BACKGROUND:
With recent changes in the United Kingdom’s clinical practice for diabetes mellitus care, contemporary estimates of sex disparities in cardiovascular risk and risk factor management are needed.
METHODS:
In this retrospective cohort study, using the Clinical Practice Research Datalink linked to hospital and death records for people in England, we identified 79 985 patients with incident type 2 diabetes mellitus (T2DM) between 2006 to 2013 matched to 386 547 patients without diabetes mellitus. Sex-stratified Cox models were used to assess cardiovascular risk.
RESULTS:
Compared with women without T2DM, women with T2DM had a higher cardiovascular event risk (adjusted hazard ratio, 1.20 [95% confidence interval, 1.12–1.28]) with similar corresponding data in men (hazard ratio, 1.12 [1.06–1.19]), leading to a nonsignificant higher relative risk in women (risk ratio, 1.07 [0.98–1.17]). However, some important sex differences in the management of risk factors were observed. Compared with men with T2DM, women with T2DM were more likely to be obese, hypertensive, and have hypercholesterolemia, but were less likely to be prescribed lipid-lowering medication and angiotensin-converting enzyme inhibitors, especially if they had cardiovascular disease.
CONCLUSIONS:
Compared with men developing T2DM, women with T2DM do not have a significantly higher relative increase in cardiovascular risk, but ongoing sex disparities in prescribing should prompt heightened efforts to improve the standard and equity of diabetes mellitus care in women and men.
Alison K Wright,Evangelos Kontopantelis, Richard Emsley, Ian Buchan, Mamas A Mamas, Naveed Sattar, Darren M Ashcroft, Martin K Rutter, , Cardiovascular Risk and Risk Factor Management in Type 2 Diabetes Mellitus A Population-Based Cohort Study Assessing Sex Disparities. Circulation, 139:2742-2753, 2019.
Code | Description | Entity type | Category | Coding System (Read) |
---|---|---|---|---|
1Z10.00 | Chronic kidney disease stage 1 | res72: CKD | diagnostic | Read |
1Z11.00 | Chronic kidney disease stage 2 | res72: CKD | diagnostic | Read |
1Z12.00 | Chronic kidney disease stage 3 | res72: CKD | diagnostic | Read |
1Z13.00 | Chronic kidney disease stage 4 | res72: CKD | diagnostic | Read |
1Z14.00 | Chronic kidney disease stage 5 | res72: CKD | diagnostic | Read |
1Z15.00 | Chronic kidney disease stage 3A | res72: CKD | diagnostic | Read |
1Z16.00 | Chronic kidney disease stage 3B | res72: CKD | diagnostic | Read |
1Z17.00 | Chronic kidney disease stage 1 with proteinuria | res72: CKD | diagnostic | Read |
1Z17.11 | CKD stage 1 with proteinuria | res72: CKD | diagnostic | Read |
1Z18.00 | Chronic kidney disease stage 1 without proteinuria | res72: CKD | diagnostic | Read |
1Z18.11 | CKD stage 1 without proteinuria | res72: CKD | diagnostic | Read |
1Z19.00 | Chronic kidney disease stage 2 with proteinuria | res72: CKD | diagnostic | Read |
1Z19.11 | CKD stage 2 with proteinuria | res72: CKD | diagnostic | Read |
1Z1A.00 | Chronic kidney disease stage 2 without proteinuria | res72: CKD | diagnostic | Read |
1Z1A.11 | CKD stage 2 without proteinuria | res72: CKD | diagnostic | Read |
1Z1B.00 | Chronic kidney disease stage 3 with proteinuria | res72: CKD | diagnostic | Read |
1Z1B.11 | CKD stage 3 with proteinuria | res72: CKD | diagnostic | Read |
1Z1C.00 | Chronic kidney disease stage 3 without proteinuria | res72: CKD | diagnostic | Read |
1Z1C.11 | CKD stage 3 without proteinuria | res72: CKD | diagnostic | Read |
1Z1D.00 | Chronic kidney disease stage 3A with proteinuria | res72: CKD | diagnostic | Read |
1Z1D.11 | CKD stage 3A with proteinuria | res72: CKD | diagnostic | Read |
1Z1E.00 | Chronic kidney disease stage 3A without proteinuria | res72: CKD | diagnostic | Read |
1Z1E.11 | CKD stage 3A without proteinuria | res72: CKD | diagnostic | Read |
1Z1F.00 | Chronic kidney disease stage 3B with proteinuria | res72: CKD | diagnostic | Read |
1Z1F.11 | CKD stage 3B with proteinuria | res72: CKD | diagnostic | Read |
1Z1G.00 | Chronic kidney disease stage 3B without proteinuria | res72: CKD | diagnostic | Read |
1Z1G.11 | CKD stage 3B without proteinuria | res72: CKD | diagnostic | Read |
1Z1H.00 | Chronic kidney disease stage 4 with proteinuria | res72: CKD | diagnostic | Read |
1Z1H.11 | CKD stage 4 with proteinuria | res72: CKD | diagnostic | Read |
1Z1J.00 | Chronic kidney disease stage 4 without proteinuria | res72: CKD | diagnostic | Read |
1Z1J.11 | CKD stage 4 without proteinuria | res72: CKD | diagnostic | Read |
1Z1K.00 | Chronic kidney disease stage 5 with proteinuria | res72: CKD | diagnostic | Read |
1Z1K.11 | CKD stage 5 with proteinuria | res72: CKD | diagnostic | Read |
1Z1L.00 | Chronic kidney disease stage 5 without proteinuria | res72: CKD | diagnostic | Read |
1Z1L.11 | CKD stage 5 without proteinuria | res72: CKD | diagnostic | Read |
1Z1M.00 | CKD with GFR category G1 & albuminuria category A1 | res72: CKD | diagnostic | Read |
1Z1N.00 | CKD with GFR category G1 & albuminuria category A2 | res72: CKD | diagnostic | Read |
1Z1P.00 | CKD with GFR category G1 & albuminuria category A3 | res72: CKD | diagnostic | Read |
1Z1Q.00 | CKD with GFR category G2 & albuminuria category A1 | res72: CKD | diagnostic | Read |
1Z1R.00 | CKD with GFR category G2 & albuminuria category A2 | res72: CKD | diagnostic | Read |
1Z1S.00 | CKD with GFR category G2 & albuminuria category A3 | res72: CKD | diagnostic | Read |
1Z1T.00 | CKD with GFR category G3a & albuminuria category A1 | res72: CKD | diagnostic | Read |
1Z1V.00 | CKD with GFR category G3a & albuminuria category A2 | res72: CKD | diagnostic | Read |
1Z1W.00 | CKD with GFR category G3a & albuminuria category A3 | res72: CKD | diagnostic | Read |
1Z1X.00 | CKD with GFR category G3b & albuminuria category A1 | res72: CKD | diagnostic | Read |
1Z1Y.00 | CKD with GFR category G3b & albuminuria category A2 | res72: CKD | diagnostic | Read |
1Z1Z.00 | CKD with GFR category G3b & albuminuria category A3 | res72: CKD | diagnostic | Read |
1Z1a.00 | CKD with GFR category G4 & albuminuria category A1 | res72: CKD | diagnostic | Read |
1Z1b.00 | CKD with GFR category G4 & albuminuria category A2 | res72: CKD | diagnostic | Read |
1Z1c.00 | CKD with GFR category G4 & albuminuria category A3 | res72: CKD | diagnostic | Read |
1Z1d.00 | CKD with GFR category G5 & albuminuria category A1 | res72: CKD | diagnostic | Read |
1Z1e.00 | CKD with GFR category G5 & albuminuria category A2 | res72: CKD | diagnostic | Read |
1Z1f.00 | CKD with GFR category G5 & albuminuria category A3 | res72: CKD | diagnostic | Read |
K051.00 | Chronic kidney disease stage 1 | res72: CKD | diagnostic | Read |
K052.00 | Chronic kidney disease stage 2 | res72: CKD | diagnostic | Read |
K053.00 | Chronic kidney disease stage 3 | res72: CKD | diagnostic | Read |
K054.00 | Chronic kidney disease stage 4 | res72: CKD | diagnostic | Read |
K055.00 | Chronic kidney disease stage 5 | res72: CKD | diagnostic | Read |
To Export Phenotype Details:
Format | API |
---|---|
XML | site_root/api/v1/public/phenotypes/PH920/version/1919/detail/?format=xml |
JSON | site_root/api/v1/public/phenotypes/PH920/version/1919/detail/?format=json |
R Package |
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To Export Phenotype Code List:
Format | API |
---|---|
XML | site_root/api/v1/public/phenotypes/PH920/version/1919/export/codes/?format=xml |
JSON | site_root/api/v1/public/phenotypes/PH920/version/1919/export/codes/?format=json |
CSV | site_root/phenotypes/PH920/version/1919/export/codes/ |
R Package |
|
Version ID |
Name | Owner | Publish date | |
---|---|---|---|---|
1919 | Chronic Kidney Disease (CKD) | ieuan.scanlon | 2022-04-04 | currently shown |
Export - export all codes into a csv file/JSON/XML for the current phenotype version.
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