Evidence map›Paper›PMID 39138446›Full record

ArticleBMC public health2024

Disability-related disparities in health outcomes among newly diagnosed diabetic patients: A retrospective cohort.

Sujin Kim, Boyoung Jeon

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Sujin KimDepartment of Healthcare Policy Research, Korea Institute for Health and Social Affairs, Sejong-si, 30147, Republic of Korea.
Boyoung JeonDepartment of Health and Medical Information, Myongji College, 134, Gajwa-ro, Seodaemun-gu, Seoul, 03656, Republic of Korea. jeon.boyoung26@gmail.com.

Funding

Korea Institute for Health and Social Affairs research number 2022-33National Research Foundation of Korea (NRF) 2022S1A5C2A03092307
6 · The paper itself

Abstract

backgroundA distinct gap in the literature persists regarding the health outcome of individuals with Type 2 diabetes who also have disabilities. This study aimed to investigate potential disparities in events occurrence among diabetes patients across various disability stages.

methodsWe conducted a retrospective cohort study on patients newly diagnosed with diabetes in 2013 and 2014, aged ≥ 18 years, and followed them until December 2021, using data from the Korean National Health Insurance database. All-cause mortality and hospitalization for diabetes mellitus and cardio-cerebrovascular diseases (CVD) was assessed.

resultsThe study included 26,085 patients, encompassing individuals without disabilities and those with physical, visual, hearing and speech, intellectual and developmental, and mental disabilities. After adjustment, individuals with disabilities had a higher risk of all-cause death (adjusted hazard ratio [aHR]: 1.25, 95% CI: 1.07-1.48) compared to those without disabilities. In particular, severe disabilities and hearing and speech disabilities showed significantly higher risks of all-cause death (aHR: 1.40, 95% CI: 1.06-1.85 and aHR: 1.58, 95% CI: 1.17-2.15, respectively), with marginal significance for mild disabilities (aHR: 1.20, 95% CI: 0.99-1.45) and mental disorders (aHR: 1.92, 95% CI: 0.98-3.73). Patients with disabilities also had significantly increased risks of CVD-related first admissions (aHR: 1.30, 95% CI: 1.07-1.56) and diabetes-related first admissions (aHR: 1.31, 95% CI: 1.20-1.43) compared to those without disabilities.

conclusionsThis study underscores the urgent need for public health policies to prioritize individuals with disabilities and diabetes, addressing the disparities in health outcome.

Indexed as

Diabetes Mellitus, Type 2Health Status DisparitiesPersons with DisabilitiesAdultAgedCause of DeathFemaleHospitalizationHumansMaleMiddle AgedRepublic of KoreaRetrospective StudiesYoung AdultDiabetes mellitusHealth disparitiesHospitalizationMortalityPersons with disability

Identifiers

PMID39138446
PMCPMC11323359

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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.