Burden of Mortality Attributable to Diagnosed Diabetes: A Nationwide Analysis Based on Claims Data From 65 Million People in Germany
| العنوان: | Burden of Mortality Attributable to Diagnosed Diabetes: A Nationwide Analysis Based on Claims Data From 65 Million People in Germany |
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| المؤلفون: | Annika Hoyer, Ralph Brinks, Oliver Kuss, Wolfgang Rathmann, Esther Jacobs |
| المصدر: | Diabetes Care. 40:1703-1709 |
| بيانات النشر: | American Diabetes Association, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, Research design, Pediatrics, medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, Population, 030209 endocrinology & metabolism, Type 2 diabetes, Danish, 03 medical and health sciences, 0302 clinical medicine, Cost of Illness, Germany, Claims data, Environmental health, Diabetes mellitus, Prevalence, Internal Medicine, medicine, Humans, 030212 general & internal medicine, Mortality, education, Survival analysis, Aged, Aged, 80 and over, Advanced and Specialized Nursing, education.field_of_study, Insurance, Health, business.industry, Mortality rate, Middle Aged, medicine.disease, Survival Analysis, language.human_language, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, language, Female, business |
| الوصف: | OBJECTIVE In Germany, as in many other countries, nationwide data on mortality attributable to diagnosed diabetes are not available. This study estimated the absolute number of excess deaths associated with diabetes (all types) and type 2 diabetes in Germany. RESEARCH DESIGN AND METHODS A prevalence approach that included nationwide routine data from 64.9 million people insured in the German statutory health insurance system in 2010 was used for the calculation. Because nationwide data on diabetes mortality are lacking in Germany, the mortality rate ratio from the Danish National Diabetes Register was used. The absolute number of excess deaths associated with diabetes was calculated as the number of deaths due to diabetes minus the number of deaths due to diabetes with a mortality that was as high as in the population without diabetes. Furthermore, the mortality population-attributable fraction was calculated. RESULTS A total of 174,627 excess deaths were due to diabetes in 2010, including 137,950 due to type 2 diabetes. Overall, 21% of all deaths in Germany were attributable to diabetes and 16% were attributable to type 2 diabetes. Most of the excess deaths (34% each) occurred in the 70- to 89-year-old age-group. CONCLUSIONS In this first nationwide calculation of excess deaths related to diabetes in Germany, the results suggest that the official German estimates that rely on information from death certificates are grossly underestimated. Countries without national cohorts or diabetes registries could easily use this method to estimate the number of excess deaths due to diabetes. |
| تدمد: | 1935-5548 0149-5992 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::51ef3403cfcf45fd1a463b8a01114f0eTest https://doi.org/10.2337/dc17-0954Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....51ef3403cfcf45fd1a463b8a01114f0e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19355548 01495992 |
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