Breaking News
February 24, 2018 - UCLA researchers use fluorescent colored proteins to trace origin of heart cells
February 24, 2018 - Home Routines Can Boost a Child’s Readiness for School
February 24, 2018 - FDA Investigating Misuse, Abuse of Gabapentinoids
February 24, 2018 - Scientists find key proteins control risk of osteoarthritis during aging
February 24, 2018 - Izon announce the launch of the qEV2 and qEV10 Exosome Isolation columns
February 24, 2018 - New CSIRO technology can create clean drinking water
February 24, 2018 - Treating sleep-disordered breathing may improve prognosis of heart failure patients
February 24, 2018 - More boys begin school a year late than girls, study finds
February 24, 2018 - Early life exposure to green space could have beneficial effects on cognitive function
February 24, 2018 - Joint Surgery: Aspirin Equals NOAC for Post-Acute VTE Prevention
February 23, 2018 - Scientists identify new marker of arthritis in mice
February 23, 2018 - Beetroot juice supplements may benefit patients with heart failure
February 23, 2018 - New study identifies novel molecular biomarkers of preeclampsia
February 23, 2018 - Researchers discover new link between gut bacteria and obesity
February 23, 2018 - Aimmune Therapeutics’ Pivotal Phase 3 PALISADE Trial of AR101 Meets Primary Endpoint in Patients With Peanut Allergy
February 23, 2018 - Improving Glaucoma Care: Ophthalmology Times
February 23, 2018 - Preventing dementia: The promising, the disappointing and the inconclusive
February 23, 2018 - Duke researchers show how to retrain immune system of peanut-allergy mice
February 23, 2018 - Older males could live longer with light intensity exercise, study suggests
February 23, 2018 - C-sections and gut bacteria linked to childhood obesity risk
February 23, 2018 - Asthmatics have lower degree of DNA methylation in certain immune cells
February 23, 2018 - Uniforms coated with copper nanoparticles could reduce spread of hospital infections
February 23, 2018 - What Not to Do If You Have Asthma and Want to Get Pregnant
February 23, 2018 - Deep brain stimulation may be promising Alzheimer’s treatment
February 23, 2018 - AMSBIO offers new PARPtrap Assay Kit
February 23, 2018 - New study identifies mechanisms to lengthen egg viability in worms
February 23, 2018 - Interventions to improve self-concept could be critical in treating mental health patients
February 23, 2018 - Few minutes of physical activity may lower risk of death in older men, research suggests
February 23, 2018 - Modifications in HIV test enable rapid detection of Zika virus, study states
February 23, 2018 - Could Hackers Target Heart Devices?
February 23, 2018 - Kids’ Mental Health Status Not a Factor in Gun Storage
February 23, 2018 - Revellers ready for festival drug checks, study finds
February 23, 2018 - Stanford researchers explore how enzyme changes and becomes antibiotic-resistant
February 23, 2018 - Scientists decode molecular structure of healthy huntingtin protein
February 23, 2018 - Efficacy of cancer immunotherapy increased by deactivating tumor defence mechanism
February 23, 2018 - Epigenetic changes due to normal aging process linked to cancer risk
February 23, 2018 - Evaluations of Medicaid experiments by states, CMS are weak, GAO says
February 23, 2018 - Biomarkers ID’d for Anesthesia-Related Neural Damage
February 23, 2018 - Study reveals how kidney disease happens
February 23, 2018 - Iron deficiency early in life can have long-lasting consequences for the brain
February 23, 2018 - High protein diet reduces risk of Alzheimer’s disease, research finds
February 23, 2018 - Research extends powerful capabilities of MRI to nanometer scale
February 23, 2018 - Scientists show that cutting-edge technique can efficiently sort nano-sized particles
February 23, 2018 - Dornier’s new laser innovation delivers confidence to glide through deflected scopes
February 23, 2018 - Neurocrine Biosciences Will File New Drug Application for Opicapone for Parkinson’s Disease Based on Existing Pivotal Clinical Trial Data
February 23, 2018 - Bariatric Surgery Enabled Stopping Diabetes Meds
February 23, 2018 - C-sections and gut bacteria increase risk of childhood obesity
February 23, 2018 - Busting myths about diet and kidney stones
February 23, 2018 - Reformulating vaccines to prevent relapse
February 23, 2018 - Prophylactic use of haloperidol does not reduce delirium burden
February 23, 2018 - Higher prevalence of kidney stones in Southern United States
February 23, 2018 - Lithotripsy has revolutionized modern kidney stone management
February 23, 2018 - Researchers describe important step toward gene therapy for patients with Sandhoff disease
February 23, 2018 - Pain Therapeutics Resubmits New Drug Application for Remoxy ER, an Abuse-Deterrent, Extended-Release Drug Candidate for the Treatment of Chronic Pain
February 23, 2018 - Combo Therapy Highly Active in Untreated RCC
February 23, 2018 - Boosting a key protein to help bones that won’t heal
February 23, 2018 - Advanced method holds promise for substantial improvements in breast cancer diagnosis
February 23, 2018 - MRI and machine learning could predict whether OCD patients will benefit from treatment
February 23, 2018 - Comparing low-fat and low-carb diets finds little difference
February 23, 2018 - FDA Alert: Clarithromycin (Biaxin): Drug Safety Communication
February 23, 2018 - Out of Limbo Into Bomb Scare
February 23, 2018 - Patients who achieve short-term weight loss before bariatric surgery have better outcomes
February 23, 2018 - Beetroot may reduce kidney failure risk after heart x-ray, research reveals
February 23, 2018 - Sleep disruptions in menopause correlated with hot flashes and depression
February 23, 2018 - Scientists discover new treatment approach to curb severe myocarditis
February 23, 2018 - ‘Click chemistry’ approach may improve disease-fighting properties of drugs
February 23, 2018 - NIGHTSEA and EMS team up to offer KEY Award in fluorescence stereo microscopy
February 23, 2018 - Calorie restriction improves intestinal-tissue regeneration after injury
February 23, 2018 - Tobacco Kills, No Matter How It’s Smoked: Study
February 23, 2018 - Q&A: Avindra Nath, MD | Medpage Today
February 23, 2018 - Adherence to sleep apnea treatment affects risk of hospital readmission
February 23, 2018 - Zika virus could be alternative for treatment of aggressive brain cancer
February 23, 2018 - Carbon monoxide enhances efficacy of antibiotic against stomach infection
February 23, 2018 - Study sheds light on biological mechanisms that drive rare pediatric neurogenetic disorders
February 23, 2018 - MSD and Ferring Pharmaceuticals Complete Largest Ever Clinical Trial in Postpartum Haemorrhage
February 23, 2018 - Portable ultrasound can help better detect fluid in the lungs of patients with end-stage kidney disease
February 23, 2018 - Postnova AF2000 system offers reliable characterization of trace metal colloid distribution in the environment
February 23, 2018 - Pioneering study may pave way for effective painkillers to treat neuropathic pain
February 23, 2018 - Research opens up new avenue to minimize risks of transplants
February 22, 2018 - Cabozantinib Active in Advanced Thyroid Cancer
Deaths due to diabetes higher than expected in Germany

Deaths due to diabetes higher than expected in Germany

image_pdfDownload PDFimage_print

In the October 2017 issue of the journal Diabetes Care, DDZ scientists published their study on the number of deaths in Germany due to diabetes and its complications. The number of diabetes-related deaths worldwide has doubled between 1990 and 2010. In 2013, 5.1 million people worldwide and 620,000 people in Europe are estimated to have died of diabetes or diabetes-related complications. This means that life expectancy for people with diabetes is on average about five to six years shorter than for people of the same age without diabetes.

The use of routine data of all persons insured in the statutory health insurance system in Germany opens up new opportunities for diabetes research.

In Germany, there have so far only been estimates of diabetes-related mortality based on regionally limited cohort studies and surveys in which only a few people with diabetes were examined. These publications show that people with diabetes have a mortality risk that is up to 2.6 times higher than people without diabetes. Since 2014, as a result of the data transparency regulations implemented in 2012, routine data from the statutory health insurance scheme (GKV), which are collected for morbidity-oriented risk structure compensation (Morbi-RSA) between the health insurance funds, can be used for healthcare analyses. These data provide us with new opportunities to carry out epidemiological and care-relevant studies for Germany as a whole,” said Dr. Wolfgang Rathmann, deputy director of the Institute for Biometrics and Epidemiology at the German Diabetes Center and member of the Research Coordination Board of the German Center for Diabetes Research (DZD). Rathmann went on to say that the data cover about 90% of the German population and have the advantage that all age groups are represented.

For the calculation of deaths due to diabetes in Germany (excess deaths), the prevalence of diabetes was calculated on the basis of these routine data (total of around 65 million people insured in the German statutory health insurance system) in 2010. The incidence of diabetes (ICD-10 codes: E10-E14) was 10.1 percent, and the prevalence of type 2 diabetes (ICD-10: E11) was 7.1 percent of those insured in the statutory health system. Due to a lack of reliable estimates of the mortality of people with and without diabetes, the calculation took into account the age- and gender-specific relative mortality (mortality of people with diabetes divided by the mortality of people without diabetes) from Denmark. The estimates are based on the national diabetes registry of Denmark, which includes almost all people with diabetes. Denmark and Germany have a similar health system, and the prevalence of diabetes is comparable. Together with the age pyramid and the mortality table for Germany of the Federal Statistical Office in 2010, the age and gender-specific excess deaths were calculated. This corresponds to the number of deaths in people with diabetes minus the number of deaths in people with diabetes if mortality were the same as in people without diabetes.

Result: Diabetes-related mortality in Germany is higher than expected.

Calculations have shown that in 2010 a total of 175,000 deaths (Type 2 diabetes: 137,950 deaths) could have been prevented if mortality in people with diabetes were the same as in people without diabetes. Thus, in 2010, around 21 percent of all deaths in Germany were attributable to diabetes. Type 2 diabetes was associated with 16 percent of all deaths.

The majority of diabetes-related deaths occurred in the 70-89 age group. On average, the largest proportion of excess deaths due to diabetes occurred ten years earlier in men than in women (the proportion of excess deaths was 38.3 percent in men aged 70-79 and 43.7 percent in women aged 80-89). In addition, it could be shown that the number of excess deaths in men was higher than in women (~11,000).

The authors of the study come to the conclusion that far more people died in Germany in 2010 from diabetes and its complications than is shown in the official statistics on the causes of death. For 2010, the number of deaths due to diabetes was only 23,000, which represents 2.7 percent of all deaths in Germany.

Internationally, there is a positive trend in the mortality rate of people with diabetes. Mortality rates have been falling steadily for more than 20 years. The reasons for this include improved care for people with diabetes (medication, disease management programs) and improved prevention and treatment of diabetes-related complications. The extent to which these trends also apply to Germany will be determined by future analyses.​​

Source:

https://www.dzd-ev.de/en/press/press-releases/press-releases-2017/diabetes-related-mortality-in-germany-higher-than-expected/index.html

Tagged with:

About author

Related Articles