In a population-based investigation among the residents of Rochester, Minnesota, the diabetes mortality rate was 8.5 per 100,000 person-years with diabetes as the underlying cause of death, 31.5 per 100,000 person-years with diabetes as an underlying or contributory cause, and 82.7 per 100,000 person-years if all deaths among diabetic individuals were counted. Diabetes was not mentioned on the certificate in 62% of the 428 diabetic deaths during 1965–1974. When the clinical characteristics of the subgroup of mortality cases in 1969 were compared with those of the prevalence cases on 1 January 1970, it was found that mortality cases tended to be older, were more often on insulin therapy, and were more likely to have macro- and microvascular complications. Because mortality data are sometimes used to infer trends and characteristics for the diabetic population at large, it is important to recognize these biases.
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Original Articles|
May 01 1985
A Population-based Study of Diabetes Mortality
James W Ochi, M.D.;
James W Ochi, M.D.
Mayo Medical School, Department of Medical Statistics and Epidemiology, and Division of Endocrinology, and Department of Internal Medicine, Mayo Clinic and Mayo Foundation
Rochester, Minnesota
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L Joseph Melton, III, M.D.;
L Joseph Melton, III, M.D.
Mayo Medical School, Department of Medical Statistics and Epidemiology, and Division of Endocrinology, and Department of Internal Medicine, Mayo Clinic and Mayo Foundation
Rochester, Minnesota
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Pasquale J Palumbo, M.D.;
Pasquale J Palumbo, M.D.
Mayo Medical School, Department of Medical Statistics and Epidemiology, and Division of Endocrinology, and Department of Internal Medicine, Mayo Clinic and Mayo Foundation
Rochester, Minnesota
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Chu-Pin Chu, M.S.
Chu-Pin Chu, M.S.
Mayo Medical School, Department of Medical Statistics and Epidemiology, and Division of Endocrinology, and Department of Internal Medicine, Mayo Clinic and Mayo Foundation
Rochester, Minnesota
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Address reprint requests to Dr. L. J. Melton III, Department of Medical Statistics and Epidemiology, Mayo Clinic, Rochester, Minnesota 55905.
Citation
James W Ochi, L Joseph Melton, Pasquale J Palumbo, Chu-Pin Chu; A Population-based Study of Diabetes Mortality. Diabetes Care 1 May 1985; 8 (3): 224–229. https://doi.org/10.2337/diacare.8.3.224
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