{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:15:24Z","timestamp":1790774124605,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T00:00:00Z","timestamp":1623628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000361","name":"Diabetes UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000361","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>The National Diabetes Audit (NDA) collates and analyses data on the quality and variation in clinical care and outcomes for people with diabetes. It also provides opportunities to assess trends, determinants, and outcomes of diabetes to help guide clinical and public health priorities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Cohort<\/jats:title><jats:p>Between 1 January 2003 and 31 March 2020, a total of 5,280,885 people diagnosed with diabetes were included in at least one NDA data collection. To this date, median follow\u2010up was 12 and 8\u00a0years for people with type 1 diabetes and type 2 diabetes respectively. Comparisons with the 2019\/20 Quality and Outcomes Framework show it included 98% of adults in England and Wales with diagnosed type 1 and type 2 diabetes. Data include demographic characteristics (age, sex, ethnicity, age at diagnosis, deprivation), risk factors (HbA<jats:sub>1c<\/jats:sub>, blood pressure, cholesterol, body mass index, smoking status) diabetic and cardiovascular complications and deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Secondary analysis<\/jats:title><jats:p>Secondary analyses have included comparisons of HbA<jats:sub>1c<\/jats:sub> and blood pressure measurements in cohorts with similar characteristics to the Epidemiology of Diabetes Interventions and Complications study and the UK Prospective Diabetes Study; COVID\u201019 related mortality in people with type 1 and type 2 diabetes and incidence of type 2 diabetes following admission to intensive care units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Future plans<\/jats:title><jats:p>Commissioned NDA reports will continue to inform service development in England and Wales. The same data, with or without linkages to other external datasets, are also a rich resource for clinically orientated research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.14616","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T17:02:10Z","timestamp":1622566930000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Cohort profile: National Diabetes Audit for England and Wales"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7432-5786","authenticated-orcid":false,"given":"Naomi","family":"Holman","sequence":"first","affiliation":[{"name":"Institute of Cardiovascular and Medical Sciences University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Knighton","sequence":"additional","affiliation":[{"name":"Analytical Services\u2014Population Health, Clinical Audit and Specialist Care NHS Digital Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7824-2569","authenticated-orcid":false,"given":"Sarah H.","family":"Wild","sequence":"additional","affiliation":[{"name":"Usher Institute College of Medicine and Veterinary Medicine University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1604-2593","authenticated-orcid":false,"given":"Naveed","family":"Sattar","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular and Medical Sciences University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Dew","sequence":"additional","affiliation":[{"name":"Analytical Services\u2014Population Health, Clinical Audit and Specialist Care NHS Digital Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2381-6822","authenticated-orcid":false,"given":"Edward W.","family":"Gregg","sequence":"additional","affiliation":[{"name":"School of Public Health Imperial College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2343-7099","authenticated-orcid":false,"given":"Kamlesh","family":"Khunti","sequence":"additional","affiliation":[{"name":"Diabetes Research Centre University of Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9756-4061","authenticated-orcid":false,"given":"Jonathan","family":"Valabhji","sequence":"additional","affiliation":[{"name":"NHS England and NHS Improvement London UK"},{"name":"Department of Diabetes and Endocrinology St. Mary's Hospital Imperial College Healthcare NHS Trust London UK"},{"name":"Division of Metabolism, Digestion and Reproduction Imperial College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1245-0100","authenticated-orcid":false,"given":"Bob","family":"Young","sequence":"additional","affiliation":[{"name":"Diabetes UK London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,14]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"NICE.Type 1 diabetes in adults: diagnosis and management NICE guideline [NG17].https:\/\/www.nice.org.uk\/guidance\/ng17. Published 2016. Accessed 8 December 2020."},{"key":"e_1_2_9_3_1","unstructured":"NICE.Type 2 diabetes in adults: management NICE guideline [NG28].https:\/\/www.nice.org.uk\/guidance\/ng28. Published 2019. Accessed 8 December 2020."},{"key":"e_1_2_9_4_1","volume-title":"National Data Opt\u2010Out","author":"NHS Digital"},{"key":"e_1_2_9_5_1","volume-title":"National Data Opt\u2010out, June 2020","author":"NHS Digital"},{"key":"e_1_2_9_6_1","unstructured":"NHS Digital.How the national data opt\u2010out affects data released by NHS Digital.https:\/\/digital.nhs.uk\/services\/data\u2010access\u2010request\u2010service\u2010dars\/how\u2010the\u2010national\u2010data\u2010opt\u2010out\u2010affects\u2010data\u2010released\u2010by\u2010nhs\u2010digital. Published 2019. Updated 02 October 2019. 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