ArticleBMC endocrine disorders2020
Study of hospitalization and mortality in Korean diabetic patients using the diabetes complications severity index.
Article in BMC endocrine disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Diabetes progression and its association with fracture risk in type 2 diabetes.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Severity of complications is associated with impaired health-related quality of life in people with type 1 diabetes.Diabetes, obesity & metabolism · 2026Article
- Early Enrollment in Diabetes Pay-for-Performance Program Reduced Loss of Life Expectancy in Newly-Diagnosed Patients with Type 2 Diabetes Mellitus.Diabetes & metabolism journal · 2025Article
- All-cause mortality risk following diabetic avoidable hospitalization among older patients with type 2 diabetes mellitus: a nationwide retrospective cohort study in South Korea.BMC public health · 2025Article
- Predictive models and determinants of mortality among T2DM patients in a tertiary hospital in Ghana, how do machine learning techniques perform?BMC endocrine disorders · 2025Article
- Is avoidable diabetes-related hospitalization in older patients with type 2 diabetes mellitus associated with increased health expenditure?: A nationwide retrospective cohort study in South Korea.Preventive medicine reports · 2025Article
- Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications.BMC health services research · 2024Article
- Relationships of Multidimensional Factors to Diabetes Complications: A Cross-Sectional, Correlational Study.Western journal of nursing research · 2024Article
- The impact of physical disability on the risk of gastric cancer incidence in elderly patients with diabetes: a focus on regional disparity.Cancer causes & control : CCC · 2024Article
- Article
- Management and rehabilitation of moderate-to-severe diabetic foot infection: a narrative review.Journal of Yeungnam medical science · 2023Article
- Clinical Link between the BARD Score at Diagnosis and Mortality during Follow-Up in Patients with Antineutrophil Cytoplasmic Antibody-Associated Vasculitis.Journal of clinical medicine · 2023Article
- The impact of the incidence of diabetic complications on mortality in colorectal cancer patients with diabetes: A nationwide study.International journal of colorectal disease · 2023Article
- Predicting 1-year mortality of patients with diabetes mellitus in Kazakhstan based on administrative health data using machine learning.Scientific reports · 2023Article
- Adapted Diabetes Complications Severity Index and Charlson Comorbidity Index in predicting all-cause and cause-specific mortality among patients with type 2 diabetes.BMJ open diabetes research & care · 2023Article
- A nationwide cohort study on diabetes severity and risk of Parkinson disease.NPJ Parkinson's disease · 2023Article
- Review
- Prucalopride might improve intestinal motility by promoting the regeneration of the enteric nervous system in diabetic rats.International journal of molecular medicine · 2022Article
- Disparities in diabetes-related avoidable hospitalization among diabetes patients with disability using a nationwide cohort study.Scientific reports · 2022Article
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3 authors.
Funding
Abstract
backgroundThe prevalence of type 2 diabetes mellitus (T2DM) is expected to increase from 7.7% in 2017 to 8.4% in 2045 worldwide. Diabetes complications contribute to morbidity and mortality. To evaluate whether the diabetes complications severity index (DCSI) was associated with increased risks of mortality and hospitalization.
methodsA retrospective cohort study was conducted using the National Health Insurance Database (NHID) sample cohort of 1,102,047 patients (2002-2015) in Korea. Diabetes complications were evaluated at 2 years after the initial diagnosis and during the subsequent follow-up period (mean duration 6.56 ± 2.81 years). The type and severity of complications were evaluated on the basis of the International Classification of Disease Ninth (ICD-9) codes used in DCSI with 7 categories and 55 subcategories of complications. The Cox proportional hazard and Poisson regression models were used to evaluate the mortality and hospitalization rates. The incidence and relative risk of diabetes complications as well as the risk of mortality and hospitalization were the main outcome measures.
resultsA total of 27,871 patients were finally included and grouped by the number of complications present at 2 years. Four hundred ninety patients (5.37%) died without complications, 659 (7.31%) died with one complication and 1153 (11.85%) died with two or more complications. As DCSI at index date increased, the risk of additional new diabetes complications increased by 26% [relative risk (RR) 1.26, 95% CI 1.25-1.27]. The risks of mortality and hospitalization were linearly related to DCSI [hazard ratio 1.13 (95% CI 1.11-1.16), relative risk 1.04 (95% CI 1.03-1.06)].
conclusionsPatients with higher incidence and severity of diabetes complications have increased risks of mortality and hospitalization.
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