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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

Changing patterns in crude death rates from 2002 to 2012. The denominators are the average total population in Songjiang District for every year
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Fig2: Changing patterns in crude death rates from 2002 to 2012. The denominators are the average total population in Songjiang District for every year

Mentions: Annual crude mortality rates for all-causes were relatively stable during the 11-year period ranging 63.19 per ten thousand to 74.39 per ten thousand for the Songjiang population (see Additional file 3: Table S1). The diabetes related death rate was 2.44 per ten thousand in 2002, increasing to 6.78 per ten thousand in 2012. The death rates of diabetes and cardiovascular diseases comorbidity exhibited the same rising trend, from 1.52 per ten thousand in 2002 to 5.55 per ten thousand in 2012. The mortalities of diabetes as the underlying cause rose slightly from 1.14 per ten thousand in 2002 to 1.49 per ten thousand in 2012. These rates are shown in Fig. 2. The Spearman’s rho were −0.24 (p = 0.31), 0.89 (p < 0.01), 0.49 (p = 0.04), and 0.89 (p < 0.01) for the correlations between all-cause mortality and the year of death, between diabetes related death rate and the year of death, between the mortality of diabetes as the underlying cause and the year of death, between the death rate of diabetes and CVD comorbidity and the year of death, respectively.Fig. 2


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)

Changing patterns in crude death rates from 2002 to 2012. The denominators are the average total population in Songjiang District for every year
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig2: Changing patterns in crude death rates from 2002 to 2012. The denominators are the average total population in Songjiang District for every year
Mentions: Annual crude mortality rates for all-causes were relatively stable during the 11-year period ranging 63.19 per ten thousand to 74.39 per ten thousand for the Songjiang population (see Additional file 3: Table S1). The diabetes related death rate was 2.44 per ten thousand in 2002, increasing to 6.78 per ten thousand in 2012. The death rates of diabetes and cardiovascular diseases comorbidity exhibited the same rising trend, from 1.52 per ten thousand in 2002 to 5.55 per ten thousand in 2012. The mortalities of diabetes as the underlying cause rose slightly from 1.14 per ten thousand in 2002 to 1.49 per ten thousand in 2012. These rates are shown in Fig. 2. The Spearman’s rho were −0.24 (p = 0.31), 0.89 (p < 0.01), 0.49 (p = 0.04), and 0.89 (p < 0.01) for the correlations between all-cause mortality and the year of death, between diabetes related death rate and the year of death, between the mortality of diabetes as the underlying cause and the year of death, between the death rate of diabetes and CVD comorbidity and the year of death, respectively.Fig. 2

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