Abstract
Previous studies on the risk and prevalence of diabetes among spinal cord injury (SCI) patients are limited and controversial. To compare the risk and incidence rate (IR) of Type 2 diabetes in SCI and non-SCI patients. This is a population-based retrospective cohort study. Data from Taiwan's National Health Insurance Research Database for the period 1997 to 2010 were analyzed. Patients aged 20 years and older newly identified with SCIs during this period were included in the SCI cohort. A non-SCI comparison cohort was randomly selected from National Health Insurance beneficiaries and matched with the SCI cohort based on age, sex, and index date. Both cohorts were followed until the first of the following occurred: the diagnosis of Type 2 diabetes (International Classification of Disease, Ninth Revision, Clinical Modification codes 250), withdrawal from the insurance system, the end of 2010, or death. A Cox proportional hazards regression analysis was used to estimate the risk of developing diabetes. Taiwan possesses an older SCI population, with a mean age of 51.6 years. The IR for diabetes in patients with and without SCIs was 22.1 per 10,000 person-years and 17.2 per 10,000 person-years, respectively. The adjusted hazard rati...Continue Reading
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