{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:36:08Z","timestamp":1793126168915,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100025294","name":"Research Ireland","doi-asserted-by":"publisher","award":["22\/RP\/10091"],"award-info":[{"award-number":["22\/RP\/10091"]}],"id":[{"id":"10.13039\/501100025294","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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine trends in potentially avoidable hospitalisations (PAHs) among people with diabetes in Ireland between 2015 and 2024, and how trends differ by sex and diabetes type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Using national hospitalisation data from the Republic of Ireland, we estimated rates and trends in PAHs among people with diagnosed type 1 or type 2 diabetes between 2015 and 2024, during which 181\u2009130 PAHs occurred. This included 21 complications, which were used to create a composite measure. We also grouped these into five condition groups including diabetes\u2010specific, cardiovascular\u2010related, infection, lower extremity and acute kidney failure. We calculated age\u2010standardised rates (ASRs) and assessed temporal trends using linear time\u2010trend models and Joinpoint regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ASRs decreased from 105.0 (95% CI: 100.4, 109.2) per 1000 people with diabetes in 2015 to 91.0 (95% CI: 87.7, 94.3) in 2024 with an average decline of 2.5% (95% CI: \u22123.1, 1.7) per year. ASRs were consistently higher among individuals with type 1 diabetes compared with those with type 2 diabetes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). When examined by condition group, ASRs declined steadily over time for all except those relating to infections, which showed an increase from 2022 onwards.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although PAHs declined over the study period, rates remained high especially among people with type 1 diabetes. The shifting profile of PAHs towards non\u2010diabetes\u2010specific conditions highlights emerging prevention challenges and the need to strengthen primary and community\u2010based care pathways for people living with diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70925","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T01:38:11Z","timestamp":1780277891000},"page":"7161-7170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Potentially Avoidable Hospitalisations Among People With Diabetes in Ireland; 2015\u20132024"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1434-6152","authenticated-orcid":false,"given":"Jennifer A.","family":"Pallin","sequence":"first","affiliation":[{"name":"School of Population Health, Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7432-5786","authenticated-orcid":false,"given":"Naomi","family":"Holman","sequence":"additional","affiliation":[{"name":"School of Population Health, Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"McIntyre","sequence":"additional","affiliation":[{"name":"School of Population Health, Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diarmuid","family":"Smith","sequence":"additional","affiliation":[{"name":"Beaumont Hospital\/RCSI School of Medicine  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seamus","family":"Sreenan","sequence":"additional","affiliation":[{"name":"The Royal College of Surgeons in Ireland Medical School  Dublin Ireland"},{"name":"Academic Department of Endocrinology Connolly Hospital  Dublin Ireland"},{"name":"HRB Collaborative Clinical Trials Network  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lockhart","sequence":"additional","affiliation":[{"name":"St. Luke's General Hospital Carlow\/Kilkenny  Kilkenny Ireland"},{"name":"College of Medicine, Nursing &amp; Health Sciences University of Galway  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Devine","sequence":"additional","affiliation":[{"name":"Irish College of General Practitioners  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire M.","family":"Buckley","sequence":"additional","affiliation":[{"name":"School of Public Health, University College Cork  Cork Ireland"},{"name":"National Health Service Improvement Team, National Office of Public Health, Health Service Executive  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward 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