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10.1016/j.jdiacomp.2015.11.011

http://scihub22266oqcxt.onion/10.1016/j.jdiacomp.2015.11.011
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C4761325!4761325!26684170
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suck abstract from ncbi


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pmid26684170      J+Diabetes+Complications 2016 ; 30 (2): 221-6
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  • The Haptoglobin genotype predicts cardio-renal mortality in type 1 diabetes #MMPMID26684170
  • Costacou T; Orchard TJ
  • J Diabetes Complications 2016[Mar]; 30 (2): 221-6 PMID26684170show ga
  • Aims: The Haptoglobin (HP) 2-2 genotype increases cardiovascular diabetes complication incidence. In type 1 diabetes, HP 2-2 also predicts declining kidney function and end-stage renal disease. We investigated whether HP 2-2 predisposes to cardio-renal mortality, while considering other causes of death as competing risks. Methods: Individuals with type 1 diabetes and HP data available (n=486; mean baseline age, 27 and duration, 19 years) were selected for study. Vital status was assessed as of 8/31/2014. The underlying cause of death was determined and classified based on standardized procedures. Results: During 25 years of follow-up, 79 (16.3%) cardio-renal deaths and 43 (8.8%) deaths related to other causes occurred. Although total mortality did not differ by HP (25.4% with HP 1 versus 24.6% with HP 2-2, p=0.84), a greater proportion of HP 2-2 carriers exhibited a cardio-renal death (19.0 versus 14.2, p=0.05). In time-to-event analyses, HP 2-2 was associated with a statistically significant increase of the sub-distribution hazard ratio for cardio-renal mortality (HR=1.64, p=0.03), although this effect was somewhat attenuated after multivariable adjustment (HR=1.58, p=0.05). Conclusions: Our results suggest that in addition to predicting the incidence of cardio-renal complications, HP 2-2 also increases susceptibility for cardio-renal mortality in type 1 diabetes. These findings require validation in other cohorts.
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