Reductions in excess mortality rates among people with diabetes by selected cause of death

Journal of Diabetes and Its Complications
Edward F TierneyM M Engelgau

Abstract

We applied Bayesian methods to estimate excess mortality rates by selected causes of death for decedents with diabetes compared to those without diabetes in North Dakota and assessed changes in the excess rate between 1992-1998 and 1999-2003. We report the probability (Pr) of a rate decrease in the age-adjusted excess rate and considered the evidence strong if the probability was 0.90 or higher. Among men with diabetes, the evidence was strong for a probable decrease in excess rate for heart disease (8.7 per 1000 to 6.5), cerebrovascular disease (1.2 per 1000 to 0.75) and arterial disease (0.24 per 1000 to 0.08). Among women with diabetes, the evidence was strong for a probable decrease in excess rates for the overall (total) rate (17.8 per 1000 to 12.6), for heart disease (6.1 per 1000 to 4.4), IHD (4.4 per 1000 to 3.1), cerebrovascular disease (1.4 per 1000 to 0.5), arterial disease (0.17 per 1000 to 0.10) and cancer (2.1 per 1000 to 1.3) as underlying cause of death. The data reflect a high likelihood that cause-specific excess mortality is decreasing for men, and especially for women, with diabetes.

References

Apr 20, 1999·JAMA : the Journal of the American Medical Association·K GuM I Harris
Jan 7, 2000·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·P L HebertA M McBean
Feb 27, 2001·Journal of Clinical Epidemiology·J C WillJ Stevenson
Oct 9, 2003·JAMA : the Journal of the American Medical Association·K M Venkat NarayanDavid F Williamson
Jun 3, 2004·Annals of Internal Medicine·Michael M EngelgauK M Venkat Narayan
Oct 27, 2004·Diabetes Care·Edward F TierneyLinda S Geiss
Nov 25, 2004·JAMA : the Journal of the American Medical Association·Caroline S FoxPeter J Savage
Apr 21, 2005·JAMA : the Journal of the American Medical Association·Edward W GreggDavid F Williamson
Sep 15, 2005·JAMA : the Journal of the American Medical Association·Ahmedin JemalMichael Thun
Apr 6, 2006·Annals of Internal Medicine·Jinan B SaaddineK M Venkat Narayan
Jun 20, 2007·Annals of Internal Medicine·Edward W GreggCatherine C Cowie
Aug 19, 2007·Health Care Management Science·Betsy L CadwellTheodore J Thompson

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Citations

Jul 11, 2013·BMC Health Services Research·Erja ForssasIlmo Keskimäki
Aug 13, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·B N ConwayW J Blot
Sep 20, 2012·European Journal of Preventive Cardiology·Charbel Abi KhalilMichel Marre

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