Evidence map›Paper›PMID 42286514›Full record

ArticleBMC neurology2026

Trends in both Alzheimer's disease and Diabetes mellitus related mortality among middle-aged and older adults in the United States, 1999 to 2023: a CDC WONDER database analysis.

Aiman Javed, Shiva Kumar, Manahil Iftekhar, Hafiza Tooba Siddiqui, Ayesha Khan, Fatima Faisal, Muaz Ali, Fatima Sohail, Muhammad Hanif Khan

Abstract read
In one paragraph

Article in BMC neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Aiman JavedDow University of Health Sciences, Karachi, Pakistan.
Shiva KumarDow University of Health Sciences, Karachi, Pakistan.
Manahil IftekharPeople's University of Medical and Health Sciences for Women (PUMHSW), Nawabshah, Sindh, Pakistan.
Hafiza Tooba SiddiquiDepartment of Neurology, Cleveland Clinic, Weston, FL, USA.
Ayesha KhanDow University of Health Sciences, Karachi, Pakistan.
Fatima FaisalDow University of Health Sciences, Karachi, Pakistan.
Muaz AliDepartment of Neurology, Cleveland Clinic, Weston, FL, USA.
Fatima SohailJinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Muhammad Hanif KhanSpinghar University, Kart-e-Naw, Sarak-e-Naw Rehman Mena 60m Street, Kabul, Afghanistan. hanifkhan024721@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the temporal trends of both Alzheimer's disease and Diabetes mellitus-related mortality in adults aged > 45years in the United States between 1999 and 2023, and to evaluate the changes in mortality patterns over time.

backgroundAlzheimer's Disease and Diabetes Mellitus are two different diseases that have diverse underlying pathophysiology, but they often coexist, having common pathways. There is a high prevalence of concurrence between these two conditions, yet their combined mortality trend is underexplored.

methodsWe utilize mortality data from the CDC Wide-Ranging Online Data for Epidemiologic Research (WONDER). Individuals aged > 45 were included who had both Alzheimer's disease (G30) and Diabetes mellitus(E10-14). Age-adjusted mortality rates (AAMRs) and crude mortality rates (CMRs) per 100,000 were calculated and were standardized to the 2000 U.S population. Joint point regression models were used to identify the temporal variations and to calculate Annual Percentage Change (APC) and Average Annual Percentage Change (AAPC) with 95% confidence intervals.

resultsOverall, a total of 224,082 deaths occurred in patients of both Alzheimer's disease and Diabetes mellitus, in the age group ≥ 45 years, from 1999 to 2023. There is an upward trajectory noted from 2.82 in 1999 to 4.42 in 2023, with the highest incidence between 2017 and 2020, followed by a decline. Mortality rose in both sexes, with a persistently higher rate in females. The mortality rise from 1999 to 2023 in middle-aged people (45-64 years), and there was a rise in the trend of around 41% among adults ≥ 65 years. White individuals show higher deaths (78.9%), yet higher AAMR is observed in Black and Hispanic populations, showing racial disparities. Regionally, the West shows the highest AAMR, while non-metropolitan areas show higher mortality than metropolitan areas.

conclusionThe trend of mortality in individuals with both Alzheimer's disease and Diabetes Mellitus has increased in the past two decades, but there is a sharp rise observed after 2020 that may show the impact of the COVID-19 pandemic. These findings emphasized public health strategies.

Indexed as

Alzheimer DiseaseDiabetes MellitusAgedAged, 80 and overCenters for Disease Control and Prevention, U.S.Databases, FactualFemaleHumansMaleMiddle AgedMortalityUnited StatesAge-adjusted mortality rate.Alzheimer’s diseaseCDC WONDER databaseDiabetes mellitusMortality trends

Identifiers

PMID42286514
PMCPMC13651194

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.