Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Lam discusses shifts in global population, past and future

Thompson says LGBT social movement will bring new strength in push for tighter gun control

Yang says devalued pound will decrease resources for the families of migrant workers in Britain

Highlights

Frey's new report explores how the changing US electorate could shape the next 5 presidential elections, 2016 to 2032

U-M's Data Science Initiative offers expanded consulting services via CSCAR

Elizabeth Bruch promoted to Associate Professor

Susan Murphy elected to the National Academy of Sciences

Next Brown Bag

PSC Brown Bags
will resume fall 2016

Diabetes Reporting as a Cause of Death - Results from the Translating Research into Action for Diabetes (TRIAD) Study

Publication Abstract

McEwen, L.N., C. Kim, M. Haan, D. Ghosh, Paula M. Lantz, C.M. Mangione, M.M. Safford, D. Marrero, T.J. Thompson, and W.H. Herman. 2006. "Diabetes Reporting as a Cause of Death - Results from the Translating Research into Action for Diabetes (TRIAD) Study." Diabetes Care, 29(2): 247-253.

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.

DOI:10.2337/dc07-0238 (Full Text)

Browse | Search : All Pubs | Next