The burden of diabetes-related mortality in France in 2002: an analysis using both underlying and multiple causes of death

Abstract

The use of multiple rather than underlying causes of death more than doubled diabetes-related mortality rates. While probably still under-estimated, the burden of diabetes-related mortality corresponds to a high proportion of the total mortality, especially in men. Geographic differences partially reflect disparities in diabetes prevalence. Causes more frequently associated with diabetes include coronary heart disease and complications related to neuropathy and nephropathy.

Migrant mortality from diabetes mellitus across Europe: the importance of socio-economic change

“…Diabetes is often not registered as the underlying cause of death but as one of the contributing causes. Due to the widely accepted practice of using the underlying cause of death as the reference, this leads to a severe under-estimation of the burden of diabetes-related deaths [31][32][33][34]. In France the use of multiple rather than contributing causes of death more than doubled diabetes-related mortality rates for the period 2000-2002 [33].…”

“…Due to the widely accepted practice of using the underlying cause of death as the reference, this leads to a severe under-estimation of the burden of diabetes-related deaths [31][32][33][34]. In France the use of multiple rather than contributing causes of death more than doubled diabetes-related mortality rates for the period 2000-2002 [33]. Taking into account both diabetes as underlying and as contributing cause, the burden of diabetes related mortality in the Brussels-Capital region for the period 2001-2005 more than quadrupled.…”

Trends in death rate from diabetes according to multiple-cause-of-death differed from that according to underlying-cause-of-death in Taiwan but not in the United States, 1987–2007

“…Several studies have compared the death rate from diabetes according to UCOD vs. those according to MCOD [10e13]. The ratio between diabetes mortality according to UCOD and that according to MCOD (U/M ratio) varies across countries, at 0.22 in Sweden, 0.24 in the United Kingdom, 0.33 in the United States, 0.39 in France, and 0.40 in Quebec [12]. Furthermore, divergent trends in the U/M ratio were noted in some countries.…”

Revisiting the mortality of France and Italy with the multiple-cause-of-death approach

“…Although the monitoring of mortality trends is mostly based on the underlying cause of death -that is "the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury" (WHO 1949), a growing number of studies use the entire set of causes listed on the death certificate, hereafter referred to as the multiple causes of death (MCOD), to portray the mortality profile of a country (Chamblee and Evans 1982;Manton and Stallard 1982;Manton 1986;Manton and Myers 1987;White, Selvin, and Merrill 1989;Mackenbach et al 1995;Stallard 2002;Désesquelles and Meslé 2004;Redelings, Sorvillo, and Simon 2006;Redeling, Wise, and Sorvillo 2007;Frova et al 2009) or to re-evaluate the contribution of a specific cause (Wing and Manton 1981;Israel, Rosenberg, and Curtin 1986;Nizard and Munoz-Pérez 1993;Coste and Jougla 1994;Mannino et al 1998;Wise and Sorvillo 2005;Fuhrman et al 2006;Romon et al 2008). As the first advocates of the MCOD approach (Janssen 1940;Dorn and Moriyama 1964) have stressed, the underlying-cause-of-death approach misdirects attention away from conditions that tend to be reported as contributory causes.…”