{"id":"https://openalex.org/W3004944172","doi":"https://doi.org/10.2337/dc19-2394","title":"Burden of Complications in U.S. Adults With Young-Onset Type 2 or Type 1 Diabetes","display_name":"Burden of Complications in U.S. Adults With Young-Onset Type 2 or Type 1 Diabetes","publication_year":2020,"publication_date":"2020-02-06","ids":{"openalex":"https://openalex.org/W3004944172","doi":"https://doi.org/10.2337/dc19-2394","mag":"3004944172","pmid":"https://pubmed.ncbi.nlm.nih.gov/32029637","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7085806"},"language":"en","primary_location":{"id":"doi:10.2337/dc19-2394","doi":"https://doi.org/10.2337/dc19-2394","is_oa":false,"landing_page_url":"https://doi.org/10.2337/dc19-2394","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7085806","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5060964961","display_name":"Michael Fang","orcid":"https://orcid.org/0000-0003-2849-1780","observed_orcids":["https://orcid.org/0000-0003-2849-1780"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Fang","raw_affiliation_strings":["Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD","1Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"],"raw_orcid":"https://orcid.org/0000-0003-2849-1780","affiliations":[{"raw_affiliation_string":"Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"1Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029175176","display_name":"Justin Basile Echouffo-Tcheugui","orcid":"https://orcid.org/0000-0002-8460-1617","observed_orcids":["https://orcid.org/0000-0002-8460-1617"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Justin B. Echouffo-Tcheugui","raw_affiliation_strings":["Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD","2Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD"],"raw_orcid":"https://orcid.org/0000-0002-8460-1617","affiliations":[{"raw_affiliation_string":"Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]},{"raw_affiliation_string":"2Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026446943","display_name":"Elizabeth Selvin","orcid":"https://orcid.org/0000-0001-6923-7151","observed_orcids":["https://orcid.org/0000-0001-6923-7151","https://orcid.org/0000-0002-3539-2070"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Elizabeth Selvin","raw_affiliation_strings":["Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD","1Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"],"raw_orcid":"https://orcid.org/0000-0001-6923-7151","affiliations":[{"raw_affiliation_string":"Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"1Department of Epidemiology and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5026446943"],"corresponding_institution_ids":["https://openalex.org/I145311948"],"apc_list":null,"apc_paid":null,"fwci":2.5643,"has_fulltext":false,"cited_by_count":19,"citation_normalized_percentile":{"value":0.89759155,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":92,"max":98},"biblio":{"volume":"43","issue":"4","first_page":"e47","last_page":"e49"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9384999871253967,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9384999871253967,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.020600000396370888,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.018400000408291817,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/young-onset-diabetes","display_name":"young-onset diabetes","score":0.921999990940094},{"id":"https://openalex.org/keywords/type-1-diabetes","display_name":"type 1 diabetes","score":0.8889999985694885},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9879999756813049},{"id":"https://openalex.org/keywords/diabetes-complications","display_name":"diabetes complications","score":0.949999988079071},{"id":"https://openalex.org/keywords/prevalence-of-complications","display_name":"complication prevalence","score":0.6940000057220459},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.8040000200271606},{"id":"https://openalex.org/keywords/national-health-interview-survey","display_name":"National Health Interview Survey","score":0.7850000262260437},{"id":"https://openalex.org/keywords/age-at-diagnosis","display_name":"age at diagnosis","score":0.593999981880188}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9258499145507812},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.8258481621742249},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.7268035411834717},{"id":"https://openalex.org/C2781232474","wikidata":"https://www.wikidata.org/wiki/Q124407","display_name":"Type 1 diabetes","level":3,"score":0.6560441255569458},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.5511455535888672},{"id":"https://openalex.org/C2780128664","wikidata":"https://www.wikidata.org/wiki/Q6973004","display_name":"National Health Interview Survey","level":3,"score":0.5081028938293457},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4649540185928345},{"id":"https://openalex.org/C27158222","wikidata":"https://www.wikidata.org/wiki/Q5532422","display_name":"Generalizability theory","level":2,"score":0.44867655634880066},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3204048275947571},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.1596592366695404},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.1480523645877838},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0626053512096405},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.2337/dc19-2394","doi":"https://doi.org/10.2337/dc19-2394","is_oa":false,"landing_page_url":"https://doi.org/10.2337/dc19-2394","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7085806","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7085806","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"Text"},{"id":"pmid:32029637","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32029637","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes care","raw_type":"Letter"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:7085806","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7085806","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[{"id":"https://openalex.org/G5196008120","display_name":"Research and Mentoring in the Clinical Epidemiology of Type 2 Diabetes","funder_award_id":"K24DK106414","funder_id":"https://openalex.org/F4320337357","funder_display_name":"National Institute of Diabetes and Digestive and Kidney Diseases"},{"id":"https://openalex.org/G9000867194","display_name":"Cardiovascular Epidemiology Institutional Training","funder_award_id":"T32HL007024","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"},{"id":"https://openalex.org/F4320337357","display_name":"National Institute of Diabetes and Digestive and Kidney Diseases","ror":"https://ror.org/00adh9b73"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W1987077974","https://openalex.org/W2593912695","https://openalex.org/W2606106417","https://openalex.org/W2748764116","https://openalex.org/W2795064071"],"related_works":["https://openalex.org/W2592888113","https://openalex.org/W2551322726","https://openalex.org/W2082518216","https://openalex.org/W4399686327","https://openalex.org/W2593912695","https://openalex.org/W4399672903","https://openalex.org/W4403713324","https://openalex.org/W7203899601","https://openalex.org/W2559685455","https://openalex.org/W2620951451"],"abstract_inverted_index":{"Young-onset":[0],"type":[1,11,28,42,86,89,140,145,161,174],"2":[2,12,29,90,162],"diabetes":[3,13,30,44,129,137,142,163,176],"has":[4],"a":[5],"more":[6],"aggressive":[7],"clinical":[8],"course":[9],"than":[10,131],"that":[14,24,112],"occurs":[15],"at":[16],"an":[17],"older":[18],"age":[19,40,148,168],"(1).":[20,170],"Accruing":[21],"evidence":[22],"suggests":[23],"young":[25],"adults":[26,83],"with":[27,41,84,128,135],"have":[31,49],"complication":[32],"rates":[33],"exceeding":[34],"those":[35],"of":[36,38,57,79,118,141,149,153],"individuals":[37],"similar":[39],"1":[43,87,175],"(1\u20133).":[45],"However,":[46],"prior":[47],"studies":[48],"focused":[50],"on":[51,116],"select":[52],"populations":[53],"and":[54,88,97,151],"the":[55,68,77,95,107,139],"generalizability":[56],"their":[58],"findings":[59],"is":[60,106],"not":[61],"clear.":[62],"To":[63],"address":[64],"this":[65,178],"gap":[66],"in":[67],"literature,":[69],"we":[70,158],"analyzed":[71],"recent":[72],"national":[73],"data":[74,93],"to":[75],"characterize":[76],"prevalence":[78],"complications":[80],"among":[81],"U.S.":[82,110],"young-onset":[85,160,173],"diabetes.\n\nWe":[91],"pooled":[92],"from":[94],"2016":[96],"2017":[98],"National":[99],"Health":[100],"Interview":[101],"Survey":[102],"(NHIS).":[103],"The":[104],"NHIS":[105],"only":[108],"representative":[109],"study":[111],"collects":[113],"self-reported":[114],"information":[115],"types":[117],"diabetes.":[119],"Participants":[120],"reported":[121,138],"whether":[122],"they":[123],"had":[124],"ever":[125],"been":[126],"diagnosed":[127,136,166],"other":[130],"during":[132],"pregnancy.":[133],"Those":[134],"(type":[143],"1,":[144],"2,":[146],"other),":[147],"diagnosis,":[150],"use":[152],"antidiabetes":[154],"medication.\n\nFollowing":[155],"past":[156],"research,":[157],"defined":[159,172],"as":[164],"being":[165],"before":[167],"40":[169],"We":[171,184],"using":[177],"same":[179],"cut":[180],"point":[181],"for":[182],"comparability.":[183],"classified":[185],"\u2026":[186]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":4}],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2020-02-14T00:00:00"}
