An association between ethnicity and cardiovascular outcomes for people with Type 2 diabetes in New Zealand

Show simple item record Kenealy, Timothy en Elley, Carolyn en Robinson, Elizabeth en Bramley, Dale en Drury, Paul en Kerse, Ngaire en Moyes, Simon en Arroll, Bruce en 2012-04-11T04:15:58Z en 2017-10-10T01:15:13Z en 2008 en
dc.identifier.citation Diabetic Medicine 25(11):1302-1308 2008 en
dc.identifier.issn 1464-5491 en
dc.identifier.uri en
dc.description.abstract Aims To investigate the association between ethnicity and risk of first cardiovascular (CV) event for people with Type 2 diabetes in New Zealand. Methods A prospective cohort study using routinely collected data from a national primary health care diabetes annual review programme linked to national hospital admission and mortality data. Ethnicity was recorded as European, Maori, Pacific, Indo-Asian, East-Asian or Other. A Cox proportional hazards model was used to investigate factors associated with first CV event. Data was collected from 48 444 patients with Type 2 diabetes, with first data collected between 1 January 2000 and 20 December 2005, no previous cardiovascular event at entry and with complete measurements. Risk factors included ethnicity, gender, socio-economic status, body mass index, smoking, age at diagnosis, duration of diabetes, systolic blood pressure, serum lipids, glycated haemoglobin and urine albumin : creatinine ratio. The main outcome measures were time to first fatal or non-fatal CV event. Results Median follow-up was 2.4 years. Using combined European and Other ethnicities as a reference, hazard ratios for first CV event were 1.30 for Maori (95% confidence interval 1.19–1.41), 1.04 for Pacific (0.95–1.13), 1.06 for Indo-Asian (0.91–1.24) and 0.73 for East-Asian (0.62–0.85) after controlling for all other risk factors. Conclusions Ethnicity was independently associated with time to first CV event in people with Type 2 diabetes. Maori were at 30% higher risk of first CV event and East-Asian 27% lower risk compared with European/Other, with no significant difference in risk for Pacific and Indo-Asian peoples. en
dc.publisher Wiley-Blackwell Publishing Ltd. en
dc.relation.ispartofseries Diabetic Medicine en
dc.relation.replaces en
dc.relation.replaces 2292/17034 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title An association between ethnicity and cardiovascular outcomes for people with Type 2 diabetes in New Zealand en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1464-5491.2008.02593.x en
pubs.issue 11 en
pubs.begin-page 1302 en
pubs.volume 25 en
dc.rights.holder Copyright: the authors; journal compilation; Diabetes UK en
dc.identifier.pmid 19046220 en
pubs.end-page 1308 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 79951 en Medical and Health Sciences en Population Health en Gen.Practice& Primary Hlthcare en School of Medicine en Medicine Department en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 19046220 en

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