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@article{Cousin:2022:10.1016/s2213-8587(21)00349-1,
author = {Cousin, E and Duncan, BB and Stein, C and Ong, KL and Vos, T and Abbafati, C and Abbasi-Kangevari, M and Abdelmasseh, M and Abdoli, A and Abd-Rabu, R and Abolhassani, H and Abu-Gharbieh, E and Accrombessi, MMK and Adnani, QES and Afzal, MS and Agarwal, G and Agrawaal, KK and Agudelo-Botero, M and Ahinkorah, BO and Ahmad, S and Ahmad, T and Ahmadi, K and Ahmadi, S and Ahmadi, A and Ahmed, A and Ahmed, Salih Y and Akande-Sholabi, W and Akram, T and Al, Hamad H and Al-Aly, Z and Alcalde-Rabanal, JE and Alipour, V and Aljunid, SM and Al-Raddadi, RM and Alvis-Guzman, N and Amini, S and Ancuceanu, R and Andrei, T and Andrei, CL and Anjana, RM and Ansar, A and Antonazzo, IC and Antony, B and Anyasodor, AE and Arabloo, J and Arizmendi, D and Armocida, B and Artamonov, AA and Arulappan, J and Aryan, Z and Asgari, S and Ashraf, T and Astell-Burt, T and Atorkey, P and Atout, MMW and Ayanore, MA and Badiye, AD and Baig, AA and Bairwa, M and Baker, JL and Baltatu, OC and Banik, PC and Barnett, A an},
doi = {10.1016/s2213-8587(21)00349-1},
journal = {The Lancet Diabetes & Endocrinology},
pages = {177--192},
title = {Diabetes mortality and trends before 25 years of age: an analysis of the Global Burden of Disease Study 2019},
url = {http://dx.doi.org/10.1016/s2213-8587(21)00349-1},
volume = {10},
year = {2022}
}

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TY  - JOUR
AB  - BackgroundDiabetes, particularly type 1 diabetes, at younger ages can be a largely preventable cause of death with the correct health care and services. We aimed to evaluate diabetes mortality and trends at ages younger than 25 years globally using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019.MethodsWe used estimates of GBD 2019 to calculate international diabetes mortality at ages younger than 25 years in 1990 and 2019. Data sources for causes of death were obtained from vital registration systems, verbal autopsies, and other surveillance systems for 1990–2019. We estimated death rates for each location using the GBD Cause of Death Ensemble model. We analysed the association of age-standardised death rates per 100 000 population with the Socio-demographic Index (SDI) and a measure of universal health coverage (UHC) and described the variability within SDI quintiles. We present estimates with their 95% uncertainty intervals.FindingsIn 2019, 16 300 (95% uncertainty interval 14 200 to 18 900) global deaths due to diabetes (type 1 and 2 combined) occurred in people younger than 25 years and 73·7% (68·3 to 77·4) were classified as due to type 1 diabetes. The age-standardised death rate was 0·50 (0·44 to 0·58) per 100 000 population, and 15 900 (97·5%) of these deaths occurred in low to high-middle SDI countries. The rate was 0·13 (0·12 to 0·14) per 100 000 population in the high SDI quintile, 0·60 (0·51 to 0·70) per 100 000 population in the low-middle SDI quintile, and 0·71 (0·60 to 0·86) per 100 000 population in the low SDI quintile. Within SDI quintiles, we observed large variability in rates across countries, in part explained by the extent of UHC (r2=0·62). From 1990 to 2019, age-standardised death rates decreased globally by 17·0% (−
AU  - Cousin,E
AU  - Duncan,BB
AU  - Stein,C
AU  - Ong,KL
AU  - Vos,T
AU  - Abbafati,C
AU  - Abbasi-Kangevari,M
AU  - Abdelmasseh,M
AU  - Abdoli,A
AU  - Abd-Rabu,R
AU  - Abolhassani,H
AU  - Abu-Gharbieh,E
AU  - Accrombessi,MMK
AU  - Adnani,QES
AU  - Afzal,MS
AU  - Agarwal,G
AU  - Agrawaal,KK
AU  - Agudelo-Botero,M
AU  - Ahinkorah,BO
AU  - Ahmad,S
AU  - Ahmad,T
AU  - Ahmadi,K
AU  - Ahmadi,S
AU  - Ahmadi,A
AU  - Ahmed,A
AU  - Ahmed,Salih Y
AU  - Akande-Sholabi,W
AU  - Akram,T
AU  - Al,Hamad H
AU  - Al-Aly,Z
AU  - Alcalde-Rabanal,JE
AU  - Alipour,V
AU  - Aljunid,SM
AU  - Al-Raddadi,RM
AU  - Alvis-Guzman,N
AU  - Amini,S
AU  - Ancuceanu,R
AU  - Andrei,T
AU  - Andrei,CL
AU  - Anjana,RM
AU  - Ansar,A
AU  - Antonazzo,IC
AU  - Antony,B
AU  - Anyasodor,AE
AU  - Arabloo,J
AU  - Arizmendi,D
AU  - Armocida,B
AU  - Artamonov,AA
AU  - Arulappan,J
AU  - Aryan,Z
AU  - Asgari,S
AU  - Ashraf,T
AU  - Astell-Burt,T
AU  - Atorkey,P
AU  - Atout,MMW
AU  - Ayanore,MA
AU  - Badiye,AD
AU  - Baig,AA
AU  - Bairwa,M
AU  - Baker,JL
AU  - Baltatu,OC
AU  - Banik,PC
AU  - Barnett,A
AU  - Barone,MTU
AU  - Barone-Adesi,F
AU  - Barrow,A
AU  - Bedi,N
AU  - Belete,R
AU  - Belgaumi,UI
AU  - Bell,AW
AU  - Bennett,DA
AU  - Bensenor,IM
AU  - Beran,D
AU  - Bhagavathula,AS
AU  - Bhaskar,S
AU  - Bhattacharyya,K
AU  - Bhojaraja,VS
AU  - Bijani,A
AU  - Bikbov,B
AU  - Birara,S
AU  - Bodolica,V
AU  - Bonny,A
AU  - Brenner,H
AU  - Briko,NI
AU  - Butt,ZA
AU  - Caetano,dos Santos FL
AU  - Cámera,LA
AU  - Campos-Nonato,IR
AU  - Cao,Y
AU  - Cao,C
AU  - Cerin,E
AU  - Chakraborty,PA
AU  - Chandan,JS
AU  - Chattu,VK
AU  - Chen,S
AU  - Choi,J-YJ
AU  - Choudhari,SG
AU  - Chowdhury,EK
AU  - Chu,D-T
AU  - Corso,B
AU  - Dadras,O
AU  - Dai,X
AU  - Damasceno,AAM
AU  - Dandona,L
AU  - Dandona,R
AU  - Dávila-Cervantes,CA
AU  - De,Neve J-W
AU  - Denova-Gutiérrez,E
AU  - Dhamnetiya,D
AU  - Diaz,D
AU  - Ebtehaj,S
AU  - Edinur,HA
AU  - Eftekharzadeh,S
AU  - El,Sayed I
AU  - Elgendy,IY
AU  - Elhadi,M
AU  - Elmonem,MA
AU  - Faisaluddin,M
AU  - Farooque,U
AU  - Feng,X
AU  - Fernandes,E
AU  - Fischer,F
AU  - Flood,D
AU  - Freitas,M
AU  - Gaal,PA
AU  - Gad,MM
AU  - Gaewkhiew,P
AU  - Getacher,L
AU  - Ghafourifard,M
AU  - Ghanei,Gheshlagh R
AU  - Ghashghaee,A
AU  - Ghith,N
AU  - Ghozali,G
AU  - Gill,PS
AU  - Ginawi,IA
AU  - Glushkova,EV
AU  - Golechha,M
AU  - Gopalani,SV
AU  - Guimarães,RA
AU  - Gupta,RD
AU  - Gupta,R
AU  - Gupta,VK
AU  - Gupta,VB
AU  - Gupta,S
AU  - Habtewold,TD
AU  - Hafezi-Nejad,N
AU  - Halwani,R
AU  - Hanif,A
AU  - Hankey,GJ
AU  - Haque,S
AU  - Hasaballah,AI
AU  - Hasan,SS
AU  - Hashi,A
AU  - Hassanipour,S
AU  - Hay,SI
AU  - Hayat,K
AU  - Heidari,M
AU  - Hossain,MBH
AU  - Hossain,S
AU  - Hosseini,M
AU  - Hoveidamanesh,S
AU  - Huang,J
AU  - Humayun,A
AU  - Hussain,R
AU  - Hwang,B-F
AU  - Ibitoye,SE
AU  - Ikuta,KS
AU  - Inbaraj,LR
AU  - Iqbal,U
AU  - Islam,M
DO  - 10.1016/s2213-8587(21)00349-1
EP  - 192
PY  - 2022///
SN  - 2213-8587
SP  - 177
TI  - Diabetes mortality and trends before 25 years of age: an analysis of the Global Burden of Disease Study 2019
T2  - The Lancet Diabetes & Endocrinology
UR  - http://dx.doi.org/10.1016/s2213-8587(21)00349-1
UR  - https://www.sciencedirect.com/science/article/pii/S2213858721003491?via%3Dihub
UR  - http://hdl.handle.net/10044/1/94820
VL  - 10
ER  -

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