Underreporting of diabetes mellitus as the cause of death in Bauru, State of São Paulo, Brazil over 40 years: a documental study.

IF 1.6 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM
Archives of Endocrinology Metabolism Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.20945/2359-4292-2023-0443
Lucas Casagrande Passoni Lopes, Gabriel Araújo Medeiros, Mauro Wieczorek, Marina Dos Santos de Carvalho Pinto, Carlos Antonio Negrato
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引用次数: 0

Abstract

Objective: To evaluate, characterize and search for trends in the underreporting of diabetes mellitus (DM) as the cause of death in Bauru, São Paulo, Brazil, over 40 years.

Subjects and methods: This was a documental study. Clinical and mortality data were collected from individuals known to have type 1 (DM1) and type 2 diabetes mellitus (DM2), residing in Bauru, State of São Paulo, followed at a local endocrinology clinic from 1982 to 2021, who deceased during this period.

Results: A significant underreporting of DM as the cause of death (64.41%) was found, mostly associated with male gender (OR = 1.59 [95% CI: 1.18; 2.15]; p < 0.01), DM2 (OR = 2.64 [95% CI: 1.32; 5.26]; p < 0.01), dying in the first decade of the study (OR = 4.07 [95% CI: 1.54; 10.71]; p < 0.001) and shorter DM duration (OR = 1.02 [95% CI: 1.01; 1.04]; p < 0.01). Age, type of treatment, body mass index, marital status and ethnicity, did not show a significant association with DM underreporting. There was a decreasing trend in DM1 underreporting (Decade Percentual Change = -7.10 [95% CI: -11.35; -3.40]), but a stationary trend for DM and DM2. The main primary cause of death was cardiovascular-related complications.

Conclusion: The underreporting of DM as the cause of death was very frequently found, and was associated with male gender, decade of death, shorter DM duration and DM2. If our data could be applied to the whole country, DM would possibly emerge as a more prominent cause of death in Brazil. Future studies in other cities and geographic regions are warranted to confirm our findings.

巴西圣保罗州包鲁市 40 年来少报死因为糖尿病的情况:一项文献研究。
目的对巴西圣保罗州包鲁市 40 年来糖尿病(DM)作为死因的漏报情况进行评估、定性并寻找趋势:这是一项文献研究。研究收集了居住在圣保罗州包鲁市、1982年至2021年期间在当地内分泌诊所接受随访并在此期间死亡的已知1型糖尿病(DM1)和2型糖尿病(DM2)患者的临床和死亡数据:结果:发现糖尿病作为死因的报告严重不足(64.41%),主要与男性(OR = 1.59 [95% CI: 1.18; 2.15]; p < 0.01)、DM2(OR = 2.64 [95% CI: 1.32; 5.26]; p < 0.01),死于研究的前十年(OR = 4.07 [95% CI: 1.54; 10.71]; p < 0.001)和较短的 DM 持续时间(OR = 1.02 [95% CI: 1.01; 1.04]; p < 0.01)。年龄、治疗类型、体重指数、婚姻状况和种族与 DM 报告不足没有明显关联。DM1漏报率呈下降趋势(十年百分比变化=-7.10 [95% CI:-11.35; -3.40]),但DM和DM2漏报率呈静止趋势。死亡的主要原因是心血管相关并发症:结论:DM作为死因的漏报现象非常普遍,并且与男性性别、死亡年代、较短的DM持续时间和DM2有关。如果我们的数据可以应用于全国,那么DM将有可能成为巴西更为突出的死因。今后有必要在其他城市和地区进行研究,以证实我们的发现。
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来源期刊
Archives of Endocrinology Metabolism
Archives of Endocrinology Metabolism Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.90
自引率
5.90%
发文量
107
审稿时长
7 weeks
期刊介绍: The Archives of Endocrinology and Metabolism - AE&M – is the official journal of the Brazilian Society of Endocrinology and Metabolism - SBEM, which is affiliated with the Brazilian Medical Association. Edited since 1951, the AE&M aims at publishing articles on scientific themes in the basic translational and clinical area of Endocrinology and Metabolism. The printed version AE&M is published in 6 issues/year. The full electronic issue is open access in the SciELO - Scientific Electronic Library Online e at the AE&M site: www.aem-sbem.com. From volume 59 on, the name was changed to Archives of Endocrinology and Metabolism, and it became mandatory for manuscripts to be submitted in English for the online issue. However, for the printed issue it is still optional for the articles to be sent in English or Portuguese. The journal is published six times a year, with one issue every two months.
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