{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:11:21Z","timestamp":1759515081970,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,4,16]],"date-time":"2014-04-16T00:00:00Z","timestamp":1397606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute of Health Research","doi-asserted-by":"crossref","award":["DRF-2011-04-054"],"award-info":[{"award-number":["DRF-2011-04-054"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Accurate measurement of emergency diabetes admissions is essential for healthcare delivery and research. This study examines whether current approaches to identifying diabetes\u2010related admissions may underestimate the true burden on hospital care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data spanning the period 1 January 2006 to 31 December 2010 inclusive were extracted from Hospital Episode Statistics data for England. Emergency admissions citing diabetes (E10, E11, E13 or E14) in any diagnosis position in adults (\u2265\u00a017\u00a0years) were included. E10 and E11 were considered analogous to Type\u00a01 and Type\u00a02 diabetes mellitus respectively; E13 and E14 were grouped as \u2018other or unspecified\u2019 diabetes mellitus. For admissions citing diabetes multiple times, those with concordant citations were classified as appropriate; discordant citations were assigned to the \u2018other or unspecified\u2019 group. Frequencies of diabetes classifications and complications for each diagnosis position and frequencies of all International Classification of Diseases 10th revision codes for the primary diagnosis field were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 2\u00a0443\u00a0046 admissions were identified. Diabetes was cited as the primary diagnosis in 6.2% and most commonly cited as the third diagnosis (23.1%). Type\u00a02 diabetes mellitus was the most common (85.0%). The majority of diabetes citations were \u2018without complication\u2019 (2\u00a0188\u00a0965, 89.6%). The most common primary diagnosis was \u2018chest pain, unspecified\u2019 (R07.4, 99\u00a0678, 4.1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reliance on the primary diagnosis field to identify emergency admissions in people with diabetes grossly underestimates the true burden placed on hospital care and leads to underestimates of effect sizes in studies utilizing admission rates as outcome measures. An alternative strategy to identify such admissions is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12444","type":"journal-article","created":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T16:25:07Z","timestamp":1395419107000},"page":"971-975","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Use of hospital admissions data to quantify the burden of emergency admissions in people with diabetes mellitus"],"prefix":"10.1111","volume":"31","author":[{"given":"D. C.","family":"Gibbons","sequence":"first","affiliation":[{"name":"Department of Primary Care and Public Health School of Public Health London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. A.","family":"Soljak","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health School of Public Health London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Millett","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health School of Public Health London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Valabhji","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology St Mary's Hospital Imperial College Healthcare NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Majeed","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health School of Public Health London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,16]]},"reference":[{"volume-title":"National Diabetes Audit 2010\u20132011\u2014Report 2: Complications and Mortality","year":"2012","author":"The Healthcare Quality Improvement Partnership","key":"e_1_2_6_2_1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.19.s4.2.x"},{"volume-title":"Diabetes Heartache: The Hard Reality of Cardiovascular Care for People With Diabetes","year":"2007","author":"Diabetes UK","key":"e_1_2_6_4_1"},{"key":"e_1_2_6_5_1","unstructured":"Yorkshire and Humber Public Health Observatory.APHO Diabetes Prevalence Model for England.2012. Available athttp:\/\/www.yhpho.org.uk\/default.aspx?RID=81090Last accessed 2 February 2013."},{"key":"e_1_2_6_6_1","first-page":"e419","article-title":"Potentially preventable hospitalizations among older adults with diabetes","volume":"17","author":"Kim H","year":"2011","journal-title":"Am J Manag Care"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-2070"},{"volume-title":"National Diabetes Inpatient Audit 2010","year":"2011","author":"NHS Diabetes","key":"e_1_2_6_8_1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.147058"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2010.01184.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp11X613142"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2010.07.006"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2010.03031.x"},{"key":"e_1_2_6_14_1","unstructured":"World Health Organization Department of Non\u2010Communicable Disease Surveillance.Definition Diagnosis and Classification of Diabetes Mellitus and its Complications. Report of a WHO Consultation. Part 1: Diagnosis and Classification of Diabetes Mellitus. Geneva: WHO 1999."},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199807233390404"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2011.10.010"},{"key":"e_1_2_6_17_1","unstructured":"Yorkshire and Humber Public Health Observatory.Variation in Inpatient Activity: Diabetes.2013. Available athttp:\/\/www.yhpho.org.uk\/default.aspx?RID=105866Last accessed 1 August 2013."},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2011.03535.x"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fdme.12444","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.12444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T15:56:20Z","timestamp":1696348580000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.12444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,16]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.1111\/dme.12444"],"URL":"https:\/\/doi.org\/10.1111\/dme.12444","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"type":"print","value":"0742-3071"},{"type":"electronic","value":"1464-5491"}],"subject":[],"published":{"date-parts":[[2014,4,16]]},"assertion":[{"value":"2013-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-03-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}