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Organisation of pri...
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Husdal, RebeckaUppsala universitet,Centrum för klinisk forskning, Västerås,Klinisk diabetologi och metabolism
(author)
Organisation of primary diabetes care in people with type 2 diabetes in relation to all-cause mortality: A nationwide register-based cohort study
- Article/chapterEnglish2020
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LIBRIS-ID:oai:gup.ub.gu.se/297417
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https://gup.ub.gu.se/publication/297417URI
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https://doi.org/10.1016/j.diabres.2020.108352DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-84808URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-34667URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-187813URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-369430URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding Agencies:Uppsala-Örebro Regional Research Council RFR-480801 RFR550891 RFR-640711Region Västmanland LTV-398181 LTV-472371 LTV-552001 LTV-644151
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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.
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Thors Adolfsson, E.Centre for Clinical Research Västmanland, Uppsala University, Västerås, Sweden
(author)
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Leksell, Janeth,1955-Uppsala universitet,Högskolan Dalarna,Omvårdnad,Uppsala University,Klinisk diabetologi och metabolism(Swepub:uu)jalek424
(author)
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Eliasson, Björn,1959Gothenburg 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(Swepub:gu)xelibj
(author)
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Jansson, Stefan P. O.,1959-Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,University Health Care Research Centre,Allmänmedicin och preventivmedicin(Swepub:uu)steja524
(author)
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Jerdén, LarsUppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Centrum för klinisk forskning Dalarna(Swepub:uu)lajer205
(author)
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Stålhammar, JanUppsala universitet,Allmänmedicin och preventivmedicin(Swepub:uu)janstalh
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Steen, L.Drug and Therapeutics Committee, Sörmland County Council, Eskilstuna, Sweden
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Wallman, ThorneUppsala universitet,Allmänmedicin och preventivmedicin,Centrum för klinisk forskning i Sörmland (CKFD)(Swepub:uu)thorwall
(author)
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Svensson, Ann-Marie,1961Gothenburg 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(Swepub:gu)xsannh
(author)
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Rosenblad, AndreasUppsala universitet,Stockholms universitet,Statistiska institutionen,Centrum för klinisk forskning, Västerås(Swepub:uu)ankar957
(author)
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Uppsala universitetCentrum för klinisk forskning, Västerås
(creator_code:org_t)
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In:Diabetes Research and Clinical Practice: Elsevier BV1670168-82271872-8227
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University of Gothenburg
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Örebro University
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Uppsala University