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Interventions

Alison K Wright, Evangelos Kontopantelis, Richard Emsley, Ian Buchan, Mamas A Mamas, Naveed Sattar, Darren M Ashcroft, Martin M Rutter

Type
Disease or Syndrome
ID
PH925
Version ID
1929
Data Sources
Valid event data range
01/01/2006 - 31/12/2013
Sex
Female, Male
Agreement Date
2019-06-11
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

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.

Publications

  • 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.

Clinical Code List

Rows: 172
Code Description Entity type Category Coding System (Read)
03K1.00 Dietician res72: Interventions diagnostic Read
138..00 Exercise grading res72: Interventions diagnostic Read
1383 Enjoys light exercise res72: Interventions diagnostic Read
1384 Enjoys moderate exercise res72: Interventions diagnostic Read
1385 Enjoys heavy exercise res72: Interventions diagnostic Read
1389 Aerobic exercise 1 time/week res72: Interventions diagnostic Read
138A.00 Aerobic exercise 2 times/week res72: Interventions diagnostic Read
138B.00 Aerobic exercise 3+ times/week res72: Interventions diagnostic Read
138D.00 Anaerobic exercise 1 time/week res72: Interventions diagnostic Read
138E.00 Anaerobic exercise 2 times/wk res72: Interventions diagnostic Read
138F.00 Anaerobic exercise 3+ times/wk res72: Interventions diagnostic Read
138G.00 Attends exercise classes res72: Interventions diagnostic Read
138H.00 Enjoys intermediate exercise res72: Interventions diagnostic Read
138P.00 Aerobic exercise three times a week res72: Interventions diagnostic Read
138Q.00 Aerobic exercise four times a week res72: Interventions diagnostic Read
138R.00 Aerobic exercise five times a week res72: Interventions diagnostic Read
138Z.00 Exercise grading NOS res72: Interventions diagnostic Read
13A..00 Diet - patient initiated res72: Interventions diagnostic Read
13A3.00 Weight reducing diet res72: Interventions diagnostic Read
13A4.00 Low fat diet res72: Interventions diagnostic Read
13AB.00 Diabetic lipid lowering diet res72: Interventions diagnostic Read
13AC.00 Diabetic weight reducing diet res72: Interventions diagnostic Read
13AZ.00 Patient initiated diet NOS res72: Interventions diagnostic Read
13B..00 Diet - medical res72: Interventions diagnostic Read
13B1.00 Diabetic diet res72: Interventions diagnostic Read
13B4.00 Lactose free diet res72: Interventions diagnostic Read
13CQ.00 Physical activity target minimal exercise res72: Interventions diagnostic Read
13CR.00 Physical activity target light exercise res72: Interventions diagnostic Read
13CS.00 Physical activity target moderate exercise res72: Interventions diagnostic Read
13CT.00 Physical activity target strenuous exercise res72: Interventions diagnostic Read
1F11.00 Diet - low in fat res72: Interventions diagnostic Read
1F7..00 Restricted diet pattern res72: Interventions diagnostic Read
1F7Z.00 Dietary restriction NOS res72: Interventions diagnostic Read
1FH..00 Healthy diet res72: Interventions diagnostic Read
66A8.00 Has seen dietician - diabetes res72: Interventions diagnostic Read
66AY.00 Diabetic diet - good compliance res72: Interventions diagnostic Read
66At.00 Diabetic dietary review res72: Interventions diagnostic Read
66At100 Type II diabetic dietary review res72: Interventions diagnostic Read
66At111 Type 2 diabetic dietary review res72: Interventions diagnostic Read
66C4.00 Has seen dietician - obesity res72: Interventions diagnostic Read
6798 Health ed. - exercise res72: Interventions diagnostic Read
6799 Health ed. - diet res72: Interventions diagnostic Read
679R.00 Patient offered diabetes structured education programme res72: Interventions diagnostic Read
67H2.00 Lifestyle advice regarding exercise res72: Interventions diagnostic Read
67H7.00 Lifestyle advice regarding diet res72: Interventions diagnostic Read
67W1.00 Recommendation self-refer for diabetes structured education res72: Interventions diagnostic Read
8581 Assisted exercise in pool res72: Interventions diagnostic Read
8582 Free exercises in pool res72: Interventions diagnostic Read
8B57.00 Weight reducing diet res72: Interventions diagnostic Read
8B5A.00 Glycaemic index diet res72: Interventions diagnostic Read
8B5C.00 Calorie restricted diet res72: Interventions diagnostic Read
8B5C.11 Low calorie diet res72: Interventions diagnostic Read
8B5C011 Very low calorie diet res72: Interventions diagnostic Read
8B5Z.00 Dietary regime NOS res72: Interventions diagnostic Read
8B91.00 Low carbohydrate diet -prophyl res72: Interventions diagnostic Read
8B92.00 Low calorie diet - prophylaxis res72: Interventions diagnostic Read
8B93.00 Low salt diet - prophylaxis res72: Interventions diagnostic Read
8B94.00 Salt free diet - prophylaxis res72: Interventions diagnostic Read
8B96.00 Unsaturated fat diet - prophyl res72: Interventions diagnostic Read
8BAH.00 Exercise on prescription res72: Interventions diagnostic Read
8CA4.00 Patient advised re diet res72: Interventions diagnostic Read
8CA4000 Pt advised re wt reducing diet res72: Interventions diagnostic Read
8CA4100 Pt advised re diabetic diet res72: Interventions diagnostic Read
8CA4200 Pt advised re gluten free diet res72: Interventions diagnostic Read
8CA4600 Pt advised re low fat diet res72: Interventions diagnostic Read
8CA4700 Patient advised re low cholesterol diet res72: Interventions diagnostic Read
8CA4900 Pt advised - lactose free diet res72: Interventions diagnostic Read
8CA4A00 Pt advis-low carbohydrate diet res72: Interventions diagnostic Read
8CA4V11 Dietary advice to maximise nutritional intake res72: Interventions diagnostic Read
8CA4z00 Pt advised re diet NOS res72: Interventions diagnostic Read
8CA5.00 Patient advised re exercise res72: Interventions diagnostic Read
8CA5000 Advice about aerobic exercise res72: Interventions diagnostic Read
8CA5200 Education about chair based exercise programme res72: Interventions diagnostic Read
8CE4.00 Diet leaflet given res72: Interventions diagnostic Read
8E7..00 Physical exercises res72: Interventions diagnostic Read
8E71.00 Therapeutic exercise res72: Interventions diagnostic Read
8E72.00 Active exercise res72: Interventions diagnostic Read
8E79.00 Home exercise programme res72: Interventions diagnostic Read
8E7A.00 Group exercise programme res72: Interventions diagnostic Read
8E7B.00 Graded exercise therapy res72: Interventions diagnostic Read
8E7C.00 Aerobic exercises res72: Interventions diagnostic Read
8E7Z.00 Physical exercise NOS res72: Interventions diagnostic Read
8E8..00 Passive exercise res72: Interventions diagnostic Read
8E8Z.00 Passive exercise NOS res72: Interventions diagnostic Read
8H76.00 Refer to dietician res72: Interventions diagnostic Read
8H76000 Referral to community dietician res72: Interventions diagnostic Read
8H7q.00 Referral for exercise therapy res72: Interventions diagnostic Read
8H7q000 Referral for graded exercise therapy res72: Interventions diagnostic Read
8HHc.00 Referred for exercise programme res72: Interventions diagnostic Read
8HgF.00 Discharge by dietitian res72: Interventions diagnostic Read
8HgL.00 Discharge from dietetics service res72: Interventions diagnostic Read
8Hj0.00 Referral to diabetes structured education programme res72: Interventions diagnostic Read
8Hj1.00 Family/carer referral to diabetes structured education prog res72: Interventions diagnostic Read
8Hj4.00 Referral to DESMOND diabetes structured education programme res72: Interventions diagnostic Read
8Hj5.00 Referral to XPERT diabetes structured education programme res72: Interventions diagnostic Read
8HkX.00 Referral to exercise on referral programme res72: Interventions diagnostic Read
8I81.00 Did not complete diabetes structured education programme res72: Interventions diagnostic Read
8I84.00 Did not complete XPERT diabetes structured education program res72: Interventions diagnostic Read
9N0H.00 Seen in dietician clinic res72: Interventions diagnostic Read
9N27.00 Seen by dietician res72: Interventions diagnostic Read
9N6t.00 Referral by community-based dietitian res72: Interventions diagnostic Read
9NJ6.00 In-house dietetics res72: Interventions diagnostic Read
9NJh.00 In-house dietetics first appointment res72: Interventions diagnostic Read
9NJi.00 In-house dietetics discharge appointment res72: Interventions diagnostic Read
9NNF.00 Under care of dietitian res72: Interventions diagnostic Read
9NiA.00 Did not attend diabetes structured education programme res72: Interventions diagnostic Read
9NiD.00 Did not attend DESMOND diabetes structured education program res72: Interventions diagnostic Read
9NiE.00 Did not attend XPERT diabetes structured education programme res72: Interventions diagnostic Read
9OLB.00 Attended diabetes structured education programme res72: Interventions diagnostic Read
9OLC.00 Family/carer attended diabetes structured education prog res72: Interventions diagnostic Read
9OLF.00 Diabetes structured education programme completed res72: Interventions diagnostic Read
9OLG.00 Attended XPERT diabetes structured education programme res72: Interventions diagnostic Read
9OLK.00 DESMOND diabetes structured education programme completed res72: Interventions diagnostic Read
9OLL.00 XPERT diabetes structured education programme completed res72: Interventions diagnostic Read
9OLM.00 Diabetes structured education programme declined res72: Interventions diagnostic Read
Z65..00 Exercise therapy res72: Interventions diagnostic Read
Z658.00 Aerobic exercises res72: Interventions diagnostic Read
Z65B.00 Home exercise programme res72: Interventions diagnostic Read
Z66..00 Exercise regime res72: Interventions diagnostic Read
Z67..00 Exercise class res72: Interventions diagnostic Read
Z67..11 Group exercise res72: Interventions diagnostic Read
Z68..00 Exercises res72: Interventions diagnostic Read
Z6D1.00 Hydrotherapy exercises res72: Interventions diagnostic Read
Z6D3100 Aquaerobic exercises res72: Interventions diagnostic Read
ZA11925 Advice on diet res72: Interventions diagnostic Read
ZC2..00 Dietary advice res72: Interventions diagnostic Read
ZC2..11 Advice on diet res72: Interventions diagnostic Read
ZC2..12 Advice about diet res72: Interventions diagnostic Read
ZC2C.00 Dietary advice for disorder res72: Interventions diagnostic Read
ZC2C100 Dietary treatment for disorder res72: Interventions diagnostic Read
ZC2C700 Patient advised about weight-reducing diet res72: Interventions diagnostic Read
ZC2C711 Dietary advice for weight reduction res72: Interventions diagnostic Read
ZC2C800 Dietary advice for diabetes mellitus res72: Interventions diagnostic Read
ZC2CA00 Dietary advice for type II diabetes res72: Interventions diagnostic Read
ZC2CI00 Dietary advice for lipid disorder res72: Interventions diagnostic Read
ZC2CJ00 Dietary advice for hyperlipidaemia res72: Interventions diagnostic Read
ZC2CM00 Dietary advice for obesity res72: Interventions diagnostic Read
ZC2CO00 Dietary advice for weight loss res72: Interventions diagnostic Read
ZC33.00 Dietary intake assessment using food models res72: Interventions diagnostic Read
ZC35.00 Dietary intake assessment using food diary res72: Interventions diagnostic Read
ZC36.00 Diet in ass usng food fr quest res72: Interventions diagnostic Read
ZC4..00 Dietary health promotion advice res72: Interventions diagnostic Read
ZG16.00 Advice about exercise res72: Interventions diagnostic Read
ZG16100 Advice to exercise res72: Interventions diagnostic Read
ZL45.00 Under care of dietitian res72: Interventions diagnostic Read
ZL45100 Under care of community-based dietitian res72: Interventions diagnostic Read
ZL45111 Under care of community dietitian res72: Interventions diagnostic Read
ZL45200 Under care of hospital-based dietitian res72: Interventions diagnostic Read
ZL45211 Under care of hospital dietitian res72: Interventions diagnostic Read
ZL82.00 Referral to dietitian res72: Interventions diagnostic Read
ZL82.11 Refer to dietician res72: Interventions diagnostic Read
ZL82.12 Refer to dietitian res72: Interventions diagnostic Read
ZL82100 Referral to community-based dietitian res72: Interventions diagnostic Read
ZL82111 Referral to community dietitian res72: Interventions diagnostic Read
ZL82200 Referral to hospital-based dietitian res72: Interventions diagnostic Read
ZL82211 Referral to hospital dietitian res72: Interventions diagnostic Read
ZLDH.00 Discharge by dietitian res72: Interventions diagnostic Read
ZLDH100 Discharge by hospital-based dietitian res72: Interventions diagnostic Read
ZLDH111 Discharge by hospital dietitian res72: Interventions diagnostic Read
ZLDH200 Discharge by community-based dietitian res72: Interventions diagnostic Read
ZLDH211 Discharge by community dietitian res72: Interventions diagnostic Read
ZLEH.00 Discharge from dietetics service res72: Interventions diagnostic Read
ZLEH100 Discharge from hospital dietetics service res72: Interventions diagnostic Read
ZLEH200 Discharge from community dietetics service res72: Interventions diagnostic Read
ZRBB.11 DINE-Diet instr nutr educ ques res72: Interventions diagnostic Read
ZV65300 [V]Dietary surveillance and counselling res72: Interventions diagnostic Read
ZV65312 [V]Dietary counselling in diabetes mellitus res72: Interventions diagnostic Read
ZV65313 [V]Dietary counselling res72: Interventions diagnostic Read
ZV65314 [V]Dietary surveillance res72: Interventions diagnostic Read
ZV65317 [V]Dietary surveillance in hypercholesterolaemia res72: Interventions diagnostic Read
ZV65318 [V]Dietary counselling in hypoglycaemia res72: Interventions diagnostic Read
ZV65319 [V]Dietary counselling in obesity res72: Interventions diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH925/version/1929/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH925/version/1929/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('PH925', '1929', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH925/version/1929/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH925/version/1929/export/codes/?format=json
CSV site_root/phenotypes/PH925/version/1929/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('PH925', '1929', api_client=client)

Version History

Version
ID
Name Owner Publish date
1929 Interventions ieuan.scanlon 2022-04-04 currently shown

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