National cohort study of patients with insulin-treated diabetes. v1

  • Research type

    Research Study

  • Full title

    National cohort study of mortality and cancer incidence in patients with insulin-treated diabetes.

  • IRAS ID

    304728

  • Contact name

    Michael Jones

  • Contact email

    Michael.jones@icr.ac.uk

  • Sponsor organisation

    The Institute of Cancer Research

  • Duration of Study in the UK

    55 years, 0 months, 0 days

  • Research summary

    This study has already been running, with ethics and CAG approval, for 30 years. In order to transfer this study to a new Chief Investigator, with no other changes, we have been asked to complete this form, to produce IRAS registration needed for the transfer.

    This is a large-scale follow-up study of risks of cancer and mortality in patients with insulin-treated diabetes aged under 50 (largely under 30) at diagnosis who were identified in the UK during 1972-1993. It is to our knowledge the largest study worldwide to provide information on such long-term follow-up of risks of cancer and death in relation to age at onset and duration of diabetes, to inform patients, parents of young patients, and clinicians.

    Because modern treatments have led to greatly improved survival of patients with diabetes, the issue of long-term side-effects of the disease has become an important one for advice to patients and (for children) to their parents. It is also important to clinicians deciding about treatment of diseases and the balance of benefit vs. side-effects and complications, and to the Health Service, because of the costs accruing for continued follow-up and care of these patients and the planning required to take account of long-term consequences and to plan strategies, where possible, for their prevention and early detection. There is a great desire on the part of parents of children with this disease to know about their child's prognosis. The condition, is one where there is reason to be concerned about long-term mortality and cancer risks, and a deficiency of large-scale cohort information about this. The study will furnish information to meet these needs, in relation to age of diabetes onset and duration of diabetes, on a larger scale over a longer period than, to our knowledge any other study of young insulin-treated patients.

  • REC name

    London - Central Research Ethics Committee

  • REC reference

    22/LO/0238

  • Date of REC Opinion

    6 Apr 2022

  • REC opinion

    Favourable Opinion