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Life expectancy of type 1 diabetic patients during 1997-2010: a national Australian registry-based cohort study

Huo, Lili, Harding, Jessca L., Peeters, Anna, Shaw, Jonathan E. and Magliano, Dianna J. 2016, Life expectancy of type 1 diabetic patients during 1997-2010: a national Australian registry-based cohort study, Diabetologia, vol. 59, no. 6, pp. 1177-1185, doi: 10.1007/s00125-015-3857-4.

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Title Life expectancy of type 1 diabetic patients during 1997-2010: a national Australian registry-based cohort study
Author(s) Huo, Lili
Harding, Jessca L.
Peeters, AnnaORCID iD for Peeters, Anna orcid.org/0000-0003-4340-9132
Shaw, Jonathan E.
Magliano, Dianna J.
Journal name Diabetologia
Volume number 59
Issue number 6
Start page 1177
End page 1185
Total pages 9
Publisher Springer
Place of publication Berlin, Germany
Publication date 2016-06
ISSN 0012-186X
1432-0428
Keyword(s) life expectancy
Type 1 diabetes
years of life lost
Summary AIMS/ HYPOTHESIS:
There is limited information about the impact of type 1 diabetes on life expectancy in a contemporary population. We examined the life expectancy of type 1 diabetic patients and explored the contribution of mortality at different ages and of different causes of death to years of life lost (YLL) compared with the general population.

METHODS:
We derived mortality rates of Australians with type 1 diabetes listed on the National Diabetes Services Scheme (NDSS) between 1997 and 2010 (n = 85,547) by linking the NDSS to the National Death Index. The Chiang method was used to estimate life expectancy and Arriaga's method was used to estimate the contributions of age-specific and cause-specific mortality to the YLL.

RESULTS:
A total of 5,981 deaths were identified during the 902,136 person-years of follow up. Type 1 diabetic patients had an estimated life expectancy at birth of 68.6 years (95% CI 68.1, 69.1), which was 12.2 years (95% CI 11.8, 12.7) less than that in the general population. The improvement in life expectancy at birth in 2004-2010 compared with 1997-2003 was similar for both type 1 diabetic patients (men, 1.9 years [95% CI 0.4, 3.3]; women, 1.5 years [95% CI 0.0, 3.2]) and the general population (men, 2.2 years; women, 1.4 years). Deaths at age <60 years accounted for 60% of the YLL from type 1 diabetes for men and 45% for women. The major contribution to YLL was mortality from endocrine and metabolic disease at age 10-39 years (men, 39-59%; women, 35-50%) and from circulatory disease at age ≥40 years (men, 43-75%; women, 34-75%).

CONCLUSIONS/ INTERPRETATION:
Data from 1997 to 2010 showed that Australian type 1 diabetic patients had an estimated loss in life expectancy at birth of 12.2 years compared with the general population.
Language eng
DOI 10.1007/s00125-015-3857-4
Field of Research 110306 Endocrinology
1103 Clinical Sciences
1114 Paediatrics And Reproductive Medicine
1117 Public Health And Health Services
Socio Economic Objective 920104 Diabetes
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Springer-Verlag
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081568

Document type: Journal Article
Collection: School of Health and Social Development
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