Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992

Detalhes bibliográficos
Autor(a) principal: Franco, Laercio J.
Data de Publicação: 1998
Outros Autores: Mameri, Cecília, Pagliaro, Heloisa, Iochida, Lúcia C., Goldenberg, Paulete
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/24374
Resumo: INTRODUCTION: Analysis of mortality data are usually performed with reference to the underlying cause of death. The importance of diabetes as a cause of death is always underestimated, because diabetics generally die from chronic complications of the disease, these being considered as the underlying cause of the death. To attenuate this problem, mortality data should be analized on the basis of all the causes listed on the death certificate. Frequency of references to diabetes on death certificates and the principal associated causes were evaluated as a contribution to the solution of this problem. METHODOLOGY: Specific death rates and proportional mortality by diabetes, as underlying or associated cause, were calculated on the basis of information derived from death certificates by the ACME program (Automated Classification of Medical Entities), for the State of S. Paulo, in 1992. RESULTS AND CONCLUSIONS: Of a total of 202,141 deaths, diabetes was mentioned in 13,786 (6.8%) and as being the underlying cause in 5,305(2.6%). The proportion was higher for women than men (10.1 vs. 4.6% as mentioned, and 6.1 vs 2.9% as underlying cause). Among deaths with a mention of diabetes on the certificate, the main underlying causes were: diabetes (38.5%), cardiovascular (37.2%) and respiratory (8.5%) diseases, and neoplasias (4.8%). When diabetes was the underlying cause, the main associated causes were: cardiovascular (42.2%), respiratory (10.7%) and genitourinary (10.1%) diseases. When diabetes was an associated cause, the main underlying causes were: cardiovascular (60.5%) and respiratory (13.8%) diseases, and neoplasias (7.9%). In spite of the limitation of the data from death certificates, it is possible to observe the importance of diabetes as cause of death, reflecting its magnitude as a health problem. Also, the analysis by multiple causes of deaths gives an idea of the morbidity profile associated with diabetes at the time of death, showing the importance of the group of cardiovascular diseases.
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spelling Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992 Diabetes como causa básica ou associada de morte no Estado de São Paulo, Brazil, 1992 Diabetes mellitus^i1^smortalidCausas múltiplas da morteDiabetes mellitus^i2^smortalCauses of death INTRODUCTION: Analysis of mortality data are usually performed with reference to the underlying cause of death. The importance of diabetes as a cause of death is always underestimated, because diabetics generally die from chronic complications of the disease, these being considered as the underlying cause of the death. To attenuate this problem, mortality data should be analized on the basis of all the causes listed on the death certificate. Frequency of references to diabetes on death certificates and the principal associated causes were evaluated as a contribution to the solution of this problem. METHODOLOGY: Specific death rates and proportional mortality by diabetes, as underlying or associated cause, were calculated on the basis of information derived from death certificates by the ACME program (Automated Classification of Medical Entities), for the State of S. Paulo, in 1992. RESULTS AND CONCLUSIONS: Of a total of 202,141 deaths, diabetes was mentioned in 13,786 (6.8%) and as being the underlying cause in 5,305(2.6%). The proportion was higher for women than men (10.1 vs. 4.6% as mentioned, and 6.1 vs 2.9% as underlying cause). Among deaths with a mention of diabetes on the certificate, the main underlying causes were: diabetes (38.5%), cardiovascular (37.2%) and respiratory (8.5%) diseases, and neoplasias (4.8%). When diabetes was the underlying cause, the main associated causes were: cardiovascular (42.2%), respiratory (10.7%) and genitourinary (10.1%) diseases. When diabetes was an associated cause, the main underlying causes were: cardiovascular (60.5%) and respiratory (13.8%) diseases, and neoplasias (7.9%). In spite of the limitation of the data from death certificates, it is possible to observe the importance of diabetes as cause of death, reflecting its magnitude as a health problem. Also, the analysis by multiple causes of deaths gives an idea of the morbidity profile associated with diabetes at the time of death, showing the importance of the group of cardiovascular diseases. INTRODUÇÃO: As estatísticas de mortalidade, em geral, baseiam-se na análise das causas básicas de óbito. No caso do diabetes, sua importância é sempre subestimada, pois os diabéticos geralmente morrem devido às complicações crônicas da doença, sendo estas que figuram como a causa básica do óbito. Para atenuar esse problema, deveriam ser analisadas todas as causas mencionadas no atestado de óbito. Como contribuição ao problema foi analisada a freqüência das menções do diabetes nas declarações de óbito e as principais causas associadas. METODOLOGIA: Os coeficientes específicos e a mortalidade proporcional por diabetes, como causa básica ou associada, foram calculados com base nas informações extraídas dos atestados de óbito, através do sistema ACME (Automated Classification of Medical Entities), para o Estado de São Paulo, em1992. RESULTADOS E CONCLUSÕES: De um total de 202.141 óbitos, o diabetes foi mencionado em 13.786 (6,8%), sendo a causa básica em 5.305 (2,6%). A proporção foi maior para mulheres do que para homens (10,1 vs 4,6% como causa mencionada e 6,1 vs 2,9% como causa básica). Entre os óbitos com menção de diabetes no atestado, as principais causas básicas foram: diabetes (38,5%), doenças cardiovasculares (37,2%), doenças respiratórias (8,5%) e neoplasias (4,8%). Quando o diabetes foi a causa básica, as principais causas associadas foram: doenças cardiovasculares (42,2%), respiratórias (10,7%) e geniturinárias (10,1%) . Nos casos onde o diabetes figura como causa associada, as principais causas básicas foram as doenças cardiovasculares (60,5%), respiratórias (13,8%) e neoplásicas (7,9%). Apesar das limitações dos dados obtidos dos atestados de óbito, observou-se que o diabetes representa uma importante causa de morte, traduzindo um problema de saúde de grande magnitude. Também, a análise pelas causas múltiplas de morte fornece um perfil da morbidade associada ao diabetes por ocasião do óbito, salientando a importância das doenças cardiovasculares. Universidade de São Paulo. Faculdade de Saúde Pública1998-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2437410.1590/S0034-89101998000300006Revista de Saúde Pública; Vol. 32 No. 3 (1998); 237-245 Revista de Saúde Pública; Vol. 32 Núm. 3 (1998); 237-245 Revista de Saúde Pública; v. 32 n. 3 (1998); 237-245 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/24374/26298Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFranco, Laercio J.Mameri, CecíliaPagliaro, HeloisaIochida, Lúcia C.Goldenberg, Paulete2012-05-29T16:57:46Zoai:revistas.usp.br:article/24374Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-29T16:57:46Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
Diabetes como causa básica ou associada de morte no Estado de São Paulo, Brazil, 1992
title Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
spellingShingle Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
Franco, Laercio J.
Diabetes mellitus^i1^smortalid
Causas múltiplas da morte
Diabetes mellitus^i2^smortal
Causes of death
title_short Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
title_full Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
title_fullStr Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
title_full_unstemmed Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
title_sort Diabetes as underlying or associated cause of death in the State of S. Paulo, 1992
author Franco, Laercio J.
author_facet Franco, Laercio J.
Mameri, Cecília
Pagliaro, Heloisa
Iochida, Lúcia C.
Goldenberg, Paulete
author_role author
author2 Mameri, Cecília
Pagliaro, Heloisa
Iochida, Lúcia C.
Goldenberg, Paulete
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Franco, Laercio J.
Mameri, Cecília
Pagliaro, Heloisa
Iochida, Lúcia C.
Goldenberg, Paulete
dc.subject.por.fl_str_mv Diabetes mellitus^i1^smortalid
Causas múltiplas da morte
Diabetes mellitus^i2^smortal
Causes of death
topic Diabetes mellitus^i1^smortalid
Causas múltiplas da morte
Diabetes mellitus^i2^smortal
Causes of death
description INTRODUCTION: Analysis of mortality data are usually performed with reference to the underlying cause of death. The importance of diabetes as a cause of death is always underestimated, because diabetics generally die from chronic complications of the disease, these being considered as the underlying cause of the death. To attenuate this problem, mortality data should be analized on the basis of all the causes listed on the death certificate. Frequency of references to diabetes on death certificates and the principal associated causes were evaluated as a contribution to the solution of this problem. METHODOLOGY: Specific death rates and proportional mortality by diabetes, as underlying or associated cause, were calculated on the basis of information derived from death certificates by the ACME program (Automated Classification of Medical Entities), for the State of S. Paulo, in 1992. RESULTS AND CONCLUSIONS: Of a total of 202,141 deaths, diabetes was mentioned in 13,786 (6.8%) and as being the underlying cause in 5,305(2.6%). The proportion was higher for women than men (10.1 vs. 4.6% as mentioned, and 6.1 vs 2.9% as underlying cause). Among deaths with a mention of diabetes on the certificate, the main underlying causes were: diabetes (38.5%), cardiovascular (37.2%) and respiratory (8.5%) diseases, and neoplasias (4.8%). When diabetes was the underlying cause, the main associated causes were: cardiovascular (42.2%), respiratory (10.7%) and genitourinary (10.1%) diseases. When diabetes was an associated cause, the main underlying causes were: cardiovascular (60.5%) and respiratory (13.8%) diseases, and neoplasias (7.9%). In spite of the limitation of the data from death certificates, it is possible to observe the importance of diabetes as cause of death, reflecting its magnitude as a health problem. Also, the analysis by multiple causes of deaths gives an idea of the morbidity profile associated with diabetes at the time of death, showing the importance of the group of cardiovascular diseases.
publishDate 1998
dc.date.none.fl_str_mv 1998-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/24374
10.1590/S0034-89101998000300006
url https://www.revistas.usp.br/rsp/article/view/24374
identifier_str_mv 10.1590/S0034-89101998000300006
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/24374/26298
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 32 No. 3 (1998); 237-245
Revista de Saúde Pública; Vol. 32 Núm. 3 (1998); 237-245
Revista de Saúde Pública; v. 32 n. 3 (1998); 237-245
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
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repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
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