TY - JOUR
T1 - Severe mental illness and quality of care for type 2 diabetes
T2 - a retrospective population-based cohort study
AU - Scheuer, Stine H
AU - Fleetwood, Kelly J
AU - Am Licence, Kirsty
AU - Mercer, Stewart W
AU - Smith, Daniel J
AU - Lm Sudlow, Cathie
AU - Andersen, Gregers S
AU - Wild, Sarah H
AU - Jackson, Caroline A
N1 - Funding Information:
The Scottish Diabetes Research Network is supported by National Health Service (NHS) Research Scotland, a partnership involving Scottish NHS Boards and the Chief Scientist Office of the Scottish Government.
Funding Information:
This study was funded by a Chief Scientist Office Scotland project grant (reference HIPS/16/59). The funder was not involved in the study design, analyses, writing of the manuscript or decision to submit the article for publication. DJS acknowledges support from a Medical Research Council Mental Health Data Pathfinder Award (reference MC_PC_17217).
Funding Information:
We acknowledge with gratitude the contributions of people with diabetes, NHS staff and organisations (the Scottish Care Information-Diabetes Steering Group, the Scottish Diabetes Group, the Scottish Diabetes Survey Group, the diabetes managed clinical networks) involved in providing data, setting up, maintaining and overseeing collation of data for people with diabetes in Scotland. Data linkage was performed by colleagues at Public Health Scotland (previously known as the Information Services Division of NHS National Services Scotland). The Scottish Diabetes Research Network is supported by National Health Service (NHS) Research Scotland, a partnership involving Scottish NHS Boards and the Chief Scientist Office of the Scottish Government.
Publisher Copyright:
© 2022 The Authors
PY - 2022/8/1
Y1 - 2022/8/1
N2 - AIMS: To compare quality of care for type 2 diabetes in people with severe mental illness (SMI) versus no mental illness.METHODS: We used routinely collected linked data to create a retrospective cohort study. We included 158,901 people diagnosed with type 2 diabetes in Scotland during 2009-2018 of whom 1701 (1%), 768 (0.5%) and 5211 (3%) had a prior hospital admission record for schizophrenia, bipolar disorder, and major depression, respectively. We compared recording of HbA1c, cholesterol, creatinine, blood pressure, urinary albumin, foot examination, retinopathy screening, body mass index and smoking during the first year after diabetes diagnosis using logistic regression and recording of HbA1c and retinopathy screening over longer follow-up using generalised linear mixed effects model, adjusting for confounding factors.RESULTS: Receipt of care during the first year was generally similar, or better, for people with each SMI than for people without any mental illness. During mean follow up of 4.8 (SD 2.5) years, depression and bipolar disorder were associated with lower odds of receiving retinopathy screening.CONCLUSIONS: Receipt of diabetes care was similar or better among people with SMI versus without SMI. However, mechanisms to support improved retinopathy screening for people with SMI are needed.
AB - AIMS: To compare quality of care for type 2 diabetes in people with severe mental illness (SMI) versus no mental illness.METHODS: We used routinely collected linked data to create a retrospective cohort study. We included 158,901 people diagnosed with type 2 diabetes in Scotland during 2009-2018 of whom 1701 (1%), 768 (0.5%) and 5211 (3%) had a prior hospital admission record for schizophrenia, bipolar disorder, and major depression, respectively. We compared recording of HbA1c, cholesterol, creatinine, blood pressure, urinary albumin, foot examination, retinopathy screening, body mass index and smoking during the first year after diabetes diagnosis using logistic regression and recording of HbA1c and retinopathy screening over longer follow-up using generalised linear mixed effects model, adjusting for confounding factors.RESULTS: Receipt of care during the first year was generally similar, or better, for people with each SMI than for people without any mental illness. During mean follow up of 4.8 (SD 2.5) years, depression and bipolar disorder were associated with lower odds of receiving retinopathy screening.CONCLUSIONS: Receipt of diabetes care was similar or better among people with SMI versus without SMI. However, mechanisms to support improved retinopathy screening for people with SMI are needed.
KW - Comorbidity
KW - Health disparities
KW - Quality of care
KW - Severe mental illness
KW - Type 2 diabetes
U2 - 10.1016/j.diabres.2022.110026
DO - 10.1016/j.diabres.2022.110026
M3 - Article
C2 - 35917991
SN - 0168-8227
VL - 190
SP - 110026
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
IS - 110026
M1 - 110026
ER -