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Journal ArticleDOI

Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition.

TL;DR: Just under half a billion people are living with diabetes worldwide and the number is projected to increase by 25% in 2030 and 51% in 2045, with the prevalence higher in urban than rural areas, and in high-income than low-income countries.
About: This article is published in Diabetes Research and Clinical Practice.The article was published on 2019-09-10 and is currently open access. It has received 4865 citations till now.
Citations
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Journal ArticleDOI
Amit Agrawal1
TL;DR: The global diabetes prevalence in 20-79 year olds in 2021 was estimated to be 10.5% (536.6 million people), rising to 12.2% (783.2 million) in 2045 as mentioned in this paper .

1,451 citations

Journal ArticleDOI
TL;DR: A meta-analysis of 3,111,714 reported global cases shows that, whilst there is no difference in the proportion of males and females with confirmed COVID-19, male patients have almost three times the odds of requiring intensive treatment unit (ITU) admission and higher odds of death compared to females.
Abstract: Anecdotal evidence suggests that Coronavirus disease 2019 (COVID-19), caused by the coronavirus SARS-CoV-2, exhibits differences in morbidity and mortality between sexes. Here, we present a meta-analysis of 3,111,714 reported global cases to demonstrate that, whilst there is no difference in the proportion of males and females with confirmed COVID-19, male patients have almost three times the odds of requiring intensive treatment unit (ITU) admission (OR = 2.84; 95% CI = 2.06, 3.92) and higher odds of death (OR = 1.39; 95% CI = 1.31, 1.47) compared to females. With few exceptions, the sex bias observed in COVID-19 is a worldwide phenomenon. An appreciation of how sex is influencing COVID-19 outcomes will have important implications for clinical management and mitigation strategies for this disease. Anecdotal reports suggest potential severity and outcome differences between sexes following infection by SARS-CoV-2. Here, the authors perform meta-analyses of more than 3 million cases collected from global public data to demonstrate that male patients with COVID-19 are 3 times more likely to require intensive care, and have ~40% higher death rate.

957 citations

Journal ArticleDOI
TL;DR: DM was associated with mortality, severe COVID-19, ARDS, and disease progression in patients with CO VID-19 and the association was weaker in studies with median age ≥55 years-old compared to <55 years old, and in prevalence of hypertension ≥25% compared to<25%.
Abstract: BACKGROUND AND AIMS: Diabetes Mellitus (DM) is chronic conditions with devastating multi-systemic complication and may be associated with severe form of Coronavirus Disease 2019 (COVID-19). We conducted a systematic review and meta-analysis in order to investigate the association between DM and poor outcome in patients with COVID-19 pneumonia. METHODS: Systematic literature search was performed from several electronic databases on subjects that assess DM and outcome in COVID-19 pneumonia. The outcome of interest was composite poor outcome, including mortality, severe COVID-19, acute respiratory distress syndrome (ARDS), need for intensive care unit (ICU) care, and disease progression. RESULTS: There were a total of 6452 patients from 30 studies. Meta-analysis showed that DM was associated with composite poor outcome (RR 2.38 [1.88, 3.03], p < 0.001; I2: 62%) and its subgroup which comprised of mortality (RR 2.12 [1.44, 3.11], p < 0.001; I2: 72%), severe COVID-19 (RR 2.45 [1.79, 3.35], p < 0.001; I2: 45%), ARDS (RR 4.64 [1.86, 11.58], p = 0.001; I2: 9%), and disease progression (RR 3.31 [1.08, 10.14], p = 0.04; I2: 0%). Meta-regression showed that the association with composite poor outcome was influenced by age (p = 0.003) and hypertension (p < 0.001). Subgroup analysis showed that the association was weaker in studies with median age ≥55 years-old (RR 1.92) compared to <55 years-old (RR 3.48), and in prevalence of hypertension ≥25% (RR 1.93) compared to <25% (RR 3.06). Subgroup analysis on median age <55 years-old and prevalence of hypertension <25% showed strong association (RR 3.33) CONCLUSION: DM was associated with mortality, severe COVID-19, ARDS, and disease progression in patients with COVID-19.

656 citations


Cites background from "Global and regional diabetes preval..."

  • ...(see Table 1) Diabetes Mellitus (DM) is one of the most prevalent chronic conditions with devastating multi-systemic complication and was estimated to have inflicted 463 million people in 2019 [2]....

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Journal ArticleDOI
TL;DR: Diabetes in patients with CO VID-19 is associated with a two-fold increase in mortality as well as severity of COVID-19, as compared to non-diabetics.
Abstract: Background Many studies on COVID-19 have reported diabetes to be associated with severe disease and mortality, however, the data is conflicting. The objectives of this meta-analysis were to explore the relationship between diabetes and COVID-19 mortality and severity, and to determine the prevalence of diabetes in patients with COVID-19. Methods We searched the PubMed for case-control studies in English, published between Jan 1 and Apr 22, 2020, that had data on diabetes in patients with COVID-19. The frequency of diabetes was compared between patients with and without the composite endpoint of mortality or severity. Random effects model was used with odds ratio as the effect size. We also determined the pooled prevalence of diabetes in patients with COVID-19. Heterogeneity and publication bias were taken care by meta-regression, sub-group analyses, and trim and fill methods. Results We included 33 studies (16,003 patients) and found diabetes to be significantly associated with mortality of COVID-19 with a pooled odds ratio of 1.90 (95% CI: 1.37–2.64; p Conclusions Diabetes in patients with COVID-19 is associated with a two-fold increase in mortality as well as severity of COVID-19, as compared to non-diabetics. Further studies on the pathogenic mechanisms and therapeutic implications need to be done.

474 citations


Cites background from "Global and regional diabetes preval..."

  • ...9%), with the actual number of people with diabetes in India being more than 77million [25,47]....

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Journal ArticleDOI
Matthew J. Burton1, Matthew J. Burton2, Jacqueline Ramke3, Jacqueline Ramke2, Ana Patrícia Marques2, Rupert R A Bourne4, Rupert R A Bourne5, Nathan Congdon6, Nathan Congdon7, Iain Jones, Brandon A M Ah Tong8, Simon Arunga2, Simon Arunga9, Damodar Bachani10, Covadonga Bascaran2, Andrew Bastawrous2, Karl Blanchet11, Tasanee Braithwaite12, Tasanee Braithwaite2, John Buchan13, John Buchan2, John Cairns2, Anasaini Cama14, Margarida Chagunda, Chimgee Chuluunkhuu15, Andrew Cooper, Jessica Crofts-Lawrence16, William H. Dean2, William H. Dean17, Alastair K Denniston18, Alastair K Denniston1, Joshua R. Ehrlich19, Paul M. Emerson20, Jennifer R Evans2, Kevin D. Frick21, David S. Friedman22, João M. Furtado23, Gichangi M, Stephen Gichuhi24, Suzanne Gilbert25, Reeta Gurung26, Esmael Habtamu2, Peter Holland16, Jost B. Jonas27, Pearse A. Keane1, Lisa Keay28, Lisa Keay29, Rohit C Khanna29, Rohit C Khanna30, Peng T. Khaw1, Hannah Kuper2, Fatima Kyari2, Fatima Kyari31, Van C. Lansingh, Islay Mactaggart2, Milka Madaha Mafwiri32, Wanjiku Mathenge33, Ian McCormick2, Priya Morjaria2, L Mowatt34, Debbie Muirhead35, Debbie Muirhead8, Gudlavalleti V S Murthy2, Nyawira Mwangi2, Nyawira Mwangi36, Daksha B Patel2, Tunde Peto7, Babar Qureshi, Solange Rios Salomão37, Virginia Sarah8, Bernadetha R Shilio, Anthony W. Solomon, Bonnielin K. Swenor21, Hugh R. Taylor35, Ningli Wang38, Aubrey Webson, Sheila K. West21, Tien Yin Wong39, Tien Yin Wong40, Richard Wormald2, Richard Wormald1, Sumrana Yasmin, Mayinuer Yusufu38, Juan Carlos Silva41, Serge Resnikoff42, Serge Resnikoff29, Thulasiraj Ravilla, Clare Gilbert2, Allen Foster2, Hannah Faal43 
TL;DR: In this paper, the authors defined eye health as maximised vision, ocular health, and functional ability, thereby contributing to overall health and wellbeing, social inclusion, and quality of life.

435 citations

References
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Journal ArticleDOI
TL;DR: The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of prevalence, incidence, and years lived with disability (YLDs) for 328 causes in 195 countries and territories from 1990 to 2016.

10,401 citations

Journal ArticleDOI
TL;DR: All-cause age-standardised YLD rates decreased by 3·9% from 1990 to 2017; however, the all-age YLD rate increased by 7·2% while the total sum of global YLDs increased from 562 million (421–723) to 853 million (642–1100).

7,419 citations

Journal ArticleDOI
TL;DR: The Analytic Hierarchy Process (AHP) is a theory of measurement through pairwise comparisons and relies on the judgements of experts to derive priority scales that measure intangibles in relative terms.
Abstract: Decisions involve many intangibles that need to be traded off To do that, they have to be measured along side tangibles whose measurements must also be evaluated as to, how well, they serve the objectives of the decision maker The Analytic Hierarchy Process (AHP) is a theory of measurement through pairwise comparisons and relies on the judgements of experts to derive priority scales It is these scales that measure intangibles in relative terms The comparisons are made using a scale of absolute judgements that represents, how much more, one element dominates another with respect to a given attribute The judgements may be inconsistent, and how to measure inconsistency and improve the judgements, when possible to obtain better consistency is a concern of the AHP The derived priority scales are synthesised by multiplying them by the priority of their parent nodes and adding for all such nodes An illustration is included

6,787 citations

Journal Article
TL;DR: The Analytic Hierarchy Process (AHP) as discussed by the authors is a theory of measurement through pairwise comparisons and relies on the judgements of experts to derive priority scales, these scales are these scales that measure intangibles in relative terms.

5,663 citations

Journal ArticleDOI
TL;DR: The new estimates of diabetes prevalence, deaths attributable to diabetes and healthcare expenditure due to diabetes present a large social, financial and health system burden across the world.

4,480 citations

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Trending Questions (3)
What is the prevalence of diabetes in the world?

The prevalence of diabetes in the world is estimated to be 9.3% in 2019, with 463 million people affected. It is projected to increase to 10.2% (578 million) by 2030 and 10.9% (700 million) by 2045.

What is the global prevalence of diabetes?

The global prevalence of diabetes in 2019 is estimated to be 9.3% (463 million people), projected to increase to 10.2% (578 million) by 2030 and 10.9% (700 million) by 2045.

What is the diabetes prevalence worldwide?

The global diabetes prevalence in 2019 is estimated to be 9.3% (463 million people).