Rates and Causes of Death among Adult Diabetes Patients in Romania

Aims: To study the age and sex-dependent mortality rates and causes of death in a large Romanian diabetes cohort as compared with the general population. Methods: All adult patients aged 20-64 years, receiving a free diabetes prescription in a major urban area during 2001-2008 were included and foll...

Full description

Saved in:
Bibliographic Details
Published in:Endocrine research 2019-07, Vol.44 (3), p.81-86
Main Authors: Ioacara, Sorin, Guja, Cristian, Ionescu-Tirgoviste, Constantin, Martin, Sorina, Tiu, Cristina, Fica, Simona
Format: Article
Language:English
Subjects:
Adult
Cause of Death
Diabetes
Diabetes Mellitus, Type 1 - mortality
Diabetes Mellitus, Type 2 - mortality
Female
Humans
Life Expectancy
Male
Middle Aged
Mortality
mortality rates
Romania - epidemiology
survival
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aims: To study the age and sex-dependent mortality rates and causes of death in a large Romanian diabetes cohort as compared with the general population. Methods: All adult patients aged 20-64 years, receiving a free diabetes prescription in a major urban area during 2001-2008 were included and followed-up for death until December 31, 2011. Crude mortality rates and standardized mortality rate ratios (SMR) against general population (data from the National Institute of Statistics) were calculated. Years lost due to diabetes were computed assuming the general population mortality rates for ages below 20 and above 64 years. Results: During the 11 years study period, 49,328 diabetes patients (mean age at baseline 53.0 ± 8.8 years) contributed 297,370 person-years and 5,053 deaths. All cause mortality rates (per 1000 person years) increased with age and was 3.4 in 20-24 years age group and 25.7 in 60-64 year age group, while the corresponding SMR decreased from 6.0 to 1.5. Diabetes patients aged 20-24 years had a life expectancy of 48.6 years, which was 6.6 years less compared with the corresponding general population (55.2 years). The gap was 7.0 years in women and 5.8 years in men. Diabetes patients aged 20-24 years lost 196 minutes of life daily due to diabetes in women and 182 minutes in men. Conclusions: Mortality rates increased, while mortality rate ratios against general population decreased with age. Men had higher mortality rates, but women had higher mortality rate ratios in the gender analysis.
ISSN:0743-5800
1532-4206
DOI:10.1080/07435800.2018.1546734