ArticleDiabetes research and clinical practice2020
Disparities in diabetes-related multiple chronic conditions and mortality: The influence of race.
Article in Diabetes research and clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Pooled it
- Pooled it
- Comparative Effectiveness of Diabetes Self-Care Interventions in African-American Adults: A Three-Arm Randomized Controlled Trial.Journal of general internal medicine · 2026Trial
- Trial
- Development and validation of a model using routine clinical features to improve diabetes diagnosis.Journal of the Endocrine Society · 2026Article
- Trends in comorbidities and multimorbidity among adults with recently diagnosed diabetes: United States, 1999-2023.Diabetes research and clinical practice · 2026Article
- Long-Term Survival Disparities by Race and Ethnicity Among Cancer Survivors in United States.Cancer medicine · 2026Article
- Competing Risk Analysis for Diabetes Mellitus Mortality in Bladder Cancer Patients: A Population-based Study.Current cancer drug targets · 2026Article
- Article
- Article
- Diabetes Care Delivery and Outcomes by Race and Ethnicity: Evaluation of an Enhanced Primary Care Practice Model in the US Upper Midwest.Annals of family medicine · 2025Article
- The Burden of Diabetes Mortality by County, Race, and Ethnicity in the U.S., 2000-2019.Diabetes care · 2025Article
- Effects of the Part D Senior Savings Model on racial and ethnic disparities in healthcare costs.Current medical research and opinion · 2025Article
- Article
- Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Keep it Movin': Design and methods of a church-based physical activity program to improve physical function among midlife and older black adults.Contemporary clinical trials · 2024Article
- Community Participation in Native American and White Individuals After Traumatic Brain Injury: A 5-Year Longitudinal Model Systems Study.Brain and behavior · 2024Article
- The mediating role of systemic inflammation and moderating role of racialization in disparities in incident dementia.Communications medicine · 2024Article
- Racial and Ethnic Differences in Social Determinants of Health and Health-Related Social Needs Among Adults - Behavioral Risk Factor Surveillance System, United States, 2022.MMWR. Morbidity and mortality weekly report · 2024Article
- Epidemiological patterns of chronic kidney disease attributed to type 2 diabetes from 1990-2019.Frontiers in endocrinology · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
aimsThe aims of this study are to confirm disparities in diabetes mortality rates based on race, determine if race predicts combinations of diabetes and multiple chronic conditions (MCC) that are leading causes of death (LCD), and determine if combinations of diabetes plus MCC mediate the relationship between race and mortality.
methodsWe performed a retrospective cohort study of 443,932 Medicare beneficiaries in the State of Michigan with type 2 diabetes mellitus and MCC. We applied Cox proportional hazards regression to determine predictors of mortality. We applied multinomial logistic regression to determine predictors of MCC combinations.
resultsWe found that race influences mortality in Medicare beneficiaries with Type 2 diabetes mellitus and MCC. Prior to adjusting for MCC combinations, we observed that Blacks and American Indian/Alaska Natives have increased risk of mortality compared to Whites, while there is no difference in mortality between Hispanics and Whites. Regarding MCC combinations, Black/African American beneficiaries experience increased odds for most MCC combinations while Asian/Pacific Islanders and Hispanics experience lower odds for MCC combinations, compared to Whites. When adjusting for MCC, mortality disparities observed between Whites, Black/African Americans, and American Indians/Alaska Natives persist.
conclusionsCompared to Whites, Black/African Americans in our cohort had increased odds of most MCC combinations, and an increased risk of mortality that persisted even after adjusting for MCC combinations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.