ClinicalCodes.org

An online clinical codes repository to improve validity and reproducibility of medical database research

Research article:

Cardiovascular Risk and Risk Factor Management in Type 2 Diabetes: A Population-Based Cohort Study Assessing Sex Disparities

Reference:

Alison K. Wright, Evangelos Kontopantelis, Richard Emsley, Iain Edward Buchan, Mamas A. Mamas, Naveed Sattar, Darren M. Ashcroft, and Martin K. Rutter(2019) Cardiovascular Risk and Risk Factor Management in Type 2 Diabetes: A Population-Based Cohort Study Assessing Sex Disparities. Circulation, doi: 10.1161/CIRCULATIONAHA.118.039100

Link to article
Abstract
Background: With recent changes in UK clinical practice for diabetes care, contemporary estimates of sex disparities in cardiovascular risk and risk factor management are needed. Methods: In this retrospective cohort study, using the Clinical Practice Research Datalink linked to hospital and death records for people in England, we identified 79,985 patients with incident T2DM between 2006-2013 matched to 386,547 patients without diabetes. Sex-stratified Cox models were used to assess cardiovascular risk. Results: Compared to women without T2DM, women with T2DM had a higher cardiovascular event risk (adjusted HR 1.20 [95% CI 1.12-1.28]) with similar corresponding data in men (HR 1.12 [1.06-1.19]) leading to a non-significant higher relative risk in women (risk ratio 1.07 [0.98-1.17]). However, some important sex differences in the management of risk factors were observed. Compared to men with T2DM, women with T2DM were more likely to be obese, hypertensive and have hypercholesterolaemia but were less likely to be prescribed lipid-lowering medication and ACE inhibitors, especially if they had CVD. Conclusions: Compared to men developing T2DM, women with T2DM do not have a significantly higher relative increase in cardiovascular risk, but ongoing sex disparities in prescribing should prompt heightened efforts to improve the standard and equity of diabetes care in women and men.
Author for correspondence
Alison Wright
Email for correspondence
alison.wright@manchester.ac.uk

Code list: res72: Diabetes

208 codes in list

Code Coding system Description Entity type List name dm_type
C100011 Read Insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 1
C100112 Read Non-insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 2
C103y00 Read Other specified diabetes mellitus with coma diagnostic res72: Diabetes Type 2
C108.00 Read Insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 1
C108000 Read Insulin-dependent diabetes mellitus with renal complications diagnostic res72: Diabetes Type 1
C108011 Read Type I diabetes mellitus with renal complications diagnostic res72: Diabetes Type 1
C108012 Read Type 1 diabetes mellitus with renal complications diagnostic res72: Diabetes Type 1
C108100 Read Insulin-dependent diabetes mellitus with ophthalmic comps diagnostic res72: Diabetes Type 1
C108.11 Read IDDM-Insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 1
C108112 Read Type 1 diabetes mellitus with ophthalmic complications diagnostic res72: Diabetes Type 1
C108.12 Read Type 1 diabetes mellitus diagnostic res72: Diabetes Type 1
C108.13 Read Type I diabetes mellitus diagnostic res72: Diabetes Type 1
C108200 Read Insulin-dependent diabetes mellitus with neurological comps diagnostic res72: Diabetes Type 1
C108211 Read Type I diabetes mellitus with neurological complications diagnostic res72: Diabetes Type 1
C108212 Read Type 1 diabetes mellitus with neurological complications diagnostic res72: Diabetes Type 1
C108300 Read Insulin dependent diabetes mellitus with multiple complicatn diagnostic res72: Diabetes Type 1
C108311 Read Type I diabetes mellitus with multiple complications diagnostic res72: Diabetes Type 1
C108411 Read Unstable type I diabetes mellitus diagnostic res72: Diabetes Type 1
C108412 Read Unstable type 1 diabetes mellitus diagnostic res72: Diabetes Type 1
C108500 Read Insulin dependent diabetes mellitus with ulcer diagnostic res72: Diabetes Type 1
C108511 Read Type I diabetes mellitus with ulcer diagnostic res72: Diabetes Type 1
C108512 Read Type 1 diabetes mellitus with ulcer diagnostic res72: Diabetes Type 1
C108600 Read Insulin dependent diabetes mellitus with gangrene diagnostic res72: Diabetes Type 1
C108700 Read Insulin dependent diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 1
C108711 Read Type I diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 1
C108712 Read Type 1 diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 1
C108800 Read Insulin dependent diabetes mellitus - poor control diagnostic res72: Diabetes Type 1
C108811 Read Type I diabetes mellitus - poor control diagnostic res72: Diabetes Type 1
C108812 Read Type 1 diabetes mellitus - poor control diagnostic res72: Diabetes Type 1
C108911 Read Type I diabetes mellitus maturity onset diagnostic res72: Diabetes Type 1
C108A00 Read Insulin-dependent diabetes without complication diagnostic res72: Diabetes Type 1
C108A11 Read Type I diabetes mellitus without complication diagnostic res72: Diabetes Type 1
C108B00 Read Insulin dependent diabetes mellitus with mononeuropathy diagnostic res72: Diabetes Type 1
C108B11 Read Type I diabetes mellitus with mononeuropathy diagnostic res72: Diabetes Type 1
C108C00 Read Insulin dependent diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 1
C108D00 Read Insulin dependent diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 1
C108D11 Read Type I diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 1
C108E00 Read Insulin dependent diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 1
C108E11 Read Type I diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 1
C108E12 Read Type 1 diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 1
C108F00 Read Insulin dependent diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 1
C108F11 Read Type I diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 1
C108F12 Read Type 1 diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 1
C108G00 Read Insulin dependent diab mell with peripheral angiopathy diagnostic res72: Diabetes Type 1
C108H00 Read Insulin dependent diabetes mellitus with arthropathy diagnostic res72: Diabetes Type 1
C108H11 Read Type I diabetes mellitus with arthropathy diagnostic res72: Diabetes Type 1
C108J00 Read Insulin dependent diab mell with neuropathic arthropathy diagnostic res72: Diabetes Type 1
C108J11 Read Type I diabetes mellitus with neuropathic arthropathy diagnostic res72: Diabetes Type 1
C108J12 Read Type 1 diabetes mellitus with neuropathic arthropathy diagnostic res72: Diabetes Type 1
C109.00 Read Non-insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 2
C109000 Read Non-insulin-dependent diabetes mellitus with renal comps diagnostic res72: Diabetes Type 2
C109011 Read Type II diabetes mellitus with renal complications diagnostic res72: Diabetes Type 2
C109012 Read Type 2 diabetes mellitus with renal complications diagnostic res72: Diabetes Type 2
C109100 Read Non-insulin-dependent diabetes mellitus with ophthalm comps diagnostic res72: Diabetes Type 2
C109.11 Read NIDDM - Non-insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 2
C109111 Read Type II diabetes mellitus with ophthalmic complications diagnostic res72: Diabetes Type 2
C109112 Read Type 2 diabetes mellitus with ophthalmic complications diagnostic res72: Diabetes Type 2
C109.12 Read Type 2 diabetes mellitus diagnostic res72: Diabetes Type 2
C109.13 Read Type II diabetes mellitus diagnostic res72: Diabetes Type 2
C109200 Read Non-insulin-dependent diabetes mellitus with neuro comps diagnostic res72: Diabetes Type 2
C109211 Read Type II diabetes mellitus with neurological complications diagnostic res72: Diabetes Type 2
C109212 Read Type 2 diabetes mellitus with neurological complications diagnostic res72: Diabetes Type 2
C109300 Read Non-insulin-dependent diabetes mellitus with multiple comps diagnostic res72: Diabetes Type 2
C109312 Read Type 2 diabetes mellitus with multiple complications diagnostic res72: Diabetes Type 2
C109400 Read Non-insulin dependent diabetes mellitus with ulcer diagnostic res72: Diabetes Type 2
C109411 Read Type II diabetes mellitus with ulcer diagnostic res72: Diabetes Type 2
C109412 Read Type 2 diabetes mellitus with ulcer diagnostic res72: Diabetes Type 2
C109500 Read Non-insulin dependent diabetes mellitus with gangrene diagnostic res72: Diabetes Type 2
C109511 Read Type II diabetes mellitus with gangrene diagnostic res72: Diabetes Type 2
C109512 Read Type 2 diabetes mellitus with gangrene diagnostic res72: Diabetes Type 2
C109600 Read Non-insulin-dependent diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 2
C109611 Read Type II diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 2
C109612 Read Type 2 diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 2
C109700 Read Non-insulin dependent diabetes mellitus - poor control diagnostic res72: Diabetes Type 2
C109711 Read Type II diabetes mellitus - poor control diagnostic res72: Diabetes Type 2
C109712 Read Type 2 diabetes mellitus - poor control diagnostic res72: Diabetes Type 2
C109900 Read Non-insulin-dependent diabetes mellitus without complication diagnostic res72: Diabetes Type 2
C109911 Read Type II diabetes mellitus without complication diagnostic res72: Diabetes Type 2
C109912 Read Type 2 diabetes mellitus without complication diagnostic res72: Diabetes Type 2
C109A00 Read Non-insulin dependent diabetes mellitus with mononeuropathy diagnostic res72: Diabetes Type 2
C109A11 Read Type II diabetes mellitus with mononeuropathy diagnostic res72: Diabetes Type 2
C109B00 Read Non-insulin dependent diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 2
C109B11 Read Type II diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 2
C109B12 Read Type 2 diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 2
C109C00 Read Non-insulin dependent diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 2
C109C11 Read Type II diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 2
C109C12 Read Type 2 diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 2
C109D00 Read Non-insulin dependent diabetes mellitus with hypoglyca coma diagnostic res72: Diabetes Type 2
C109D11 Read Type II diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 2
C109D12 Read Type 2 diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 2
C109E00 Read Non-insulin depend diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 2
C109E11 Read Type II diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 2
C109E12 Read Type 2 diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 2
C109F11 Read Type II diabetes mellitus with peripheral angiopathy diagnostic res72: Diabetes Type 2
C109F12 Read Type 2 diabetes mellitus with peripheral angiopathy diagnostic res72: Diabetes Type 2
C109G00 Read Non-insulin dependent diabetes mellitus with arthropathy diagnostic res72: Diabetes Type 2
C109G11 Read Type II diabetes mellitus with arthropathy diagnostic res72: Diabetes Type 2
C109G12 Read Type 2 diabetes mellitus with arthropathy diagnostic res72: Diabetes Type 2
C109H11 Read Type II diabetes mellitus with neuropathic arthropathy diagnostic res72: Diabetes Type 2
C109H12 Read Type 2 diabetes mellitus with neuropathic arthropathy diagnostic res72: Diabetes Type 2
C109J00 Read Insulin treated Type 2 diabetes mellitus diagnostic res72: Diabetes Type 2
C109J11 Read Insulin treated non-insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 2
C109J12 Read Insulin treated Type II diabetes mellitus diagnostic res72: Diabetes Type 2
C109K00 Read Hyperosmolar non-ketotic state in type 2 diabetes mellitus diagnostic res72: Diabetes Type 2
C10E.00 Read Type 1 diabetes mellitus diagnostic res72: Diabetes Type 1
C10E000 Read Type 1 diabetes mellitus with renal complications diagnostic res72: Diabetes Type 1
C10E011 Read Type I diabetes mellitus with renal complications diagnostic res72: Diabetes Type 1
C10E012 Read Insulin-dependent diabetes mellitus with renal complications diagnostic res72: Diabetes Type 1
C10E100 Read Type 1 diabetes mellitus with ophthalmic complications diagnostic res72: Diabetes Type 1
C10E.11 Read Type I diabetes mellitus diagnostic res72: Diabetes Type 1
C10E111 Read Type I diabetes mellitus with ophthalmic complications diagnostic res72: Diabetes Type 1
C10E112 Read Insulin-dependent diabetes mellitus with ophthalmic comps diagnostic res72: Diabetes Type 1
C10E.12 Read Insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 1
C10E200 Read Type 1 diabetes mellitus with neurological complications diagnostic res72: Diabetes Type 1
C10E212 Read Insulin-dependent diabetes mellitus with neurological comps diagnostic res72: Diabetes Type 1
C10E300 Read Type 1 diabetes mellitus with multiple complications diagnostic res72: Diabetes Type 1
C10E311 Read Type I diabetes mellitus with multiple complications diagnostic res72: Diabetes Type 1
C10E312 Read Insulin dependent diabetes mellitus with multiple complicat diagnostic res72: Diabetes Type 1
C10E400 Read Unstable type 1 diabetes mellitus diagnostic res72: Diabetes Type 1
C10E411 Read Unstable type I diabetes mellitus diagnostic res72: Diabetes Type 1
C10E412 Read Unstable insulin dependent diabetes mellitus diagnostic res72: Diabetes Type 1
C10E500 Read Type 1 diabetes mellitus with ulcer diagnostic res72: Diabetes Type 1
C10E511 Read Type I diabetes mellitus with ulcer diagnostic res72: Diabetes Type 1
C10E512 Read Insulin dependent diabetes mellitus with ulcer diagnostic res72: Diabetes Type 1
C10E600 Read Type 1 diabetes mellitus with gangrene diagnostic res72: Diabetes Type 1
C10E611 Read Type I diabetes mellitus with gangrene diagnostic res72: Diabetes Type 1
C10E612 Read Insulin dependent diabetes mellitus with gangrene diagnostic res72: Diabetes Type 1
C10E700 Read Type 1 diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 1
C10E711 Read Type I diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 1
C10E712 Read Insulin dependent diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 1
C10E800 Read Type 1 diabetes mellitus - poor control diagnostic res72: Diabetes Type 1
C10E811 Read Type I diabetes mellitus - poor control diagnostic res72: Diabetes Type 1
C10E812 Read Insulin dependent diabetes mellitus - poor control diagnostic res72: Diabetes Type 1
C10EA00 Read Type 1 diabetes mellitus without complication diagnostic res72: Diabetes Type 1
C10EA11 Read Type I diabetes mellitus without complication diagnostic res72: Diabetes Type 1
C10EA12 Read Insulin-dependent diabetes without complication diagnostic res72: Diabetes Type 1
C10EB00 Read Type 1 diabetes mellitus with mononeuropathy diagnostic res72: Diabetes Type 1
C10EC00 Read Type 1 diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 1
C10EC11 Read Type I diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 1
C10EC12 Read Insulin dependent diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 1
C10ED00 Read Type 1 diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 1
C10ED12 Read Insulin dependent diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 1
C10EE00 Read Type 1 diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 1
C10EE12 Read Insulin dependent diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 1
C10EF00 Read Type 1 diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 1
C10EF12 Read Insulin dependent diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 1
C10EG00 Read Type 1 diabetes mellitus with peripheral angiopathy diagnostic res72: Diabetes Type 1
C10EH00 Read Type 1 diabetes mellitus with arthropathy diagnostic res72: Diabetes Type 1
C10EJ00 Read Type 1 diabetes mellitus with neuropathic arthropathy diagnostic res72: Diabetes Type 1
C10EK00 Read Type 1 diabetes mellitus with persistent proteinuria diagnostic res72: Diabetes Type 1
C10EL00 Read Type 1 diabetes mellitus with persistent microalbuminuria diagnostic res72: Diabetes Type 1
C10EL11 Read Type I diabetes mellitus with persistent microalbuminuria diagnostic res72: Diabetes Type 1
C10EM00 Read Type 1 diabetes mellitus with ketoacidosis diagnostic res72: Diabetes Type 1
C10EM11 Read Type I diabetes mellitus with ketoacidosis diagnostic res72: Diabetes Type 1
C10EN00 Read Type 1 diabetes mellitus with ketoacidotic coma diagnostic res72: Diabetes Type 1
C10EN11 Read Type I diabetes mellitus with ketoacidotic coma diagnostic res72: Diabetes Type 1
C10EP00 Read Type 1 diabetes mellitus with exudative maculopathy diagnostic res72: Diabetes Type 1
C10EP11 Read Type I diabetes mellitus with exudative maculopathy diagnostic res72: Diabetes Type 1
C10EQ00 Read Type 1 diabetes mellitus with gastroparesis diagnostic res72: Diabetes Type 1
C10EQ11 Read Type I diabetes mellitus with gastroparesis diagnostic res72: Diabetes Type 1
C10F.00 Read Type 2 diabetes mellitus diagnostic res72: Diabetes Type 2
C10F000 Read Type 2 diabetes mellitus with renal complications diagnostic res72: Diabetes Type 2
C10F011 Read Type II diabetes mellitus with renal complications diagnostic res72: Diabetes Type 2
C10F100 Read Type 2 diabetes mellitus with ophthalmic complications diagnostic res72: Diabetes Type 2
C10F.11 Read Type II diabetes mellitus diagnostic res72: Diabetes Type 2
C10F111 Read Type II diabetes mellitus with ophthalmic complications diagnostic res72: Diabetes Type 2
C10F200 Read Type 2 diabetes mellitus with neurological complications diagnostic res72: Diabetes Type 2
C10F211 Read Type II diabetes mellitus with neurological complications diagnostic res72: Diabetes Type 2
C10F300 Read Type 2 diabetes mellitus with multiple complications diagnostic res72: Diabetes Type 2
C10F311 Read Type II diabetes mellitus with multiple complications diagnostic res72: Diabetes Type 2
C10F400 Read Type 2 diabetes mellitus with ulcer diagnostic res72: Diabetes Type 2
C10F411 Read Type II diabetes mellitus with ulcer diagnostic res72: Diabetes Type 2
C10F500 Read Type 2 diabetes mellitus with gangrene diagnostic res72: Diabetes Type 2
C10F511 Read Type II diabetes mellitus with gangrene diagnostic res72: Diabetes Type 2
C10F600 Read Type 2 diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 2
C10F611 Read Type II diabetes mellitus with retinopathy diagnostic res72: Diabetes Type 2
C10F700 Read Type 2 diabetes mellitus - poor control diagnostic res72: Diabetes Type 2
C10F711 Read Type II diabetes mellitus - poor control diagnostic res72: Diabetes Type 2
C10F900 Read Type 2 diabetes mellitus without complication diagnostic res72: Diabetes Type 2
C10F911 Read Type II diabetes mellitus without complication diagnostic res72: Diabetes Type 2
C10FA00 Read Type 2 diabetes mellitus with mononeuropathy diagnostic res72: Diabetes Type 2
C10FA11 Read Type II diabetes mellitus with mononeuropathy diagnostic res72: Diabetes Type 2
C10FB00 Read Type 2 diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 2
C10FB11 Read Type II diabetes mellitus with polyneuropathy diagnostic res72: Diabetes Type 2
C10FC00 Read Type 2 diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 2
C10FC11 Read Type II diabetes mellitus with nephropathy diagnostic res72: Diabetes Type 2
C10FD00 Read Type 2 diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 2
C10FD11 Read Type II diabetes mellitus with hypoglycaemic coma diagnostic res72: Diabetes Type 2
C10FE00 Read Type 2 diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 2
C10FE11 Read Type II diabetes mellitus with diabetic cataract diagnostic res72: Diabetes Type 2
C10FF00 Read Type 2 diabetes mellitus with peripheral angiopathy diagnostic res72: Diabetes Type 2
C10FF11 Read Type II diabetes mellitus with peripheral angiopathy diagnostic res72: Diabetes Type 2
C10FG11 Read Type II diabetes mellitus with arthropathy diagnostic res72: Diabetes Type 2
C10FH00 Read Type 2 diabetes mellitus with neuropathic arthropathy diagnostic res72: Diabetes Type 2
C10FH11 Read Type II diabetes mellitus with neuropathic arthropathy diagnostic res72: Diabetes Type 2
C10FJ00 Read Insulin treated Type 2 diabetes mellitus diagnostic res72: Diabetes Type 2
C10FJ11 Read Insulin treated Type II diabetes mellitus diagnostic res72: Diabetes Type 2
C10FK00 Read Hyperosmolar non-ketotic state in type 2 diabetes mellitus diagnostic res72: Diabetes Type 2
C10FK11 Read Hyperosmolar non-ketotic state in type II diabetes mellitus diagnostic res72: Diabetes Type 2
C10FL00 Read Type 2 diabetes mellitus with persistent proteinuria diagnostic res72: Diabetes Type 2
C10FL11 Read Type II diabetes mellitus with persistent proteinuria diagnostic res72: Diabetes Type 2
C10FM00 Read Type 2 diabetes mellitus with persistent microalbuminuria diagnostic res72: Diabetes Type 2
C10FM11 Read Type II diabetes mellitus with persistent microalbuminuria diagnostic res72: Diabetes Type 2
C10FN00 Read Type 2 diabetes mellitus with ketoacidosis diagnostic res72: Diabetes Type 2
C10FN11 Read Type II diabetes mellitus with ketoacidosis diagnostic res72: Diabetes Type 2
C10FP00 Read Type 2 diabetes mellitus with ketoacidotic coma diagnostic res72: Diabetes Type 2
C10FQ00 Read Type 2 diabetes mellitus with exudative maculopathy diagnostic res72: Diabetes Type 2
C10FR00 Read Type 2 diabetes mellitus with gastroparesis diagnostic res72: Diabetes Type 2

0 comments have been posted.

Please log in to leave a comment.