Limits...
Mortality rates and the causes of death related to diabetes mellitus in Shanghai Songjiang District: an 11-year retrospective analysis of death certificates.

Zhu M, Li J, Li Z, Luo W, Dai D, Weaver SR, Stauber C, Luo R, Fu H - BMC Endocr Disord (2015)

Bottom Line: Mortality data of 2654 diabetics were collected from the database of local CDC.The leading underlying causes of death were various cardiovascular diseases (CVD), which collectively accounted for about 30% of the collected death certificates.Policy makers should pay more attention to primary prevention of diabetes and on the prevention of cardiovascular complications to reduce the burden of diabetes on survival.

View Article: PubMed Central - PubMed

Affiliation: Shanghai Songjiang Center for Disease Control and Prevention (CDC), North Xilin Road 1050, Songjiang District, Shanghai, 201620, China.

ABSTRACT

Background: China is one of the countries with the highest prevalence of diabetes in the world. We analysed all the death certificates mentioning diabetes from 2002 to 2012 in Songjiang District of Shanghai to estimate morality rates and examine cause of death patterns.

Methods: Mortality data of 2654 diabetics were collected from the database of local CDC. The data set comprises all causes of death, contributing causes and the underlying cause, thereby the mortality rates of diabetes and its specified complications were analysed.

Results: The leading underlying causes of death were various cardiovascular diseases (CVD), which collectively accounted for about 30% of the collected death certificates. Diabetes was determined as the underlying cause of death on 28.7%. The trends in mortality showed that the diabetes related death rate increased about 1.78 fold in the total population during the 11-year period, and the death rate of diabetes and CVD comorbidity increased 2.66 fold. In all the diabetes related deaths, the proportion of people dying of ischaemic heart disease or cerebrovascular disease increased from 18.0% in 2002 to 30.5% in 2012. But the proportions attributed directly to diabetes showed a downtrend, from 46.7-22.0%.

Conclusions: The increasing diabetes related mortality could be chiefly due to the expanding prevalence of CVD, but has nothing to do with diabetes as the underlying cause. Policy makers should pay more attention to primary prevention of diabetes and on the prevention of cardiovascular complications to reduce the burden of diabetes on survival.

No MeSH data available.


Related in: MedlinePlus

The distribution of diabetes specified complications in the decedents with diabetes as underlying cause of death in 11 years
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4559917&req=5

Fig1: The distribution of diabetes specified complications in the decedents with diabetes as underlying cause of death in 11 years

Mentions: Of the 2654 diabetes related deaths, 1943 (73.2 %) deceased were diagnosed with comorbidity of diabetes and circulatory system diseases (ICD-10 I00–I99, excluding I46); and no statistical difference was shown by gender (p = 0.10, Chi-square test). Diabetes specified complications were determined according to the fourth character subdivisions under ICD-10 codes E10–E14. The distribution of complications in the deceased with diabetes as underlying cause of death is shown in Fig. 1. In addition to the circa 38 % deceased without complications, the leading causes were renal complications, other specified complications, multiple complications, and peripheral circulatory complications, which collectively accounted for over 45 % of deaths where diabetes was the underlying cause.Fig. 1


Mortality rates and the causes of death related to diabetes mellitus in Shanghai Songjiang District: an 11-year retrospective analysis of death certificates.

Zhu M, Li J, Li Z, Luo W, Dai D, Weaver SR, Stauber C, Luo R, Fu H - BMC Endocr Disord (2015)

The distribution of diabetes specified complications in the decedents with diabetes as underlying cause of death in 11 years
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4559917&req=5

Fig1: The distribution of diabetes specified complications in the decedents with diabetes as underlying cause of death in 11 years
Mentions: Of the 2654 diabetes related deaths, 1943 (73.2 %) deceased were diagnosed with comorbidity of diabetes and circulatory system diseases (ICD-10 I00–I99, excluding I46); and no statistical difference was shown by gender (p = 0.10, Chi-square test). Diabetes specified complications were determined according to the fourth character subdivisions under ICD-10 codes E10–E14. The distribution of complications in the deceased with diabetes as underlying cause of death is shown in Fig. 1. In addition to the circa 38 % deceased without complications, the leading causes were renal complications, other specified complications, multiple complications, and peripheral circulatory complications, which collectively accounted for over 45 % of deaths where diabetes was the underlying cause.Fig. 1

Bottom Line: Mortality data of 2654 diabetics were collected from the database of local CDC.The leading underlying causes of death were various cardiovascular diseases (CVD), which collectively accounted for about 30% of the collected death certificates.Policy makers should pay more attention to primary prevention of diabetes and on the prevention of cardiovascular complications to reduce the burden of diabetes on survival.

View Article: PubMed Central - PubMed

Affiliation: Shanghai Songjiang Center for Disease Control and Prevention (CDC), North Xilin Road 1050, Songjiang District, Shanghai, 201620, China.

ABSTRACT

Background: China is one of the countries with the highest prevalence of diabetes in the world. We analysed all the death certificates mentioning diabetes from 2002 to 2012 in Songjiang District of Shanghai to estimate morality rates and examine cause of death patterns.

Methods: Mortality data of 2654 diabetics were collected from the database of local CDC. The data set comprises all causes of death, contributing causes and the underlying cause, thereby the mortality rates of diabetes and its specified complications were analysed.

Results: The leading underlying causes of death were various cardiovascular diseases (CVD), which collectively accounted for about 30% of the collected death certificates. Diabetes was determined as the underlying cause of death on 28.7%. The trends in mortality showed that the diabetes related death rate increased about 1.78 fold in the total population during the 11-year period, and the death rate of diabetes and CVD comorbidity increased 2.66 fold. In all the diabetes related deaths, the proportion of people dying of ischaemic heart disease or cerebrovascular disease increased from 18.0% in 2002 to 30.5% in 2012. But the proportions attributed directly to diabetes showed a downtrend, from 46.7-22.0%.

Conclusions: The increasing diabetes related mortality could be chiefly due to the expanding prevalence of CVD, but has nothing to do with diabetes as the underlying cause. Policy makers should pay more attention to primary prevention of diabetes and on the prevention of cardiovascular complications to reduce the burden of diabetes on survival.

No MeSH data available.


Related in: MedlinePlus