Evidence map›Paper›PMID 26259708›Full record

ArticleBMC public health2015

The decline in mortality due to acute complications of diabetes mellitus in Brazil, 1991-2010.

André Klafke, Bruce Bartholow Duncan, Antony Stevens, Roger dos Santos Rosa, Lenildo de Moura, Deborah Malta, Maria Inês Schmidt

Abstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Videoconferencing for Teens With Diabetes: Family Matters.Journal of diabetes science and technology · 2016
    Trial
  2. Article
  3. Article
  4. Cardiovascular Statistics - Brazil 2021.Arquivos brasileiros de cardiologia · 2022
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Texting Adolescents in Repeat DKA and Their Caregivers.Journal of diabetes science and technology · 2016
    Article
  13. Review
  14. Trends in mortality due to diabetes in Brazil, 1996-2011.Diabetology & metabolic syndrome · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

André KlafkePost-Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600, sala 419, Porto Alegre, RS, CEP 90.035-003, Brazil. andreklafke@hotmail.com.
Bruce Bartholow DuncanPost-Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600, sala 419, Porto Alegre, RS, CEP 90.035-003, Brazil. bbduncan@ufrgs.br.
Antony StevensPost-Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600, sala 419, Porto Alegre, RS, CEP 90.035-003, Brazil. antony.stevens@gmail.com.
Roger dos Santos RosaPost-Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600, sala 419, Porto Alegre, RS, CEP 90.035-003, Brazil. roger.rosa@bcb.gov.br.
Lenildo de MouraPost-Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600, sala 419, Porto Alegre, RS, CEP 90.035-003, Brazil. lenildo.moura@gmail.com.
Deborah MaltaDepartment of Chronic Disease Surveillance and Health Promotion, Secretariate of Health Surveillance, Brazilian Ministry of Health, SAF Sul, Trecho 2, Lote 5/6, Bloco F, Torre 1, Edifício Premium, Térreo, Sala 16, Brasilia, DF, CEP 70.070-600, Brazil. deborah.malta@saude.gov.br.
Maria Inês SchmidtPost-Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600, sala 419, Porto Alegre, RS, CEP 90.035-003, Brazil. maria.schmidt@ufrgs.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality from acute complications of diabetes, a predominantly preventable condition, although controlled in high income countries, remains a major challenge for low/middle income countries. The aim of this study is to describe trends in mortality from acute complications of diabetes between 1991 and 2010 in Brazil, a period during which a national health system was implemented offering broad access to diabetes treatment.

methodsWe obtained the number of deaths listed in the Brazilian Mortality Information System between 1991 and 2010 as due to acute complications of diabetes (ICD-9 250.1, .2, or .3 and ICD-10 E10-14.0 or 1), corrected this number for ill-defined causes of death and incompleteness in mortality reporting, and calculated mortality rates standardized to the world's population. We describe mortality trends with Joinpoint regressions.

resultsOver this 20 year period, mortality due to the acute complications of diabetes fell 70.9 % (95 % CI 67.2 to 74.5 %), from 8.42 (95 % CI 8.27 to 8.57) deaths per 100000 inhabitants in 1991 to 2.45 (95 % CI 2.38 to 2.52) per 100000 in 2010. The reduction occurred in men and women, in all age groups, and in all regions of Brazil.

conclusionsMortality from acute complications of diabetes in Brazil has declined markedly in parallel with the implementation of a national health system providing access to insulin and organization of health care. Further decline is possible and necessary.

Indexed as

Health Status IndicatorsAdultBrazilCause of DeathDiabetes ComplicationsDiabetes MellitusFemaleHumansHyperglycemiaMaleMiddle AgedMortalityYoung Adult

Identifiers

PMID26259708
PMCPMC4531850

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.