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. 2021 Nov 27;65(1):3–13. doi: 10.1007/s00125-021-05585-2

Table 3.

Recommendations to improve estimation and interpretation of diabetes burdens

Category Benefits
Data infrastructure
 Enhance vital statistics coverage Decreases biases related to where deaths occur
 Enable linkage between community, healthcare and vital registration data systems Increases validity of reported events
Denominators and numerators
 Validate consensus definitions for diabetes and disseminate Improves understanding of screening and diagnostic practices and their influence on rates
 Expand and standardise routine collection and use of data from healthcare settings Adds more credible biochemical and clinician-coded indicators to self-reported data
 Develop classification structure for diabetes complications (traditional, emerging and other comorbidities) Elevates importance of non-fatal and non-traditional diabetes complications that affect quality of life
 Establish denominators based on standardised definitions Permits credible comparison of trends within and across countries
Analysis
 Expand capacity to manage data and analyses (especially in LMICs) Improves surveillance of diabetes burdens and impacts of policies and programmes
Reporting
 Standardise chronic disease surveillance reporting through checklists that recommend providing critical contextual information regarding case definitions and how these are operationalised in the data Helps analysts and users of data to contextualise and compare the findings