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Organisation of pri...
Organisation of primary diabetes care in people with type 2 diabetes in relation to all-cause mortality: A nationwide register-based cohort study
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- Husdal, Rebecka (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Klinisk diabetologi och metabolism
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- Thors Adolfsson, E. (author)
- Centre for Clinical Research Västmanland, Uppsala University, Västerås, Sweden
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- Leksell, Janeth, 1955- (author)
- Uppsala universitet,Högskolan Dalarna,Omvårdnad,Uppsala University,Klinisk diabetologi och metabolism
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- Eliasson, Björn, 1959 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Department of Molecular and Clinical Medicine, University of Gothenburg, Gothenburg, Sweden; National Diabetes Register, Centre of Registers, Gothenburg, Sweden
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- Jansson, Stefan P. O., 1959- (author)
- Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,University Health Care Research Centre,Allmänmedicin och preventivmedicin
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- Jerdén, Lars (author)
- Uppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Centrum för klinisk forskning Dalarna
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- Stålhammar, Jan (author)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Steen, L. (author)
- Drug and Therapeutics Committee, Sörmland County Council, Eskilstuna, Sweden
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- Wallman, Thorne (author)
- Uppsala universitet,Allmänmedicin och preventivmedicin,Centrum för klinisk forskning i Sörmland (CKFD)
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- Svensson, Ann-Marie, 1961 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Department of Molecular and Clinical Medicine, University of Gothenburg, Gothenburg, Sweden; National Diabetes Register, Centre of Registers, Gothenburg, Sweden
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- Rosenblad, Andreas (author)
- Uppsala universitet,Stockholms universitet,Statistiska institutionen,Centrum för klinisk forskning, Västerås
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- English.
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In: Diabetes Research and Clinical Practice. - : Elsevier BV. - 0168-8227 .- 1872-8227. ; 167
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Aims: To examine if personnel resources and organisational features in Swedish primary health-care centres (PHCCs) are associated to all-cause mortality (ACM) in people with type 2 diabetes mellitus (T2DM). Methods: A total of 187,570 people with T2DM registered in the Swedish National Diabetes Register (NDR) during 2013 were included in this nationwide cohort study. Individual NDR data were linked to data from a questionnaire addressing personnel resources and organisational features for 787 (68%) PHCCs as well as to individual data on socio-economic status and comorbidities. Furthermore, data on ACM were obtained and followed up until 30 January 2018. Hierarchical Cox regression analyses were applied. Results: After a median follow-up of 4.2 years, 27,136 (14.5%) participants had died. An association was found between number of whole-time-equivalent (WTE) general practitioner's (GP's) devoted to diabetes care/500 people with T2DM and lower risk of early death (hazard ratio 0.919 [95% confidence interval 0.895–0.945] per additional WTE GP; p = 0.002). No other personnel resources or organisational features were significantly associated with ACM. Conclusions: This nationwide register-based cohort study suggests that the number of WTE GPs devoted to diabetes care have an impact on the risk of early death in people with T2DM. © 2020 Elsevier B.V.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- All-cause mortality
- Organisation
- Primary health care
- Type 2 diabetes mellitus
- aged
- all cause mortality
- Article
- clinical feature
- clinical practice
- cohort analysis
- comorbidity
- controlled study
- female
- follow up
- hazard ratio
- health care planning
- human
- major clinical study
- male
- mortality risk
- non insulin dependent diabetes mellitus
- patient care
- primary medical care
- social status
- All-cause mortality
- Health and Welfare
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Husdal, Rebecka
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Thors Adolfsson, ...
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Leksell, Janeth, ...
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Eliasson, Björn, ...
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Jansson, Stefan ...
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Jerdén, Lars
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show more...
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Stålhammar, Jan
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Steen, L.
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Wallman, Thorne
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Svensson, Ann-Ma ...
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Rosenblad, Andre ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Endocrinology an ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Diabetes Researc ...
- By the university
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University of Gothenburg
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Örebro University
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Högskolan Dalarna
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Stockholm University
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Uppsala University