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Cohort profile: The North East London Diabetes Study (NELDS)

  • Abraham Olvera-Barrios
  • , Alasdair N. Warwick
  • , Matilda Pitt
  • , Zeinab Schaefer
  • , Schanhave Santhirasekaran
  • , Ryan Chambers
  • , Louis Bolter
  • , John Anderson
  • , Jiri Fajtl
  • , Sarah Barman
  • , Reecha Sofat
  • , Aroon Hingorani
  • , Catherine Egan
  • , Adnan Tufail
  • , Alicja R. Rudnicka
  • , Christopher G. Owen
  • , the ARIAS Research Group
  • Moorfields Eye Hospital NHS Foundation Trust
  • University College London
  • City St George's, University of London
  • Homerton Healthcare NHS Foundation Trust
  • University of Liverpool

Research output: Contribution to journalArticlepeer-review

Abstract

The North East London Diabetes Study (NELDS) was established to investigate the epidemiology of diabetes-related outcomes and to support the development of equitable predictive models.

Based in North East London, England, the NELDS includes people with diabetes (92% type 2) registered with the Diabetic Eye Screening Programme (DESP) between January 2012 and December 2021. The cohort comprises 178 536 individuals aged ≥12 years at baseline (median age 57 years; interquartile range 47–68). Ethnic diversity is substantial, with 36% White, 34% South Asian, and 16% Black participants. By December 2021, 15% had died and 9.8% had moved out of the area.

The DESP dataset includes 5.5 million colour fundus photographs, standardized diabetic retinopathy grading, and socio-demographic information spanning 1 074 985 person-years of follow-up. These data are linked to primary and secondary care electronic health records (EHRs) containing clinical measurements, medication records, and comorbidity information. Prospective data collection is ongoing.

The scale, diversity, and unique integration of longitudinal ophthalmic imaging with linked EHR data of the NELDS make it well suited for developing accurate, equitable predictive models to inform personalized care and improve the prevention of diabetes complications.
Original languageEnglish
Article numberdyag117
JournalInternational Journal of Epidemiology
Volume55
Issue number4
Early online date5 Aug 2026
DOIs
Publication statusPublished - Aug 2026

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