56: ethnicity diagnostic Read
9SH..00 Other Asian ethnic group res56: ethnicity diagnostic Read
9SI..00 Irish traveller res56: ethnicity diagnostic Read
9SJ..00 Other ethnic group res56: ethnicity diagnostic Read
9i0..00 British or mixed British - ethnic category 2001 census res56: ethnicity diagnostic Read
9i00.00 White British - ethnic category 2001 census res56: ethnicity diagnostic Read
9i1..00 Irish - ethnic category 2001 census res56: ethnicity diagnostic Read
9i10.00 White Irish - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2..00 Other White background - ethnic category 2001 census res56: ethnicity diagnostic Read
9i20.00 English - ethnic category 2001 census res56: ethnicity diagnostic Read
9i21.00 Scottish - ethnic category 2001 census res56: ethnicity diagnostic Read
9i22.00 Welsh - ethnic category 2001 census res56: ethnicity diagnostic Read
9i26.00 Cypriot (part not stated) - ethnic category 2001 census res56: ethnicity diagnostic Read
9i27.00 Greek - ethnic category 2001 census res56: ethnicity diagnostic Read
9i28.00 Greek Cypriot - ethnic category 2001 census res56: ethnicity diagnostic Read
9i29.00 Turkish - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2A.00 Turkish Cypriot - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2B.00 Italian - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2C.00 Irish Traveller - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2D.00 Traveller - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2E.00 Gypsy/Romany - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2F.00 Polish - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2H.00 Commonwealth (Russian) Indep States - ethn categ 2001 census res56: ethnicity diagnostic Read
9i2J.00 Kosovan - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2K.00 Albanian - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2P.00 Other republics former Yugoslavia - ethnic categ 2001 census res56: ethnicity diagnostic Read
9i2R.00 Oth White European/European unsp/Mixed European 2001 census res56: ethnicity diagnostic Read
9i2S.00 Other mixed White - ethnic category 2001 census res56: ethnicity diagnostic Read
9i2T.00 Other White or White unspecified ethnic category 2001 census res56: ethnicity diagnostic Read
9i3..00 White and Black Caribbean - ethnic category 2001 census res56: ethnicity diagnostic Read
9i4..00 White and Black African - ethnic category 2001 census res56: ethnicity diagnostic Read
9i5..00 White and Asian - ethnic category 2001 census res56: ethnicity diagnostic Read
9i6..00 Other Mixed background - ethnic category 2001 census res56: ethnicity diagnostic Read
9i60.00 Black and Asian - ethnic category 2001 census res56: ethnicity diagnostic Read
9i61.00 Black and Chinese - ethnic category 2001 census res56: ethnicity diagnostic Read
9i62.00 Black and White - ethnic category 2001 census res56: ethnicity diagnostic Read
9i63.00 Chinese and White - ethnic category 2001 census res56: ethnicity diagnostic Read
9i64.00 Asian and Chinese - ethnic category 2001 census res56: ethnicity diagnostic Read
9i7..00 Indian or British Indian - ethnic category 2001 census res56: ethnicity diagnostic Read
9i8..00 Pakistani or British Pakistani - ethnic category 2001 census res56: ethnicity diagnostic Read
9i9..00 Bangladeshi or British Bangladeshi - ethn categ 2001 census res56: ethnicity diagnostic Read
9iA..00 Other Asian background - ethnic category 2001 census res56: ethnicity diagnostic Read
9iA3.00 East African Asian - ethnic category 2001 census res56: ethnicity diagnostic Read
9iA4.00 Sri Lankan - ethnic category 2001 census res56: ethnicity diagnostic Read
9iA5.00 Tamil - ethnic category 2001 census res56: ethnicity diagnostic Read
9iA6.00 Sinhalese - ethnic category 2001 census res56: ethnicity diagnostic Read
9iA7.00 Caribbean Asian - ethnic category 2001 census res56: ethnicity diagnostic Read
9iA8.00 British Asian - ethnic category 2001 census res56: ethnicity diagnostic Read
9iA9.00 Mixed Asian - ethnic category 2001 census res56: ethnicity diagnostic Read
9iB..00 Caribbean - ethnic category 2001 census res56: ethnicity diagnostic Read
9iC..00 African - ethnic category 2001 census res56: ethnicity diagnostic Read
9iD..00 Other Black background - ethnic category 2001 census res56: ethnicity diagnostic Read
9iD0.00 Somali - ethnic category 2001 census res56: ethnicity diagnostic Read
9iD1.00 Nigerian - ethnic category 2001 census res56: ethnicity diagnostic Read
9iD2.00 Black British - ethnic category 2001 census res56: ethnicity diagnostic Read
9iE..00 Chinese - ethnic category 2001 census res56: ethnicity diagnostic Read
9iF..00 Other - ethnic category 2001 census res56: ethnicity diagnostic Read
9iF0.00 Vietnamese - ethnic category 2001 census res56: ethnicity diagnostic Read
9iF1.00 Japanese - ethnic category 2001 census res56: ethnicity diagnostic Read
9iF2.00 Filipino - ethnic category 2001 census res56: ethnicity diagnostic Read
9iF3.00 Malaysian - ethnic category 2001 census res56: ethnicity diagnostic Read
9iF9.00 Arab - ethnic category 2001 census res56: ethnicity diagnostic Read
9iFA.00 North African - ethnic category 2001 census res56: ethnicity diagnostic Read
9iFB.00 Mid East (excl Israeli, Iranian & Arab) - eth cat 2001 cens res56: ethnicity diagnostic Read
9iFD.00 Iranian - ethnic category 2001 census res56: ethnicity diagnostic Read
9iFE.00 Kurdish - ethnic category 2001 census res56: ethnicity diagnostic Read
9iFG.00 Latin American - ethnic category 2001 census res56: ethnicity diagnostic Read
9iFH.00 South and Central American - ethnic category 2001 census res56: ethnicity diagnostic Read
9iFJ.00 Mauritian/Seychellois/Maldivian/St Helena eth cat 2001census res56: ethnicity diagnostic Read
9iFK.00 Any other group - ethnic category 2001 census res56: ethnicity diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH714/version/1428/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH714/version/1428/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH714', '1428', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH714/version/1428/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH714/version/1428/export/codes/?format=json
CSV site_root/phenotypes/PH714/version/1428/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH714', '1428', api_client=client)

Version History

Version
ID
Name Owner Publish date
1428 Ethnicity ieuan.scanlon 2021-10-06 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

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