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Revised_Assessing the Severity of T2DM Using Clinical Data Based Measures a Systematic Review_DME_Nov2018_Clean_version_Final.pdf (548.73 kB)

Assessing the severity of Type 2 diabetes using clinical data based measures: a systematic review

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posted on 2023-06-09, 16:31 authored by S S Zghebi, M Panagioti, M K Rutter, D M Ashcroft, Harm van MarwijkHarm van Marwijk, C Salisbury, C A Chew-Graham, I Buchan, N Qureshi, N Peek, C Mallen, M Mamas, E Kontopantelis
Aims To identify and critically appraise measures that use clinical data to grade the severity of Type 2 diabetes. Methods We searched MEDLINE, Embase and PubMed between inception and June 2018. Studies reporting on clinical data-based diabetes-specific severity measures in adults with Type 2 diabetes were included. We excluded studies conducted solely in participants with other types of diabetes. After independent screening, the characteristics of the eligible measures including design and severity domains, the clinical utility of developed measures, and the relationship between severity levels and health-related outcomes were assessed. Results We identified 6798 studies, of which 17 studies reporting 18 different severity measures (32 314 participants in 17 countries) were included: a diabetes severity index (eight studies, 44%); severity categories (seven studies, 39%); complication count (two studies, 11%); and a severity checklist (one study, 6%). Nearly 89% of the measures included diabetes-related complications and/or glycaemic control indicators. Two of the severity measures were validated in a separate study population. More severe diabetes was associated with increased healthcare costs, poorer cognitive function and significantly greater risks of hospitalization and mortality. The identified measures differed greatly in terms of the included domains. One study reported on the use of a severity measure prospectively. Conclusions Health records are suitable for assessment of diabetes severity; however, the clinical uptake of existing measures is limited. The need to advance this research area is fundamental as higher levels of diabetes severity are associated with greater risks of adverse outcomes. Diabetes severity assessment could help identify people requiring targeted and intensive therapies and provide a major benchmark for efficient healthcare services.

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Diabetic Medicine

ISSN

0742-3071

Publisher

Wiley

Issue

6

Volume

36

Page range

688-701

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2019-01-15

First Open Access (FOA) Date

2020-01-22

First Compliant Deposit (FCD) Date

2019-01-15

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