Age-Specific Trends From 2000–2011 in All-Cause and Cause-Specific Mortality in Type 1 and Type 2 Diabetes: A Cohort Study of More Than One Million People
| العنوان: | Age-Specific Trends From 2000–2011 in All-Cause and Cause-Specific Mortality in Type 1 and Type 2 Diabetes: A Cohort Study of More Than One Million People |
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| المؤلفون: | Susan Davidson, Anna Peeters, Dianna J. Magliano, Jonathan E. Shaw, Jessica L. Harding |
| المصدر: | Diabetes Care. 39:1018-1026 |
| بيانات النشر: | American Diabetes Association, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Male, Gerontology, Adolescent, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Type 2 diabetes, National Death Index, Cohort Studies, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Cause of Death, Neoplasms, Diabetes mellitus, Internal Medicine, Humans, Medicine, Poisson Distribution, 030212 general & internal medicine, Young adult, Child, Aged, Cause of death, Aged, 80 and over, Advanced and Specialized Nursing, Type 1 diabetes, business.industry, Mortality rate, Australia, Infant, Newborn, Infant, Middle Aged, medicine.disease, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Cardiovascular Diseases, Child, Preschool, Regression Analysis, Female, business, Cohort study, Demography |
| الوصف: | OBJECTIVE To analyze changes by age-group in all-cause and cause-specific mortality rates from 2000–2011 in people with diabetes. RESEARCH DESIGN AND METHODS A total of 1,189,079 (7.3% with type 1 diabetes) Australians with diabetes registered on the National Diabetes Service Scheme between 2000 and 2011 were linked to the National Death Index. Mortality rates in the total population were age standardized to the 2001 Australian population. Mortality rates were calculated for the following age-groups: 0 to RESULTS For type 1 diabetes, all-cause, cardiovascular disease (CVD), and diabetes age-standardized mortality rates (ASMRs) decreased each year by 0.61, 0.35, and 0.14 per 1,000 person-years (PY), respectively, between 2000 and 2011, Ptrend < 0.05, while cancer mortality remained unchanged. By age, significant decreases in all-cause, CVD, and diabetes mortality rates were observed in all age-groups, excluding diabetes mortality in age-group 0–40 years. For type 2 diabetes, all-cause, CVD, and diabetes ASMRs decreased per year by 0.18, 0.15, and 0.03 per 1,000 PY, respectively, Ptrend < 0.001, while cancer remained unchanged. By age, these decreases were observed in all age-groups, excluding 0–40 years, where significant increases in all-cause and cancer mortality were noted and no change was seen for CVD and diabetes mortality. CONCLUSIONS All-cause, CVD, and diabetes ASMRs in type 1 and type 2 diabetes decreased between 2000 and 2011, while cancer ASMRs remained unchanged. However, younger populations are not benefiting from the same improvements as older populations. In addition, the absence of a decline in cancer mortality warrants urgent attention. |
| تدمد: | 1935-5548 0149-5992 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::38a0a64a803328a12364e5d552046ca4Test https://doi.org/10.2337/dc15-2308Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....38a0a64a803328a12364e5d552046ca4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19355548 01495992 |
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