CAD-02: Survie à 5 ans après le diagnostic d'une cohorte de 306 jeunes diabétiques en Guinée

Baldé, N.M.; Nguewa, J.-L.; Diallo, A.; Kourouma, M.; Camara, Abdoulaye; Sobngwi, Eugène; Diallo, M.M.

doi:10.1016/s1262-3636(16)30098-2

Cited by 2 publications

(6 citation statements)

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“…Also, the median age of onset of diabetes in our study was 15 years. [12][13][14][15][16][17] This is higher than reported in many Caucasian studies but similar to other African studies. 17,18 Some authors have suggested that a later age of onset seen in SSA may be because younger-aged children are most likely to die due to misdiagnosis.…”

Section: Discussionsupporting

confidence: 84%

“…Although there was an overall improvement in the glycemic control in our study, mortality was still very high, suggesting that other factors may drive mortality. Also, the median age of onset of diabetes in our study was 15 years 12–17 . This is higher than reported in many Caucasian studies but similar to other African studies 17,18 .…”

Section: Discussionsupporting

confidence: 83%

“…However, type 1 diabetes mortality remains substantially higher in SSA countries than in developed countries. 11,12 In Rwanda's Life for a Child (LFAC)…”

Section: Discussionmentioning

confidence: 99%

“…This situation would be similar to that seen in the pre‐insulin era in the western world. However, type 1 diabetes mortality remains substantially higher in SSA countries than in developed countries 11 , 12 . In Rwanda's Life for a Child (LFAC) program, the mortality rate was 13.9 per 1000 person‐years between 2009 and 2011 10 .…”

Section: Discussionmentioning

confidence: 99%

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Mortality amongst children and adolescents with type 1 diabetes in sub‐Saharan Africa: The case study of the Changing Diabetes in Children program in Cameroon

et al. 2021

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Introduction: Type 1 diabetes in Africa has been associated with high mortality attributed mainly to poor insulin access. Free insulin provision programs for people with type 1 diabetes have been introduced across Africa recently. We aimed to determine the mortality rate and associated factors in a cohort of children and adolescents with type 1 diabetes who receive free insulin treatment in sub-Saharan Africa.Methods: We conducted a retrospective analysis using the Changing Diabetes in Children (CDiC) medical records in Cameroon between 2011 and 2015.Results: The overall mortality rate was 33.0 per 1000 person-years (95% CI 25.2-43.2). Most deaths (71.7%) occurred outside of the hospital setting, and the cause of death was known only in 13/53 (24.5%). Mortality was substantially higher in CDiC participants followed up in regional clinics compared to the main urban CDiC clinic in Yaounde; 41 per 1000 years (95% CI 30.8-56.0) versus 17.5 per 1000 years (95% CI 9.4-32.5), and in those with no formal education compared to those who had some level of education; 68.0 per 1000 years (95% CI 45.1-102.2) versus 23.6 per 1000 years (95% CI 16.5-33.8). In Cox proportional multivariable analysis, urban place of care (HR = 0.23, 95% CI 0.09-0.57; p = 0.002) and formal education (HR = 0.42, 95% CI 0.22-0.79; p = 0.007) were independently associated with mortality. Conclusion:Despite free insulin provision, mortality remains high in children and adolescents with type 1 diabetes in Cameroon and is substantially higher in rural settings and those with no formal education.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 83%

“…However, type 1 diabetes mortality remains substantially higher in SSA countries than in developed countries. 11,12 In Rwanda's Life for a Child (LFAC)…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mortality amongst children and adolescents with type 1 diabetes in sub‐Saharan Africa: The case study of the Changing Diabetes in Children program in Cameroon

et al. 2021

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“…This situation would be similar to that seen in the pre-insulin era in the western world. However, type 1 diabetes mortality remains substantially higher in sub-Saharan African countries than in developed countries (11) (12). In Rwanda's Life for a Child (LFAC) programme, the mortality rate was 13.9 per 1000 person-years between 2009 and 2011 (10).…”

Section: Discussionmentioning

confidence: 99%

Mortality amongst children and adolescents with type 1 diabetes in sub-Saharan Africa: the case study of the changing diabetes in children program in Cameroon

JC¹,

Lemdjo²,

MY³

et al. 2022

ESPE

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CAD-02: Survie à 5 ans après le diagnostic d'une cohorte de 306 jeunes diabétiques en Guinée

Cited by 2 publications

References 0 publications

Mortality amongst children and adolescents with type 1 diabetes in sub‐Saharan Africa: The case study of the Changing Diabetes in Children program in Cameroon

Mortality amongst children and adolescents with type 1 diabetes in sub‐Saharan Africa: The case study of the Changing Diabetes in Children program in Cameroon

Mortality amongst children and adolescents with type 1 diabetes in sub-Saharan Africa: the case study of the changing diabetes in children program in Cameroon

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