Evidence map›Paper›PMID 35569825›Full record

ArticleBMJ open2022

Prevalence and incidence of diabetes among Aboriginal people in remote communities of the Northern Territory, Australia: a retrospective, longitudinal data-linkage study.

Matthew J L Hare, Yuejen Zhao, Steven Guthridge, Paul Burgess, Elizabeth L M Barr, Elna Ellis, Deborah Butler, Amy Rosser, Henrik Falhammar, Louise J Maple-Brown

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Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Matthew J L HareMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia matthew.hare@menzies.edu.au.ORCID 0000-0002-9364-3368
Yuejen ZhaoPopulation and Digital Health, NT Health, Darwin, Northern Territory, Australia.ORCID 0000-0002-5775-4503
Steven GuthridgeMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Paul BurgessPopulation and Digital Health, NT Health, Darwin, Northern Territory, Australia.
Elizabeth L M BarrMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Elna EllisDepartment of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
Deborah ButlerSector and System Leadership Division, NT Health, Darwin, Northern Territory, Australia.
Amy RosserPrimary Health Care Division, Central Australia Region, NT Health, Alice Springs, Northern Territory, Australia.
Henrik FalhammarDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-5622-6987
Louise J Maple-BrownMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the prevalence and incidence of diabetes among Aboriginal peoples in remote communities of the Northern Territory (NT), Australia.

designRetrospective cohort analysis of linked clinical and administrative data sets from 1 July 2012 to 30 June 2019.

settingRemote health centres using the NT Government Primary Care Information System (51 out of a total of 84 remote health centres in the NT).

participantsAll Aboriginal clients residing in remote communities serviced by these health centres (N=21 267). PRIMARY OUTCOME MEASURES: Diabetes diagnoses were established using hospital and primary care coding, biochemistry and prescription data.

resultsDiabetes prevalence across all ages increased from 14.4% (95% CI: 13.9% to 14.9%) to 17.0% (95% CI: 16.5% to 17.5%) over 7 years. Among adults (≥20 years), the 2018/2019 diabetes prevalence was 28.6% (95% CI: 27.8% to 29.4%), being higher in Central Australia (39.5%, 95% CI: 37.8% to 41.1%) compared with the Top End region (24.2%, 95% CI: 23.3% to 25.1%, p<0.001). Between 2016/2017 and 2018/2019, diabetes incidence across all ages was 7.9 per 1000 person-years (95% CI: 7.3 to 8.7 per 1000 person-years). The adult incidence of diabetes was 12.6 per 1000 person-years (95% CI: 11.5 to 13.8 per 1000 person-years).

conclusionsThe burden of diabetes in the remote Aboriginal population of the NT is among the highest in the world. Strengthened systems of care and public health prevention strategies, developed in partnership with Aboriginal communities, are needed.

Indexed as

Diabetes MellitusAdultChildHumansIncidenceNorthern TerritoryPrevalenceRetrospective StudiesEPIDEMIOLOGYGeneral diabetesPUBLIC HEALTH

Identifiers

PMID35569825
PMCPMC9125760

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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.