Causes of death in Japanese diabetics. A 20-year study of death certificates |
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| Authors: | A Sasaki N Horiuchi K Hasegawa M Uehara |
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| Affiliation: | 1. Department of Community Health Systems Nursing, Ehime University Graduate School of Medicine, Toon, Japan;2. Department of Public Health Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan;3. Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan;4. Department of Public Health, Fujita Health University School of Medicine, Toyoake, Japan;5. Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Suita, Japan;6. Epidemiology and Prevention Division, Research Center for Cancer Prevention and Screening, National Cancer Center, Tokyo, Japan;7. AXA Department of Health and Human Security, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan;2. Department of Cardiology, Palacký University Medical School and Hospital, Olomouc, Czech Republic;3. Department of Biophysics and Statistics, Palacký University Medical School, Olomouc, Czech Republic |
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| Abstract: | Death certificates filed between 1960 and 1979 in Osaka, Japan were analyzed to study causes of death in diabetic patients. It was observed that diseases of the circulatory system increased continuously from 15.2% in 1960-1964 to 27.2% in 1975-1979. Cerebrovascular disease and disease of heart were the leading causes of death throughout the study period. The rate of increase was much faster for disease of heart than for cerebrovascular disease, and there was only a small difference between them as cause of death in diabetic patients at the end of the observation period. Malignant neoplasms, cirrhosis of the liver, and pneumonia and bronchitis increased, whereas tuberculosis decreased sharply according to age-adjusted mortality rate during the 20-year period. Analysis based on O/E ratios suggested higher risk of dying from ischemic heart disease, tuberculosis and cirrhosis of the liver in Japanese diabetics than in the general population in this country. |
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