Diabetes reporting as a cause of death - Results from the Translating Research Into Action for Diabetes (TRIAD) study
Diabetes reporting as a cause of death - Results from the Translating Research Into Action for Diabetes (TRIAD) study
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DOI：
10.2337/diacare.29.02.06.dc05-0998
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发表时间：
2006-02-01
期刊：
影响因子：
16.2
通讯作者：
Herman, WH
中科院分区：
文献类型：
--
作者：
McEwen, LN;Kim, C;Herman, WH
目的-为了确定死亡证明书上糖尿病的报告频率与已知的糖尿病，定义与糖尿病报告相关的因素，并描述报告随时间的趋势。研究设计和方法-数据来自11,927名糖尿病参与者，他们参加了糖尿病研究的转化研究，一项管理式护理中糖尿病护理的多中心前瞻性观察研究。从国家死亡指数中获得死亡者数据（n = 540）。主要因变量是死亡证明上糖尿病的ICD-10编码。协变量包括死亡年龄，性别，种族/民族，教育，收入，糖尿病持续时间，糖尿病类型，糖尿病治疗，吸烟状况，以及合并症的数量。结果-糖尿病被记录在39%的死亡证明书和10%的糖尿病死者的潜在死因。死于癌症的糖尿病死者的死亡证明上报告糖尿病的可能性明显降低。在死亡证明上记录糖尿病的预测因素包括糖尿病和胰岛素治疗的持续时间较长。较长的糖尿病，胰岛素治疗的持续时间，以及较少的合并症与记录糖尿病的潜在causeofdeath.CONCLUSIONS -糖尿病是更有可能被报告的糖尿病患者的死亡证明谁死于心血管疾病的原因报告糖尿病的死亡证明书一直稳定随着时间的推移。死亡证明低估了死者中糖尿病的患病率，并对糖尿病患者的死亡原因提供了有偏见的描述。
OBJECTIVE - To determine the frequency of reporting of diabetes on death certificates of decedents with known diabetes, define factors associated with reporting of diabetes, and describe trends in reporting over time.RESEARCH DESIGN AND METHODS - Data were obtained from 11,927 participants with diabetes who were enrolled in the Translating Research Into Action for Diabetes study, a multicenter prospective observational study of diabetes care in managed care. Data on decedents (n = 540) were obtained from the National Death Index. The primary dependent variable was the presence of ICD-10 codes for diabetes on the death certificate. Covariates included age at death, sex, race/ethnicity, education, income, duration of diabetes, type of diabetes, diabetes treatment, smoking status, and number of comorbidities.RESULTS - Diabetes was recorded on 39% of death certificates and as the underlying cause of death for 10% of decedents with diabetes. Diabetes was significantly less likely to be reported on the death certificates of decedents with diabetes dying of cancer. Predictors of recording diabetes anywhere on the death certificate included longer duration of diabetes and insulin treatment. Longer duration of diabetes, insulin treatment, and fewer comorbidities were associated with recording of diabetes as the underlying cause of death.CONCLUSIONS - Diabetes is much more likely to be reported on the death certificates of diabetic individuals who die of cardiovascular causes Reporting of diabetes on death certificates has been stable over time. Death certificates underestimate the prevalence of diabetes among decedents and present a biased picture of the causes of death among people with diabetes.