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: Microvascular complications
62 codes in list
| Code | Coding system | Description | Entity type | List name | microvascular_type | ||
|---|---|---|---|---|---|---|---|
| 2BBa.00 | Read | O/E- non-referable retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBk.00 | Read | O/E - right eye stable treated prolif diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBl.00 | Read | O/E - left eye stable treated prolif diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBo.00 | Read | O/E - sight threatening diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBP.00 | Read | O/E - right eye background diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBQ.00 | Read | O/E - left eye background diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBr.00 | Read | Impaired vision due to diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBR.00 | Read | O/E - right eye preproliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBS.00 | Read | O/E - left eye preproliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBT.00 | Read | O/E - right eye proliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBV.00 | Read | O/E - left eye proliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| 2BBY.00 | Read | O/E - referable retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C106.12 | Read | Diabetes mellitus with neuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C106.13 | Read | Diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C108700 | Read | Insulin dependent diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C108711 | Read | Type I diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C108712 | Read | Type 1 diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C108B00 | Read | Insulin dependent diabetes mellitus with mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C108B11 | Read | Type I diabetes mellitus with mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C108C00 | Read | Insulin dependent diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C109600 | Read | Non-insulin-dependent diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C109611 | Read | Type II diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C109612 | Read | Type 2 diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C109A00 | Read | Non-insulin dependent diabetes mellitus with mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C109A11 | Read | Type II diabetes mellitus with mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C109B00 | Read | Non-insulin dependent diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C109B11 | Read | Type II diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C109B12 | Read | Type 2 diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10E700 | Read | Type 1 diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C10E711 | Read | Type I diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C10E712 | Read | Insulin dependent diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C10EB00 | Read | Type 1 diabetes mellitus with mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10EC00 | Read | Type 1 diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10EC11 | Read | Type I diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10EC12 | Read | Insulin dependent diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10F600 | Read | Type 2 diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C10F611 | Read | Type II diabetes mellitus with retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| C10FA00 | Read | Type 2 diabetes mellitus with mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10FA11 | Read | Type II diabetes mellitus with mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10FB00 | Read | Type 2 diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| C10FB11 | Read | Type II diabetes mellitus with polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F171.00 | Read | Peripheral autonomic neuropathy disease EC | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F171100 | Read | Autonomic neuropathy due to diabetes | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F366.00 | Read | Polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F367.00 | Read | Peripheral neuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F372.00 | Read | Polyneuropathy in diabetes | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F372000 | Read | Acute painful diabetic neuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F372100 | Read | Chronic painful diabetic neuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F372.11 | Read | Diabetic polyneuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F372.12 | Read | Diabetic neuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F372200 | Read | Asymptomatic diabetic neuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F374500 | Read | Polyneuropathy in hypoglycaemia | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F3y0.00 | Read | Diabetic mononeuropathy | diagnostic | res72: Microvascular complications | Neuropathy | ||
| F420.00 | Read | Diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F420000 | Read | Background diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F420100 | Read | Proliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F420200 | Read | Preproliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F420600 | Read | Non proliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F420700 | Read | High risk proliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F420800 | Read | High risk non proliferative diabetic retinopathy | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F420z00 | Read | Diabetic retinopathy NOS | diagnostic | res72: Microvascular complications | Retinopathy | ||
| F422z00 | Read | Proliferative retinopathy NOS | diagnostic | res72: Microvascular complications | Retinopathy |
Please log in to leave a comment.
Code list links:
ClinicalCodes is a project at the University of Manchester Institute of Population Health
The ClinicalCodes project is funded by the National Institute for Health Research (NIHR) School for Primary Care Research (SPCR)