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Predictors of 15-year survival among Australian women with diabetes from age 76-81

Diabetes Research and Clinical Practice Feb 27, 2019

Wubishet BL, et al. - Using Cox proportional hazards models, researchers evaluated the effect of diabetes on older women's survival, adjusted for other all-cause mortality predictors. They used data from the 1921-1926 cohort of the Australian Longitudinal Study on Women’s Health when women at baseline were aged 76-81 years, with linkage to the National Death Index. Of 8,296 eligible women, 972 reported incident (n=522) or prevalent (n=450) diabetes. Findings revealed that the median duration of survival was 10.1, 11.4, and 12.7 years for women with prevalent, incident, or no diabetes, respectively. For women with incident or prevalent diabetes, the risk of death was 30% and 73% higher vs women without diabetes, respectively. Findings suggested an association of diabetes with reduced survival probabilities for older women with minimal moderation after adjustment for other predictors. Investigators recommended that guidelines for the management of diabetes in older women must include factors such as comorbidity, smoking, and underweight in order to reduce the risk of mortality.

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