Borderline Personality Disorder Health Risks and Mortality in Hong Kong 2006-2021

3092 patients with borderline personality disorder (BPD) were compared to 902,927 primary care clinic attendees in a 16-year Hong Kong cohort. The dataset supports analysis of hazard ratios for physical diseases like epilepsy and mortality from natural and external causes. It quantifies excess life-years lost and examines demographic variations in disease associations.

Use Cases

• Analyze hazard ratios for physical diseases like epilepsy associated with BPD diagnosis compared to a primary care cohort.
• Model all-cause, natural-cause, and external-cause mortality risks, with suicide and cardiovascular diseases as leading contributors.
• Calculate excess life-years lost (13.01 years) for the BPD cohort to quantify reduced life expectancy.
• Investigate gender differences where BPD-disease associations remained significant for females but not males.
• Examine how the strength of BPD-physical disease associations varies with age at first BPD diagnosis.

Strengths

• Large comparison cohort of 902,927 individuals from primary care clinics.
• 16-year longitudinal coverage from 2006 to 2021 using electronic health records.
• Provides quantified hazard ratios and confidence intervals for specific disease and mortality outcomes.
• Includes analysis of gender and age-at-diagnosis subgroups for risk associations.

Limitations

• The core BPD cohort size of 3092 patients is relatively small for detailed subgroup machine learning.
• Data is limited to public healthcare services in Hong Kong, limiting geographic generalizability.
• Dataset is a 66.7 KB DOCX file containing study results, not the underlying raw patient-level data.

Provenance

Source

Medical record database of public healthcare services in Hong Kong.

Collection Method

Retrospective population-based cohort study using electronic health records.

Time Range

2006 to 2021.

Freshness

null

Geography

Hong Kong.