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.
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.
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.
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)|
|22A5.11||O/E - obese||res72: Obesity||diagnostic||Read|
|22K5.00||Body mass index 30+ - obesity||res72: Obesity||diagnostic||Read|
|22K7.00||Body mass index 40+ - severely obese||res72: Obesity||diagnostic||Read|
|22KC.00||Obese class I (body mass index 30.0 - 34.9)||res72: Obesity||diagnostic||Read|
|22KD.00||Obese class II (body mass index 35.0 - 39.9)||res72: Obesity||diagnostic||Read|
|22KE.00||Obese class III (BMI equal to or greater than 40.0)||res72: Obesity||diagnostic||Read|
|66C4.00||Has seen dietician - obesity||res72: Obesity||diagnostic||Read|
|66C5.00||Treatment of obesity changed||res72: Obesity||diagnostic||Read|
|66C6.00||Treatment of obesity started||res72: Obesity||diagnostic||Read|
|8CV7.00||Anti-obesity drug therapy commenced||res72: Obesity||diagnostic||Read|
|C38..00||Obesity and other hyperalimentation||res72: Obesity||diagnostic||Read|
|C380200||Extreme obesity with alveolar hypoventilation||res72: Obesity||diagnostic||Read|
|C380300||Morbid obesity||res72: Obesity||diagnostic||Read|
|C380400||Central obesity||res72: Obesity||diagnostic||Read|
|C380500||Generalised obesity||res72: Obesity||diagnostic||Read|
|C38y011||Obesity hypoventilation syndrome||res72: Obesity||diagnostic||Read|
|C38z000||Simple obesity NOS||res72: Obesity||diagnostic||Read|
|Cyu7.00||[X]Obesity and other hyperalimentation||res72: Obesity||diagnostic||Read|
|Cyu7000||[X]Other obesity||res72: Obesity||diagnostic||Read|
|ZC2CM00||Dietary advice for obesity||res72: Obesity||diagnostic||Read|
To Export Phenotype Details:
To Export Phenotype Code List:
Export - export all codes into a csv file/JSON/XML for the current phenotype version.
Print - Print page.