Mortality rates and the causes of death related to diabetes mellitus in Shanghai Songjiang District: an 11-year retrospective analysis of death certificates.
Mortality rates and the causes of death related to diabetes mellitus in Shanghai Songjiang District: an 11-year retrospective analysis of death certificates.
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DOI：
10.1186/s12902-015-0042-1
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发表时间：
2015-09-04
影响因子：
2.7
通讯作者：
Fu H
中科院分区：
文献类型：
--
作者：
Zhu M;Li J;Li Z;Luo W;Dai D;Weaver SR;Stauber C;Luo R;Fu H
中国是世界上糖尿病患病率最高的国家之一。我们分析了2002年至2012年上海市松江区所有提及糖尿病的死亡证明，以估计死亡率并检查死亡原因模式。从当地CDC数据库中收集2654例糖尿病患者的死亡资料。该数据集包括所有死亡原因、促成原因和根本原因，从而分析了糖尿病及其特定并发症的死亡率。死亡的主要根本原因是各种心血管疾病，共占收集的死亡证明的约30%。糖尿病被确定为28.7%的潜在死亡原因。死亡率趋势显示，在11年期间，糖尿病相关死亡率在总人口中增加了约1.78倍，糖尿病和CVD合并症的死亡率增加了2.66倍。在所有与糖尿病相关的死亡中，死于缺血性心脏病或脑血管疾病的人数比例从2002年的18.0%增加到2012年的30.5%。但直接归因于糖尿病的比例呈下降趋势，从46.7%下降到22.0%。糖尿病相关死亡率的增加可能主要是由于CVD患病率的增加，但与糖尿病作为潜在原因无关。政策制定者应更加重视糖尿病的一级预防和心血管并发症的预防，以减轻糖尿病对生存的负担。本文的在线版本（doi：10.1186/s12902-015-0042-1）包含补充材料，可供授权用户使用。
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. 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. 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 %. 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. The online version of this article (doi:10.1186/s12902-015-0042-1) contains supplementary material, which is available to authorized users.