{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:43:17Z","timestamp":1790898197235,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["RE\/18\/2\/34213"],"award-info":[{"award-number":["RE\/18\/2\/34213"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000380","name":"Guy\u2019s & St Thomas' Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Ethnicity and socioeconomic factors contribute to higher morbidity and mortality in people with type 1 diabetes (pwT1D), partly due to reduced access to specialised care and technology. Objectively prioritising high-risk individuals in resource-limited settings is challenging. Data-led prioritisation (DLP) uses health informatics to stratify pwT1D based on new-onset risk factors since their last review. This may help overcome implicit bias, structural racism, and care barriers. However, data on its use in pwT1D are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this proof-of-concept study, DLP was implemented from July to September 2023 in a university hospital serving an ethnically diverse population. Clinical and demographic data were collected from 697 adults with T1D (50.5% female, 23.5% non-White, 37% from poor socioeconomic backgrounds). DLP identified 76 individuals (10.9%) as highest risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Non-White patients were more likely to be in the highest-risk group (30\/164, 18.3%) than White patients (35\/372, 9.4%),\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.004. Those from the most deprived socioeconomic backgrounds were also more likely to be high-risk (40\/256, 15.7%) vs others (36\/433, 8.3%),\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.008.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DLP may enable objective risk stratification in pwT1D and could help reduce bias linked to ethnicity and deprivation. Further large-scale research is warranted to demonstrate the use of such systems in diabetes care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14604582261436276","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:41:19Z","timestamp":1777470079000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["An informatics-based data-led prioritization strategy to facilitate objective and equitable care for an ethnically diverse urban cohort of people with type 1 diabetes: A proof-of-concept study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4106-4911","authenticated-orcid":false,"given":"Panagiotis","family":"Pavlou","sequence":"first","affiliation":[{"name":"King\u2019s College London"},{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khuram","family":"Chaudhry","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ollie","family":"French","sequence":"additional","affiliation":[{"name":"Factor 50"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Keane","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Johnston","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Brackenridge","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Thomas","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuk-Fun","family":"Liu","sequence":"additional","affiliation":[{"name":"King\u2019s College London"},{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"},{"name":"Institute of Diabetes, Endocrinology and Obesity, King\u2019s Health Partners"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daghni","family":"Rajasingam","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"},{"name":"Factor 50"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dulmini","family":"Kariyawasam","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janaka","family":"Karalliedde","sequence":"additional","affiliation":[{"name":"King\u2019s College London"},{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"},{"name":"King\u2019s College London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.78.7.831"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.7.1618"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-0815"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490210061036"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-2118"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14620"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgaa236"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.2337\/cd21-0028"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.26126"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.7861\/fhj.2020-0217"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2025-005067"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/dom.15470"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.7861\/fhj.2020-0109"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2023.110834"},{"key":"e_1_3_4_16_2","volume-title":"The English Indices of Deprivation 2007","author":"Noble M","year":"2008","unstructured":"Noble M, \u200bMcLennan D, \u200bWilkinson K, et al. The English Indices of Deprivation 2007. 2008."},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14462"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxh002"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2009.05333.x"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.2337\/dci20-0053"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-0495"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S009"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15486"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-2753"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.2196\/54223"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-1774"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0256578"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2021.05.005"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2016.15"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582261436276","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14604582261436276","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582261436276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:36:49Z","timestamp":1777707409000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14604582261436276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/14604582261436276"],"URL":"https:\/\/doi.org\/10.1177\/14604582261436276","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"article-number":"14604582261436276"}}