{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T09:09:18Z","timestamp":1776157758545,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["RE\/18\/6\/34217"],"award-info":[{"award-number":["RE\/18\/6\/34217"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000361","name":"Diabetes UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000361","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001310","name":"South Asian Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001310","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To conduct an analysis to assess whether the completion of recommended diabetes care processes (glycated haemoglobin [HbA1c], creatinine, cholesterol, blood pressure, body mass index [BMI], smoking habit, urinary albumin, retinal and foot examinations) at least annually is associated with mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A cohort from the National Diabetes Audit of England and Wales comprising 179\u2009105 people with type 1 and 1\u2009397\u2009790 people with type 2 diabetes, aged 17 to 99\u2009years on January 1, 2009, diagnosed before January 1, 2009 and alive on April 1, 2013 was followed to December 31, 2019. Cox proportional hazards models adjusting for demographic characteristics, smoking, HbA1c, blood pressure, serum cholesterol, BMI, duration of diagnosis, estimated glomerular filtration rate, prior myocardial infarction, stroke, heart failure, respiratory disease and cancer, were used to investigate whether care processes recorded January 1, 2009 to March 31, 2010 were associated with subsequent mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over a mean follow\u2010up of 7.5 and 7.0\u2009years there were 26\u2009915 and 388\u2009093 deaths in people with type 1 and type 2 diabetes, respectively. Completion of five or fewer, compared to eight, care processes (retinal screening not included as data were not reliable) had a mortality hazard ratio (HR) of 1.37 (95% confidence interval [CI] 1.28\u20101.46) in people with type 1 and 1.32 (95% CI 1.30\u20101.35) in people with type 2 diabetes. The HR was higher for respiratory disease deaths and lower in South Asian ethnic groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>People with diabetes who have fewer routine care processes have higher mortality. Further research is required into whether different approaches to care might improve outcomes for this high\u2010risk group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.14528","type":"journal-article","created":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T00:46:01Z","timestamp":1629247561000},"page":"2728-2740","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Completion of annual diabetes care processes and mortality: A cohort study using the\n                    <scp>National Diabetes Audit for England and Wales<\/scp>"],"prefix":"10.1111","volume":"23","author":[{"given":"Naomi","family":"Holman","sequence":"first","affiliation":[{"name":"Institute of Cardiovascular and Medical Sciences University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Knighton","sequence":"additional","affiliation":[{"name":"Analytical Services \u2013 Population Health, Clinical Audit and Specialist Care NHS Digital  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie","family":"O\u02bcKeefe","sequence":"additional","affiliation":[{"name":"Analytical Services \u2013 Population Health, Clinical Audit and Specialist Care NHS Digital  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah H.","family":"Wild","sequence":"additional","affiliation":[{"name":"College of Medicine and Veterinary Medicine, Usher Institute University of Edinburgh  Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Brewster","sequence":"additional","affiliation":[{"name":"West Hampshire Community Diabetes Service Southern Health NHS Foundation Trust  Lyndhurst UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3388-0975","authenticated-orcid":false,"given":"Hermione","family":"Price","sequence":"additional","affiliation":[{"name":"West Hampshire Community Diabetes Service Southern Health NHS Foundation Trust  Lyndhurst UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Patel","sequence":"additional","affiliation":[{"name":"University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"},{"name":"Warwick Medical School University of Warwick  Warwick UK"},{"name":"Coventry University  Coventry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wasim","family":"Hanif","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinod","family":"Patel","sequence":"additional","affiliation":[{"name":"Warwick Medical School University of Warwick  Warwick UK"},{"name":"Diabetes and Endocrinology Centre George Eliot Hospital NHS Trust  Nuneaton UK"},{"name":"West Midlands Clinical Networks and Clinical Senate NHS England and NHS Improvement \u2013 Midlands  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward W.","family":"Gregg","sequence":"additional","affiliation":[{"name":"School of Public Health Imperial College  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8911-6744","authenticated-orcid":false,"given":"Richard I. G.","family":"Holt","sequence":"additional","affiliation":[{"name":"Human Development and Health, Faculty of Medicine University of Southampton and Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Gadsby","sequence":"additional","affiliation":[{"name":"Warwick Medical School University of Warwick  Warwick UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Valabhji","sequence":"additional","affiliation":[{"name":"NHS England and NHS Improvement  London UK"},{"name":"Department of Diabetes and Endocrinology, St Mary\u02bcs Hospital Imperial College Healthcare NHS Trust  London UK"},{"name":"Division of Metabolism, Digestion and Reproduction Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bob","family":"Young","sequence":"additional","affiliation":[{"name":"Diabetes UK  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)07037-8"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60367-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci17-0026"},{"key":"e_1_2_9_5_1","unstructured":"National Institute for Health and Care Excellence. 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