Evidence map›Paper›PMID 27978825›Full record

ArticlePopulation health metrics2016

Using multi-year national survey cohorts for period estimates: an application of weighted discrete Poisson regression for assessing annual national mortality in US adults with and without diabetes, 2000-2006.

Yiling J Cheng, Edward W Gregg, Deborah B Rolka, Theodore J Thompson

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Article in Population health metrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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5 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Yiling J ChengDivision of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS F-73, Atlanta, GA, 30341, USA. ycheng@cdc.gov.
Edward W GreggDivision of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS F-73, Atlanta, GA, 30341, USA.
Deborah B RolkaDivision of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS F-73, Atlanta, GA, 30341, USA.
Theodore J ThompsonDivision of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS F-73, Atlanta, GA, 30341, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonitoring national mortality among persons with a disease is important to guide and evaluate progress in disease control and prevention. However, a method to estimate nationally representative annual mortality among persons with and without diabetes in the United States does not currently exist. The aim of this study is to demonstrate use of weighted discrete Poisson regression on national survey mortality follow-up data to estimate annual mortality rates among adults with diabetes.

methodsTo estimate mortality among US adults with diabetes, we applied a weighted discrete time-to-event Poisson regression approach with post-stratification adjustment to national survey data. Adult participants aged 18 or older with and without diabetes in the National Health Interview Survey 1997-2004 were followed up through 2006 for mortality status. We estimated mortality among all US adults, and by self-reported diabetes status at baseline. The time-varying covariates used were age and calendar year. Mortality among all US adults was validated using direct estimates from the National Vital Statistics System (NVSS).

resultsUsing our approach, annual all-cause mortality among all US adults ranged from 8.8 deaths per 1,000 person-years (95% confidence interval [CI]: 8.0, 9.6) in year 2000 to 7.9 (95% CI: 7.6, 8.3) in year 2006. By comparison, the NVSS estimates ranged from 8.6 to 7.9 (correlation = 0.94). All-cause mortality among persons with diabetes decreased from 35.7 (95% CI: 28.4, 42.9) in 2000 to 31.8 (95% CI: 28.5, 35.1) in 2006. After adjusting for age, sex, and race/ethnicity, persons with diabetes had 2.1 (95% CI: 2.01, 2.26) times the risk of death of those without diabetes.

conclusionPeriod-specific national mortality can be estimated for people with and without a chronic condition using national surveys with mortality follow-up and a discrete time-to-event Poisson regression approach with post-stratification adjustment.

Indexed as

Cause of DeathAdultAgedAged, 80 and overChronic DiseaseCohort StudiesDiabetes MellitusFemaleFollow-Up StudiesHealth SurveysHumansMaleMiddle AgedRegression AnalysisRisk FactorsSurvival AnalysisComplex surveyDiscrete survival timeMortalityPoisson regressionSurveillanceSurvival analysis

Identifiers

PMID27978825
PMCPMC5160024

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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.