Analyses of causes of mortality in people with diabetes using data from death certificates mentioning diabetes provide unreliable estimates of mortality.
Under-recording of diabetes as a cause on death certificates has been widely reported, ranging from 15-60%. Using a population based register of people with diabetes and linking data from this with causes of death data from another source is a viable alternative.
Data from the Office of Population Censuses and Surveys (OPCS) are the most acceptable mortality data available for such an exercise, as direct comparison with other published mortality rates is then possible.
A locally maintained population-based mortality register and all insulin-treated diabetes mellitus cases notified to the Leicestershire diabetes register (n=4680) were linked using record linkage software developed in-house (Lynx).
This software has been extensively used in a maintenance and update cycle designed to maximise accuracy and minimise duplication and false registration on the diabetes register.
Deaths identified were initially coded locally to the International Classification of Diseases, 9th revision (ICD9), and later a linkage was performed to use official OPCS coding.
Mortality data identified by the linkage was indirectly standardised using population data for Leicestershire for 1991.
Standardised mortality ratios (SMR) were estimated, with 95% confidence intervals.
Insulin dependent diabetes (IDDM...
Mots-clés Pascal : Diabète, Mortalité, Cause, Chaînage donnée, Registre, Royaume Uni, Europe, Homme, Epidémiologie, Endocrinopathie
Mots-clés Pascal anglais : Diabetes mellitus, Mortality, Cause, Data link, Register, United Kingdom, Europe, Human, Epidemiology, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0064825
Code Inist : 002B21E01B. Création : 199608.