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Improvement in Age at Mortality and Changes in Causes of Death in the Population with Diabetes: An Analysis of Data from the Korean National Health Insurance and Statistical Information Service, 2006 to 2018

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Author(s)
Eugene HanSun Ok SongHye Soon KimKang Ju SonSun Ha JeeBong-Soo ChaByung-Wan Lee
Keimyung Author(s)
Han, Eu GeneKim, Hye Soon
Department
Dept. of Internal Medicine (내과학)
Journal Title
Endocrinol Metab
Issued Date
2022
Volume
37
Issue
3
Keyword
MortalityDiabetes mellitusCardiovascular diseasesNeoplasmsEpidemiology
Abstract
Background:
Diabetes is a leading cause of death that is responsible for 1.6 million annual deaths worldwide. However, the life expectancy and age at death of people with diabetes have been a matter of debate.

Methods:
The National Health Insurance Service claims database, merged with death records from the National Statistical Information Service in Korea from 2006 to 2018, was analyzed.

Results:
In total, 1,432,567 deaths were collected. The overall age at death increased by 0.44 and 0.26 year/year in the diabetes and control populations, respectively. The disparity in the mean age at death between the diabetes and control populations narrowed from 5.2 years in 2006 to 3.0 years in 2018 (P<0.001). In a subgroup analysis according to the presence of comorbid diseases, the number and proportion of deaths remained steady in the group with diabetes only, but steadily increased in the groups with diabetes combined with dyslipidemia and/or hypertension. Compared to the control population, the increase in the mean death age was higher in the population with diabetes. This trend was more prominent in the groups with dyslipidemia and/or hypertension than in the diabetes only group. Deaths from vascular disease and diabetes decreased, whereas deaths from cancer and pneumonia increased. The decline in the proportion of deaths from vascular disease was greater in the diabetes groups with hypertension and/or dyslipidemia than in the control population.

Conclusion:
The age at death in the population with diabetes increased more steeply and reached a comparable level to those without diabetes.
Keimyung Author(s)(Kor)
한유진
김혜순
Publisher
School of Medicine (의과대학)
Citation
Eugene Han et al. (2022). Improvement in Age at Mortality and Changes in Causes of Death in the Population with Diabetes: An Analysis of Data from the Korean National Health Insurance and Statistical Information Service, 2006 to 2018. Endocrinol Metab, 37(3), 466–474. doi: 10.3803/EnM.2022.1440
Type
Article
ISSN
2093-5978
Source
https://www.e-enm.org/journal/view.php?number=2310
DOI
10.3803/EnM.2022.1440
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44248
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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