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Mortality in people diagnosed with type 2 diabetes at an older age
 — a systematic review
Author(s)Karen N Barnett, Marion E T McMurdo, Simon A Ogston
Journal titleAge and Ageing, vol 35, no 5, September 2006
Pagespp 463-468
Sourcehttp://www.ageing.oxfordjournals.org
KeywordsDiabetes ; Death rate [statistics] ; Literature reviews.
AnnotationObservational studies reporting overall mortality for people diagnosed with type 2 diabetes when they were age 60+, compared with a non-diabetic population, were identified. Medline, CINAHL, EMBASE, National Research Register and Cochrane Review were systematically searched from 1975 to 2004. The review included studies carried out in populations from Germany, the UK, the US, Japan, Italy, Western Australia, the Netherlands and Sweden. Among 14 eligible studies, one study reported reduced mortality for patients diagnosed with type 2 diabetes over the age of 60, whereas another found virtually no increased risk of mortality. However, 7 of the 14 studies reported increased mortality in all patients diagnosed when older, and 5 studies for certain groups only. A meta-analysis showed the combined relative risks of increased mortality for men diagnosed between the ages of 60 and 70 to be 1.38 (1.08-1.76) and 1.13 (0.88-1.45) for men diagnosed aged 70 and over. A similar pattern was found for the same age groups for women, with combined relative risks of 1.40 (1.10-1.79) and 1.19 (0.93-1.52) respectively. Overall, increased mortality associated with diagnosis of type 2 diabetes at an older age is lower than that reported for the general older diabetic population. (RH).
Accession NumberCPA-061211218 A
ClassmarkCPD: S5: 64A

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