ArticleBMJ open diabetes research & care2017
All-cause mortality in adults with and without type 2 diabetes: findings from the national health monitoring in Germany.
Article in BMJ open diabetes research & care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- An Integrated Psychosomatic Treatment Program for People with Diabetes (psy-PAD).Deutsches Arzteblatt international · 2022Trial
- Trial
- Diabetic retinopathy severity is associated with renal function deterioration in patients with diabetic kidney disease: a retrospective cohort study.Frontiers in endocrinology · 2026Article
- Trends in prevalence and number of cases of diagnosed type 2 diabetes in Germany: Projections until 2050.Journal of health monitoring · 2025Article
- Future prevalence of type 2 diabetes in Germany: a projection until 2040 including incidence trends observed during the SARS-CoV-2 pandemic.Frontiers in epidemiology · 2025Article
- Is living alone associated with mortality among older primary care patients with or without diabetes?BMC primary care · 2024Article
- Assessing the utility of epigenetic clocks for health prediction in South Korean.Frontiers in aging · 2024Article
- Predicting 1-year mortality of patients with diabetes mellitus in Kazakhstan based on administrative health data using machine learning.Scientific reports · 2023Article
- Optimizing diabetes screening frequencies for at-risk groups.Health care management science · 2022Article
- Healthy life years among people with and without diabetes in Germany.Journal of health monitoring · 2021Article
- Self-assessed quality of care among adults with diagnosed diabetes in Germany.Journal of health monitoring · 2021Article
- The effect of pay-for-performance program on infection events and mortality rate in diabetic patients: a nationwide population-based cohort study.BMC health services research · 2021Article
- Excess mortality in adults with documented diabetes in Germany: routine data analysis of all insurance claims in Germany 2013-2014.BMJ open · 2021Article
- Impact of diagnostic accuracy on the estimation of excess mortality from incidence and prevalence: simulation study and application to diabetes in German men.F1000Research · 2021Article
- Factors associated with undiagnosed type 2 diabetes in Germany: results from German Health Interview and Examination Survey for Adults 2008-2011.BMJ open diabetes research & care · 2020Article
- Health App Use and Its Correlates Among Individuals With and Without Type 2 Diabetes: Nationwide Population-Based Survey.JMIR diabetes · 2020Article
- Association of prestroke glycemic status with stroke mortality.BMJ open diabetes research & care · 2020Article
- Mortality Implications of Prediabetes and Diabetes in Older Adults.Diabetes care · 2020Article
- Prevalence of type 2 diabetes and their complications among home health care patients at Al-Kharj military industries corporation hospital.Journal of family medicine and primary care · 2019Article
- The mortality in infectious inpatients with type 2 diabetes compared with non-diabetic population: Infection in type 2 diabetes.Medicine · 2019Article
Corrections and comments
- Erratum issuedCorrection:2017
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate age-specific and sex-specific all-cause mortality among adults with and without type 2 diabetes (T2D) in Germany. RESEARCH DESIGN AND
methodsThe German National Health Interview and Examination Survey 1998 (GNHIES98) included a mortality follow-up (median follow-up time 12.0 years) of its nationwide sample representative of the population aged 18-79 years. After exclusion of participants with type 1 diabetes, age- and sex-stratified mortality rates (MR) were calculated for 330 GNHIES98 participants with diagnosed T2D (self-reported diagnosis or antidiabetic medication), 245 with undiagnosed T2D (no diagnosed T2D, glycated hemoglobin A1c ≥6.5% (≥48 mmol/mol)), and 5975 without T2D. Mortality rate ratios (MRR) comparing MR of persons with and without T2D were estimated. Age-/sex-standardized MR and MRR were calculated including persons aged 45 years or older. MRR were used to estimate the number of years of life lost (YLL) due to diagnosed diabetes in 2010.
resultsOver 75 994 person-years, 73 persons with undiagnosed T2D, 103 with diagnosed T2D, and 425 persons without T2D died. MRR were significantly higher in younger age groups, except for analyses limited to women or diagnosed T2D. Age- and sex-standardized MRR (95% CI) among persons aged 45 years or older were 1.96 (1.41 to 2.71) for undiagnosed, 1.68 (1.26 to 2.23) for diagnosed, and 1.82 (1.45 to 2.28) for total (undiagnosed or diagnosed) T2D. Sex-stratified analysis revealed similar age-standardized MRR for undiagnosed (1.56 (0.79 to 3.06)) and diagnosed T2D (1.56 (1.03 to 2.37)) among women, and a higher age-standardized MRR for undiagnosed (2.06 (1.43 to 2.97)) than diagnosed T2D (1.70 (1.10 to 2.63)) among men. YLL due to diagnosed diabetes in Germany in 2010 were 164 600 (35 000 to 279 300) among women and 169 900 (28 300 to 328 300) among men.
conclusionsIn Germany, age- and sex-standardized all-cause mortality is almost twice as high for adults with T2D as for adults without T2D. The T2D-associated excess risk of mortality appears to be most pronounced in younger adults and among men unaware of their T2D.
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