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- Title
Temporal trends in recording of diabetes on death certificates: results from Translating Research Into Action for Diabetes (TRIAD).
- Authors
McEwen LN; Karter AJ; Curb JD; Marrero DG; Crosson JC; Herman WH; McEwen, Laura N; Karter, Andrew J; Curb, J David; Marrero, David G; Crosson, Jesse C; Herman, William H
- Abstract
<bold>Objective: </bold>To determine the frequency that diabetes is reported on death certificates of decedents with known diabetes and describe trends in reporting over 8 years.<bold>Research Design and Methods: </bold>Data were obtained from 11,927 participants with diabetes who were enrolled in Translating Research into Action for Diabetes, a multicenter prospective observational study of diabetes care in managed care. Data on decedents (N=2,261) were obtained from the National Death Index from 1 January 2000 through 31 December 2007. The primary dependent variables were the presence of the ICD-10 codes for diabetes listed anywhere on the death certificate or as the underlying cause of death.<bold>Results: </bold>Diabetes was recorded on 41% of death certificates and as the underlying cause of death for 13% of decedents with diabetes. Diabetes was significantly more likely to be reported on the death certificate of decedents dying of cardiovascular disease than all other causes. There was a statistically significant trend of increased reporting of diabetes as the underlying cause of death over time (P<0.001), which persisted after controlling for duration of diabetes at death. The increase in reporting of diabetes as the underlying cause of death was associated with a decrease in the reporting of cardiovascular disease as the underlying cause of death (P<0.001).<bold>Conclusions: </bold>Death certificates continue to underestimate the prevalence of diabetes among decedents. The increase in reporting of diabetes as the underlying cause of death over the past 8 years will likely impact estimates of the burden of diabetes in the U.S.
- Publication
Diabetes Care, 2011, Vol 34, Issue 7, p1529
- ISSN
0149-5992
- Publication type
journal article
- DOI
10.2337/dc10-2312