1999-2020年2型糖尿病患者外周血循环并发症相关死亡率差异的CDC分析

IF 2.6 Q3 ENDOCRINOLOGY & METABOLISM
Iqra Shahid, Hadia Ahmad, Saad Ashraf, Qasim Mehmood, Azka Ijaz, Suraksha Rani, Sara Sohail, Shameer Iqbal Ghuman, Mahnoor Fatima, Minaam Farooq, Hafsa Shahid, Minhal Chaudhry, Aayush Chaulagain
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引用次数: 0

摘要

外周循环并发症(PCC)是2型糖尿病(T2DM)的一个重要并发症,在美国造成了相当大的死亡率负担。本研究旨在分析1999年至2020年2型糖尿病患者pcc相关死亡率的人口统计学和地理差异。方法利用CDC WONDER数据库,使用ICD-10代码E11.5使用死亡证明识别pcc相关死亡,并计算每100万人的年龄调整死亡率(AAMRs)。采用联结点回归分析评估死亡率的年百分比变化(APCs)。结果PCC导致81793人死亡。1999 - 2004年AAMR呈上升趋势(APC: 5.88, 95% CI: 2.44 ~ 12.70), 2004 - 2014年呈下降趋势(APC: - 3.70, 95% CI: - 5.83 ~ - 2.45),到2020年再次上升(APC: 8.34, 95% CI: 6.05 ~ 11.50)。男性的死亡率始终高于女性(AAMR: 8.34, 95% CI: 8.26至8.43)(AAMR: 11.08, 95% CI: 11.00至11.6)。种族/民族差异明显,美洲印第安人或阿拉斯加本地人的AAMR最高(19.76),而亚洲或太平洋岛民的AAMR为6.11。观察到地域差异,中西部地区(AAMR: 12.86)和西弗吉尼亚州(AAMR: 18.52)表现出明显更高的死亡率。结论T2DM患者与PCC相关的死亡率趋势显示出复杂的轨迹,在人口统计学和地理界线上存在显著差异。需要进一步的研究来全面了解PCC的动态及其对公共卫生的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Disparities in Peripheral Circulatory Complication-Related Mortality in Type 2 Diabetes Mellitus Patients: A CDC Analysis (1999–2020)

Disparities in Peripheral Circulatory Complication-Related Mortality in Type 2 Diabetes Mellitus Patients: A CDC Analysis (1999–2020)

Introduction

Peripheral circulatory complication (PCC), a significant complication of type 2 diabetes mellitus (T2DM), poses a considerable mortality burden in the United States. This study aimed to analyse demographic and geographic disparities in PCC-related mortality in T2DM patients from 1999 to 2020.

Methods

Utilising the CDC WONDER database, we utilised death certificates to identify PCC-related deaths using ICD-10 Code E11.5 and calculated age-adjusted mortality rates (AAMRs) per 1,000,000 individuals. Joinpoint regression analysis was used to assess annual percent changes (APCs) in mortality rates.

Results

PCC caused 81,793 deaths. The AAMR increased from 1999 to 2004 (APC: 5.88, 95% CI: 2.44 to 12.70), followed by a decrease from 2004 to 2014 (APC: −3.70, 95% CI: −5.83 to −2.45), and an increase again until 2020 (APC: 8.34, 95% CI: 6.05 to 11.50). Males consistently exhibited higher mortality rates (AAMR: 11.08, 95% CI: 11.00 to 11.6) than females (AAMR: 8.34, 95% CI: 8.26 to 8.43). Racial/ethnic disparities were evident, with American Indian or Alaskan natives showing the highest AAMR (19.76) compared to Asian or Pacific Islanders (6.11). Geographic disparities were observed, with the Midwest region (AAMR: 12.86) and West Virginia (AAMR: 18.52) exhibiting significantly higher mortality rates.

Conclusion

Mortality trends associated with PCC in T2DM patients have shown complex trajectories, with notable disparities across demographic and geographic lines. Further research is needed to comprehensively understand the dynamics of PCC and its implications for public health.

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来源期刊
Endocrinology, Diabetes and Metabolism
Endocrinology, Diabetes and Metabolism Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
5.00
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0.00%
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66
审稿时长
6 weeks
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