Improvements in the Life Expectancy of Type 1 Diabetes
نویسندگان
چکیده
Survival in type 1 diabetes has improved, but the impact on life expectancy in the U.S. type 1 diabetes population is not well established. Our objective was to estimate the life expectancy of the Pittsburgh Epidemiology of Diabetes Complications (EDC) study cohort and quantify improvements by comparing two subcohorts based on year of diabetes diagnosis (1950-1964 [n = 390] vs. 1965-1980 [n = 543]). The EDC study is a prospective cohort study of 933 participants with childhood-onset (aged <17 years) type 1 diabetes diagnosed at Children's Hospital of Pittsburgh from 1950 to 1980. Mortality ascertainment was censored 31 December 2009. Abridged cohort life tables were constructed to calculate life expectancy. Death occurred in 237 (60.8%) of the 1950-1964 subcohort compared with 88 (16.2%) of the 1965-1980 subcohort. The life expectancy at birth for those diagnosed 1965-1980 was ~15 years greater than participants diagnosed 1950-1964 (68.8 [95% CI 64.7-72.8] vs. 53.4 [50.8-56.0] years, respectively) (P < 0.0001); this difference persisted regardless of sex or pubertal status at diagnosis. This improvement in life expectancy emphasizes the need for insurance companies to update analysis of the life expectancy of those with childhood-onset type 1 diabetes because weighting of insurance premiums is based on outdated estimates.
منابع مشابه
The Effectiveness of Existential Therapy on Life Expectancy and Self-Care Behaviors in Women with Type II Diabetes
Background: Type 2 diabetes is a chronic and debilitating disease that affects the life expectancy and self-care behaviors of women with this disease. Therefore, the present study aimed to investigate the effectiveness of existential therapy on life expectancy and self-care behaviors of women with type 2 diabetes. Methods: The research method was applied and quasi-experimental with pre-test an...
متن کاملThe Effectiveness of Logotherapy Training on Psychological Well-Being and Life Expectancy in Patients with Diabetes Type 2
Objective: In daily life, logotherapy is one of the skills that can be taught to increase the levels of psychological well-being and hope. The purpose of this study was to evaluate the effectiveness of meaningful psychological skills in promoting psychological wellbeing and life expectancy in patients with type 2 diabetes in the city of Salas city of Kermanshah province. Materials and Methods: ...
متن کاملEffectiveness of Mindfulness-Based Cognitive Therapy on Life Expectancy, Fear of Death and Glycemic Control in Diabetic Patients with Depression
Background and purpose: Depression is one of the most common psychiatric disorders in diabetic patients that could change the disease prognosis in addition to affecting the treatment path. The aim of this study was to evaluate the effectiveness of mindfulness-based cognitive therapy (MBCT) on life expectancy, fear of death, and glycemic control in diabetic patients suffering from depression. M...
متن کاملPredicting of Life Expectancy in Diabetic Patients Based on Self-efficacy, Self-esteem and Perceived Social Support
Aims: Diabetes is considered as a chronic and complex disease that, if not addressed, will turn into a serious problem for countries. On the other hand, life expectancy as a multidimensional, dynamic and powerful healing factor plays an important role in adapting to the disease. The present study aimed at predicting life expectancy among the diabetic patients based on self-efficacy, self-esteem...
متن کاملPositive Psychotherapy Effect on Life Expectancy and General Health of Type 2 Diabetic Patients: A Randomized Controlled Trial
Objective: Diabetes is a chronic disease that influences mental and physical health. Regarding the importance of diabetic patients’ psychological status, this research studied the effect of group positive psychotherapy on life expectancy and general health of type 2 diabetic patients. Materials and Methods: This clinical-trial study was done on 30 type 2 diabetic patients in Kermanshah d...
متن کاملComparison of the Life Expectancy and General Health in Type 2 Diabetic Patients with Non-Patients
Objective: Diabetes is now known as one of the chronic diseases that besides body have negative effects on the psychological status of patients. The present study aimed to assess the physical and mental attributes of patients to evaluate and compare life expectancy and mental health among diabetic patients with normal ones. Materials and Methods: This was an analytic cross-sectional study, tha...
متن کامل