PMID- 33414143
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 11
IP  - 1
DP  - 2021 Jan 7
TI  - Prevalence of comorbidities and their associated factors in patients with type 2 
      diabetes at a tertiary care department in Ningbo, China: a cross-sectional study.
PG  - e040532
LID - 10.1136/bmjopen-2020-040532 [doi]
LID - e040532
AB  - OBJECTIVES: To determine the prevalence of comorbidities in patients with type 2 
      diabetes mellitus (T2DM) and identify the factors independently associated with 
      comorbidities in a tertiary care department in Ningbo, China. DESIGN: A 
      computerised medical records database was used to conduct a cross-sectional 
      study. SETTING: The study was conducted in a tertiary care department in Ningbo, 
      China. PARTICIPANTS: The study was conducted on adult patients with T2DM, and it 
      included 8 years of data, from 1 January 2012 to 31 December 2019. THE PRIMARY 
      OUTCOME MEASURE: Comorbidity was defined as the coexistence of at least one other 
      chronic condition, that is, either a physical non-communicable disease (duration 
      >/=3 months), a mental health condition (duration >/=3 months) or an infectious 
      disease (duration >/=3 months). RESULTS: In total, 4777 patients with T2DM 
      satisfied the eligibility criteria. Over 8 years, the prevalence of comorbidities 
      was 93.7%. The odds of comorbidities increased with the age of patients (18 to 39 
      years: 1; 40 to 59 years: OR 2.80, 95% CI 1.98 to 3.96; 60 to 69 years: OR 4.43, 
      95% CI 3.04 to 6.44; and >/=70 years: OR 10.97, 95% CI 7.17 to 16.77). The odds 
      were lower in female patients (OR 0.66, 95% CI 0.51 to 0.84), patients residing 
      in rural areas (OR 0.75, 95% CI 0.59 to 0.95) and patients without health 
      insurance (OR 0.62, 95% CI 0.46 to 0.83). The odds were higher in 
      single/divorced/widowed patients compared with those in married patients (OR 
      1.95, 95% CI 1.21 to 3.12). CONCLUSIONS: A large percentage of patients with T2DM 
      in the tertiary care department in Ningbo, China, had comorbidities, and the 
      factors associated with comorbidities were identified. The findings could be used 
      in developing, evaluating and implementing interventions aimed at improving 
      outcomes in patients with T2DM with comorbidities.
CI  - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Li, Xueyu
AU  - Li X
AD  - School of Medicine, Ningbo University, Ningbo, China.
AD  - Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, China.
FAU - Chattopadhyay, Kaushik
AU  - Chattopadhyay K
AUID- ORCID: 0000-0002-3235-8168
AD  - Division of Epidemiology and Public Health, School of Medicine, University of 
      Nottingham, Nottingham, UK.
FAU - Xu, Shengnan
AU  - Xu S
AD  - Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, China.
FAU - Chen, Yanshu
AU  - Chen Y
AD  - Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, China.
FAU - Xu, Miao
AU  - Xu M
AD  - Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, China.
FAU - Li, Li
AU  - Li L
AUID- ORCID: 0000-0001-6301-3544
AD  - Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, China.
FAU - Li, Jialin
AU  - Li J
AUID- ORCID: 0000-0001-6930-9530
AD  - Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, China 
      lijialin@sina.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210107
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - China/epidemiology
MH  - Comorbidity
MH  - Cross-Sectional Studies
MH  - *Diabetes Mellitus, Type 2/epidemiology
MH  - Female
MH  - Humans
MH  - Prevalence
MH  - Tertiary Healthcare
MH  - Young Adult
PMC - PMC7797259
OTO - NOTNLM
OT  - general diabetes
OT  - health services administration & management
OT  - public health
COIS- Competing interests: None declared.
EDAT- 2021/01/09 06:00
MHDA- 2021/05/15 06:00
PMCR- 2021/01/07
CRDT- 2021/01/08 06:00
PHST- 2021/01/08 06:00 [entrez]
PHST- 2021/01/09 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2021/01/07 00:00 [pmc-release]
AID - bmjopen-2020-040532 [pii]
AID - 10.1136/bmjopen-2020-040532 [doi]
PST - epublish
SO  - BMJ Open. 2021 Jan 7;11(1):e040532. doi: 10.1136/bmjopen-2020-040532.