ArticleEuropean journal of epidemiology2008
The burden of diabetes-related mortality in France in 2002: an analysis using both underlying and multiple causes of death.
Article in European journal of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 48 citations in OpenAlex.
- The role of cardiovascular risk factors on educational and regional inequalities in mortality in Spain 2016-2022: An analysis using multiple causes of death.SSM - population health · 2026Article
- Ability of the DHAM Score to Predict 5-Year All-Cause Mortality in Patients With Diabetes and Comorbid Hypertension: Validation and Risk Stratification in Two Prospective Cohorts.Journal of diabetes research · 2026Article
- Are contributory causes of death in part 2 of the death certificate mediators of chains of morbid events leading to death?Population health metrics · 2025Article
- Association of antidiabetic therapies with lower extremity amputation, mortality and healthcare cost from a nationwide retrospective cohort study in Taiwan.Scientific reports · 2021Article
- Electrolyte Intake and Major Food Sources of Sodium, Potassium, Calcium and Magnesium among a Population in Western Austria.Nutrients · 2020Article
- Regional differences of macrovascular disease in Northeast and South Germany: the population-based SHIP-TREND and KORA-F4 studies.BMC public health · 2018Article
- Long-term mortality in outpatients with type 2 diabetes in a reference hospital in Cameroon: a retrospective cohort study.BMJ open · 2018Article
- Multiple cause-of-death data among people with AIDS in Italy: a nationwide cross-sectional study.Population health metrics · 2017Article
- Educational inequalities in diabetes mortality across Europe in the 2000s: the interaction with gender.International journal of public health · 2015Article
- High Israeli mortality rates from diabetes and renal failure - Can international comparison of multiple causes of death reflect differences in choice of underlying cause?Israel journal of health policy research · 2015Article
- Multiple causes of death analysis of chronic diseases: the example of diabetes.Population health metrics · 2015Article
- Quality comparison of electronic versus paper death certificates in France, 2010.Population health metrics · 2014Article
- Migrant mortality from diabetes mellitus across Europe: the importance of socio-economic change.European journal of epidemiology · 2012Article
- East-West gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors?International journal of health geographics · 2011Article
- The burden of diabetes mortality in Finland 1988-2007 - a brief report.BMC public health · 2011Article
- How can the national burden of Parkinson's disease comorbidity and mortality be estimated for the Japanese population?Journal of epidemiology · 2011Article
- The Generation R Study: design and cohort update 2010.European journal of epidemiology · 2010Article
- Heart failure and the risk of stroke: the Rotterdam Study.European journal of epidemiology · 2010Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo describe the burden of diabetes-related mortality in France.
methodsUnderlying and multiple causes (all causes listed) of death were extracted from the 2002 French national mortality registry. Death rates were standardized on the age structure of the European population.
resultsDiabetes was reported as the underlying cause of death in 11,177 certificates (2.1%), and as multiple causes in 29,357 certificates (5.3%), giving a ratio (multiple/underlying causes) of 2.6. When diabetes was a multiple cause, the mean age at death was 75 years in men, 81 years in women. The age-standardized mortality rates were 41.0/100,000 in men, 24.6/100,000 in women. The excess mortality observed in men (men/women ratio = 1.7) decreased with age. Geographic differences were observed: higher rates in the North-East, lower rates in the West of the country. In certificates mentioning diabetes, the most frequent cause of death was diseases of the circulatory system (76%). Coronary heart diseases, foot ulcers and renal diseases were more likely to be mentioned in certificates referring to diabetes than in those that did not. DISCUSSION: The use of multiple rather than underlying causes of death more than doubled diabetes-related mortality rates. While probably still under-estimated, the burden of diabetes-related mortality corresponds to a high proportion of the total mortality, especially in men. Geographic differences partially reflect disparities in diabetes prevalence. Causes more frequently associated with diabetes include coronary heart disease and complications related to neuropathy and nephropathy.
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