Evidence map›Paper›PMID 35951518›Full record

ArticlePloS one2022

Large socioeconomic gap in period life expectancy and life years spent with complications of diabetes in the Scottish population with type 1 diabetes, 2013-2018.

Andreas Höhn, Stuart J McGurnaghan, Thomas M Caparrotta, Anita Jeyam, Joseph E O'Reilly, Luke A K Blackbourn, Sara Hatam, Christian Dudel, Rosie J Seaman, Joseph Mellor and 8 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Association of wearableZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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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

18 authors at 8 institutions in 2 countries.

Andreas HöhnSchool of Geography and Sustainable Development, The University of St. Andrews, St. Andrews, United Kingdom.ORCID 0000-0002-7170-1205
Stuart J McGurnaghanInstitute of Genetics and Cancer, The University of Edinburgh, Edinburgh, United Kingdom.
Thomas M CaparrottaInstitute of Genetics and Cancer, The University of Edinburgh, Edinburgh, United Kingdom.
Anita JeyamInstitute of Genetics and Cancer, The University of Edinburgh, Edinburgh, United Kingdom.
Joseph E O'ReillyInstitute of Genetics and Cancer, The University of Edinburgh, Edinburgh, United Kingdom.
Luke A K BlackbournInstitute of Genetics and Cancer, The University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0003-4234-8040
Sara HatamInstitute of Genetics and Cancer, The University of Edinburgh, Edinburgh, United Kingdom.
Christian DudelMax Planck Institute for Demographic Research, Laboratory of Population Health, Rostock, GER.
Rosie J SeamanMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Joseph MellorUsher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, United Kingdom.
Naveed SattarInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.
Rory J McCrimmonSchool of Medicine, University of Dundee, Dundee, United Kingdom.
Brian KennonQueen Elizabeth University Hospital, University Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-4963-5870
John R PetrieInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.
Sarah WildUsher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, United Kingdom.
Paul M McKeigueUsher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, United Kingdom.
Helen M ColhounInstitute of Genetics and Cancer, The University of Edinburgh, Edinburgh, United Kingdom.
SDRN-Epi Group
Edinburgh Cancer Research · GBUniversity of Edinburgh · GBUniversity of Glasgow · GBMax Planck Institute for Demographic Research · DEMRC/CSO Social and Public Health Sciences Unit · GBQueen Elizabeth University Hospital · GBUniversity of Dundee · GBUniversity of St Andrews · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report the first study to estimate the socioeconomic gap in period life expectancy (LE) and life years spent with and without complications in a national cohort of individuals with type 1 diabetes.

methodsThis retrospective cohort study used linked healthcare records from SCI-Diabetes, the population-based diabetes register of Scotland. We studied all individuals aged 50 and older with a diagnosis of type 1 diabetes who were alive and residing in Scotland on 1 January 2013 (N = 8591). We used the Scottish Index of Multiple Deprivation (SIMD) 2016 as an area-based measure of socioeconomic deprivation. For each individual, we constructed a history of transitions by capturing whether individuals developed retinopathy/maculopathy, cardiovascular disease, chronic kidney disease, and diabetic foot, or died throughout the study period, which lasted until 31 December 2018. Using parametric multistate survival models, we estimated total and state-specific LE at an attained age of 50.

resultsAt age 50, remaining LE was 22.2 years (95% confidence interval (95% CI): 21.6 - 22.8) for males and 25.1 years (95% CI: 24.4 - 25.9) for females. Remaining LE at age 50 was around 8 years lower among the most deprived SIMD quintile when compared with the least deprived SIMD quintile: 18.7 years (95% CI: 17.5 - 19.9) vs. 26.3 years (95% CI: 24.5 - 28.1) among males, and 21.2 years (95% CI: 19.7 - 22.7) vs. 29.3 years (95% CI: 27.5 - 31.1) among females. The gap in life years spent without complications was around 5 years between the most and the least deprived SIMD quintile: 4.9 years (95% CI: 3.6 - 6.1) vs. 9.3 years (95% CI: 7.5 - 11.1) among males, and 5.3 years (95% CI: 3.7 - 6.9) vs. 10.3 years (95% CI: 8.3 - 12.3) among females. SIMD differences in transition rates decreased marginally when controlling for time-updated information on risk factors such as HbA1c, blood pressure, BMI, or smoking.

conclusionsIn addition to societal interventions, tailored support to reduce the impact of diabetes is needed for individuals from low socioeconomic backgrounds, including access to innovations in management of diabetes and the prevention of complications.

Indexed as

Diabetes ComplicationsDiabetes Mellitus, Type 1AgedFemaleHumansLife ExpectancyMaleMiddle AgedRetrospective StudiesScotlandSocioeconomic Factors

Identifiers

PMID35951518
PMCPMC9371295
OpenAlexW4291007860

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.