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Epidemiology/Health Services Research

Low Incidence of End-Stage Renal Disease in Childhood-Onset Type 1 Diabetes Followed for Up to 42 Years

  1. Vibeke Gagnum1,2⇑,
  2. Maryam Saeed1,2,
  3. Lars C. Stene2,3,
  4. Torbjørn Leivestad4,
  5. Geir Joner1,2,5 and
  6. Torild Skrivarhaug1,2,6
  1. 1Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway
  2. 2Oslo Diabetes Research Centre, Oslo University Hospital, Oslo, Norway
  3. 3Norwegian Institute of Public Health, Oslo, Norway
  4. 4Norwegian Renal Registry, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway
  5. 5Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
  6. 6Norwegian Childhood Diabetes Registry, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway
  1. Corresponding author: Vibeke Gagnum, vibeke.gagnum{at}ous-hf.no.
Diabetes Care 2018 Mar; 41(3): 420-425. https://doi.org/10.2337/dc17-0906
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    Figure 1

    Incidence rates of ESRD per 1,000 person-years in 7,871 patients with type 1 diabetes who had received a diagnosis before 15 years of age during 1973–1982 and 1989–2012.

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    Figure 2

    Cumulative incidence of ESRD in 7,871 patients with type 1 diabetes who had received a diagnosis before 15 years of age during 1973–1982 and 1989–2012. A: By sex, P = 0.017. B: By age at diagnosis of diabetes, P = 0.011. C: By time period of diagnosis of diabetes, P = 0.38. P values in A and C were calculated using the log-rank test and in B by the log-rank test, test for trend.

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    Demographic characteristics of the study population of childhood-onset (<15 years of age) type 1 diabetes in Norway, followed for ESRD, mortality, and emigration, or until 30 November 2015

    TotalMaleFemaleYear of diagnosis
    1973–19821989–2012
    Participants7,871 (100)4,242 (53.9)3,629 (46.1)1,888 (24.0)5,983 (76.0)
    Age at diagnosis of type 1 diabetes, years8.8 (0.6–14.9)8.8 (0.6–14.9)8.7 (0.6–14.9)9.1 (0.6–14.9)8.7 (0.6–14.9)
    Duration of diabetes, years18.8 (0–42.9)18.7 (0–42.9)18.8 (0–42.9)35.8 (0–42.9)13.4 (0–26.9)
    Age at end of follow-up, years27.6 (1.8–57.5)27.6 (3.7–57.5)27.5 (1.8–57.0)44.8 (3.9–57.5)22.2 (1.8–41.6)
    Follow-up, person-years147,71479,38168,33367,41180,303
    Participants in whom ESRD developed103 (1.3)67 (1.6)36 (1.0)86 (4.6)17 (0.3)
    Incidence rates of ESRD per 1,000 person-years (95% CI)0.69 (0.57–0.85)0.84 (0.66–1.07)0.52 (0.38–0.73)1.28 (1.03–1.58)0.53 (0.38–0.73)
    Time from diagnosis of diabetes to ESRD, years25.9 (12.7–39.1)26.4 (14.1–39.1)24.8 (12.7–37.4)27.2 (16.5–39.1)18.9 (12.7–24.6)
    Age at diagnosis of ESRD, years35.9 (22.1–48.3)36.5 (24.1–48.3)34.6 (22.1–45.8)37.0 (22.1–48.3)29.9 (22.4–38.7)
    Dead285 (3.6)200 (4.7)85 (2.3)204 (10.8)81 (1.4)
    Emigrated108 (1.4)48 (1.1)60 (1.7)26 (1.4)82 (1.4)
    Deceased participants who had ESRD31 (10.9)22 (11.0)9 (10.6)27 (13.2)4 (4.9)
    • Data are n (%) or mean (range), unless otherwise indicated.

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Low Incidence of End-Stage Renal Disease in Childhood-Onset Type 1 Diabetes Followed for Up to 42 Years
Vibeke Gagnum, Maryam Saeed, Lars C. Stene, Torbjørn Leivestad, Geir Joner, Torild Skrivarhaug
Diabetes Care Mar 2018, 41 (3) 420-425; DOI: 10.2337/dc17-0906

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Low Incidence of End-Stage Renal Disease in Childhood-Onset Type 1 Diabetes Followed for Up to 42 Years
Vibeke Gagnum, Maryam Saeed, Lars C. Stene, Torbjørn Leivestad, Geir Joner, Torild Skrivarhaug
Diabetes Care Mar 2018, 41 (3) 420-425; DOI: 10.2337/dc17-0906
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