Beautiful, classic epi finding. J-shaped curve when looking at risk of death based on HbA1c, with a reduced risk for pre-diabetes (5.7-6.4%). Correct for SES and ethnicity and the protective effect disappears #epitwitterpic.twitter.com/VACU9JQTkR
Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him
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Beautiful, classic epi finding. J-shaped curve when looking at risk of death based on HbA1c, with a reduced risk for pre-diabetes (5.7-6.4%). Correct for SES and ethnicity and the protective effect disappears #epitwitterpic.twitter.com/VACU9JQTkR
Super interesting. Say more! What's the data source? Perhaps selection on diagnosis may induce CSB due to +Pr(dx encounter) which is (re)blocked by predictors of medical access. Supported by relatively strong bias in those just under threshold for tx. https://www.ncbi.nlm.nih.gov/m/pubmed/29374028/ …
Data source is hospital admissions, diagnosis is based purely on HbA1c testing results rather than a code. Death is actually within the hospital stay itself, so my guess is that disadvantage may be influencing people's ability to access care within the hospital
As for case selection...possible but I think unlikely. HbA1c testing is routine for all patients admitted through ED in this dataset, so there's no selection of testing per se
Also, I love the study, thanks for that!
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