Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Almirall says comparing SMART designs will increase treatment quality for children with autism

Thompson says America must "unchoose" policies that have led to mass incarceration

Alter says lack of access to administrative data is "big drag on research"


Knodel honored by Thailand's Chulalongkorn University

Susan Murphy to speak at U-M kickoff for data science initiative, Oct 6, Rackham

Andrew Goodman-Bacon, former trainee, wins 2015 Nevins Prize for best dissertation in economic history

Deirdre Bloome wins ASA award for work on racial inequality and intergenerational transmission

Next Brown Bag

Monday, Oct 12 at noon, 6050 ISR
Joe Grengs: Policy & planning for transportation equity

Risk factors for mortality among patients with diabetes - The Translating Research Into Action for Diabetes (TRIAD) Study

Publication Abstract

McEwen, L.N., Cheong-Seok Kim, A.J. Karter, Mary Haan, D. Ghosh, Paula M. Lantz, C.M. Mangione, T.J. Thompson, and W.H. Herman. 2007. "Risk factors for mortality among patients with diabetes - The Translating Research Into Action for Diabetes (TRIAD) Study." Diabetes Care, 30(7): 1736-1741.

OBJECTIVE - We sought to examine demographic, socioeconomic, and biological predictors of all-cause, cardiovascular, and noncardiovascular mortality in patients with diabetes. RESEARCH DESIGN AND METHODS - Survey, medical record, and administrative data were obtained from 8,733 participants in the Translating Research Into Action for Diabetes Study, a multicenter, prospective, observational study of diabetes care in managed care. Data on deaths (n = 79 1) and cause of death were obtained from the National Death Index after 4 years. Predictors examined included age, sex, race, education, income, duration, and treatment of diabetes, BMI, smoking, microvascular and macrovascular complications, and comorbidities. RESULTS - Predictors of adjusted all-cause mortality included older age (hazard ratio [HR]1.04 [95% CI 1.03-1.051), male sex (1.57 [1.35-1.83]), lower income (<$15,000 vs. >$75,000, HR 1.82 [1.30-2.541, $15,000-$40,000 vs.>$75,000, HR 1.58 [1.15-2.171), longer duration of diabetes ( >= 9 years vs. < 9 years, HR 1.20 [1.02-1.41]), lower BMI (< 26 vs. 26-30 k g/m(2), HR 1.43 [1.13-1.691), smoking (1.44 [1.20-1.74]), nephropathy (1.46 [1.232.73]), macrovascular disease (1.46 [1.23-1.741), and greater Charlson index ( >= 2-3 vs. < 1, HR 2.01 [1.04-3.90]; >= 3vs. < 1, HR 4.38 [2.26-8.47]). The predictors of cardiovascular and noncardiovascular mortality were different. Macrovascular disease predicted cardiovascular but not noncardiovascular mortality. CONCLUSIONS - Among people with diabetes and access to medical care, older age, male sex, smoking, and renal disease are important predictors of mortality. Even within an insured population, socioeconomic circumstance is an important independent predictor of health.

DOI:10.2337/dc07-0305 (Full Text)

Browse | Search : All Pubs | Next