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Multicenter Study
. 2015 May 12:15:486.
doi: 10.1186/s12889-015-1812-4.

Retirement due to disabilities in patients with type 1 diabetes a nationwide multicenter survey in Brazil

Marilia Brito Gomes  1 , Carlos Antonio Negrato  2 ; Brazilian Type 1 Diabetes Study Group (BrazDiab1SG)
Affiliations
Multicenter Study

Retirement due to disabilities in patients with type 1 diabetes a nationwide multicenter survey in Brazil

Marilia Brito Gomes et al. BMC Public Health. .

Abstract

Background: There is scarcity of data concerning retirement and workforce loss exclusively in patients with type 1 diabetes. The aim of this study was to evaluate the prevalence, causes, and predictors of retirement in patients with type 1 diabetes in Brazil.

Methods: This was a multicenter cross-sectional study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. Data were obtained from 3,180 patients aged 22 ± 11.7 years; 56.3% of the participants were female, and 57.4% were Caucasians. The mean time since diabetes diagnosis was 10.3 ± 8.1 years. Patients' information (clinical factors and retirement data) was obtained through a questionnaire and a chart review. Patients were retired by diabetes according to the Brazilian Institute of Social Security's criteria that takes in account the presence of diabetes-related chronic complications certified by a doctor, excluding any personal reason or another health condition besides diabetes. Both quantitative and qualitative tests were employed, and a multivariate logistic regression model was performed to identify the factors associated with retirement due to disabilities in patients with type 1 diabetes.

Results: The overall frequency of retirement was 4.2%, with no difference between genders. The mean age of retirement was 35.5 ± 9.3 years, resulting in 17.5 ± 9.1 years of workforce losses. These patients had a significantly higher prevalence of severe hypoglycemia, proliferative and non-proliferative retinopathy, foot disorders, chronic or end-stage renal disease requiring dialysis or transplantation, cataracts, glaucoma, psychological disorders, hypertension, and overweight/obesity than did the employed patients. Multivariate logistic regression analysis with retirement as the dependent variable showed adjusted odds ratios (ORs) of 4.87 (2.66-8.78) for the presence of microvascular complications and 3.7 (2.04-6.70) for macrovascular complications.

Conclusions: Retirement due to disabilities occurred in 4.2% of Brazilian patients with type 1 diabetes at an early age and is strongly associated with diabetes-related chronic complications. Health care workers should thus reevaluate the quality of care given to these patients.

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Figures

Figure 1
Figure 1
Flow chart of the patients included in the present study.
See this image and copyright information in PMC

References

    1. Karvonen M, Vik-Kajander M, Moltchanova E, Libman I, LaPorte R, Tuomilehto J. Incidence of childhood type 1 diabetes worldwide. Diabetes Care. 2000;23:1516–26. doi: 10.2337/diacare.23.10.1516. - DOI - PubMed
    1. The DIAMOND Project Group Incidence and trends of childhood type 1 diabetes worldwide 1990–1999. Diabet Med. 2006;23(8):857–66. doi: 10.1111/j.1464-5491.2006.01925.x. - DOI - PubMed
    1. Negrato CA, Dias JP, Teixeira MF, Dias A, Salgado MH, Lauris JR. Temporal trends in incidence of type 1 diabetes between 1986 and 2006 in Brazil. J Endocrinol Invest. 2010;33:373–7. doi: 10.1007/BF03346606. - DOI - PubMed
    1. Laing SP, Swerdlow AJ, Slater SD, Burden AC, Morris A, Waugh NR. Mortality from heart disease in a cohort of 23,000 patients with insulin-treated diabetes. Diabetologia. 2003;46(6):760–5. doi: 10.1007/s00125-003-1116-6. - DOI - PubMed
    1. Miller RG, Secrest AM, Sharma RK, Songer TJ, Orchard TJ. Improvements in the life expectancy of type 1 diabetes: The Pittsburgh epidemiology of diabetes complications study cohort. Diabetes. 2012;61:2987–92. doi: 10.2337/db11-1625. - DOI - PMC - PubMed

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