Cohort Profile: CArdiovascular Risk in patients with DIAbetes in NAvarra (CARDIANA cohort)

• Published in: BMJ open 2023-01, Vol.13 (1), p.e066052-e066052
• Main Authors: Tamayo, Ibai, Librero-Lopez, Julian, Galbete, Arkaitz, Cambra, Koldo, Enguita-Germán, Mónica, Forga, Luis, Goñi, María José, Lecea, Oscar, Gorricho, Javier, Olazarán, Álvaro, Arnedo, Laura, Moreno-Iribas, Conchi, Lafita, Javier, Ibañez-Beroiz, Berta
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Cardiac Epidemiology; Cardiovascular Diseases - complications; Cardiovascular Diseases - etiology; Child; Child, Preschool; Codes; Computerized physician order entry; Diabetes; Diabetes Mellitus, Type 1 - complications; Diabetes Mellitus, Type 1 - epidemiology; Diabetes Mellitus, Type 2 - complications; Diabetes Mellitus, Type 2 - epidemiology; Epidemiology; General diabetes; Health care policy; Health informatics; Health services; Heart Disease Risk Factors; Humans; Medical records; Middle Aged; Mortality; Patients; Population; Primary care; Public health; Retrospective Studies; Risk Factors; Risk management; Socioeconomic factors; Young Adult
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2022-066052

PurposeThe CArdiovascular Risk in patients with DIAbetes in Navarra (CARDIANA cohort) cohort was established to assess the effects of sociodemographic and clinical variables on the risk of cardiovascular events in patients with type 1 (T1D) or type 2 (T2D) diabetes, with a special focus on socioeconomic factors, and to validate and develop cardiovascular risk models for these patients.ParticipantsThe CARDIANA cohort included all patients with T1D and T2D diabetes registered in the Public Health Service of Navarra with prevalent disease on 1 January 2012. It consisted of 1067 patients with T1D (ages 2–88 years) and 33842 patients with T2D (ages 20–105 years), whose data were retrospectively extracted from the Health and Administrative System Databases.Findings to dateThe follow-up period for wave 1 was from 1 January 2012 to 31 December 2016. During these 5 years, 9 patients (0.8%; 95% CI (0.4% to 1.6%)) in the T1D cohort developed a cardiovascular disease event, whereas for the T2D cohort, 2602 (7.7%; 95% CI (7.4% to 8.0%)) had an event. For the T2D cohort, physical activity was associated with a reduced risk of cardiovascular events, with adjusted estimated ORs equal to 0.84 (95% CI 0.66 to 1.07) for the partially active group and 0.71 (95% CI 0.56 to 0.91) for the active group, compared with patients in the non-active group.Future plansThe CARDIANA cohort is currently being used to assess the effect of sociodemographic risk factors on CV risk at 5 years and to externally validate cardiovascular predictive models. A second wave is being conducted in late 2022 and early 2023, to extend the follow-up other 5 years, from 1 January 2016 to 31 December 2021. Periodic data extractions are planned every 5 years.