Evidence map›Paper›PMID 42504905›Full record

ArticleCanadian respiratory journal2026

Mortality Trends in Patients Aged 25 and Older With Comorbid COPD and Diabetes Mellitus in the United States: A CDC WONDER Database Study From 2000 to 2023.

Muhammad Ahmed, Saba Fatima, Shaheer Bin Shafiq, Khubaib Tariq Mansoor, Fatima Aqsa, Muhammad Abdullah Naveed, Ahila Ali, Harigopal Sandhyavenu, Binish Qureshi, Sivaram Neppala

Abstract read
In one paragraph

Article in Canadian respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

1 citing paper in PubMed.

  1. 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

10 authors.

Muhammad AhmedDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan, duhs.edu.pk.ORCID https://orcid.org/0009-0002-5578-2022
Saba FatimaDepartment of Cardiology, Jinnah Sindh Medical University, Karachi, Pakistan, jsmu.edu.pk.ORCID https://orcid.org/0009-0008-5448-3382
Shaheer Bin ShafiqDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan, duhs.edu.pk.ORCID https://orcid.org/0009-0001-1587-4320
Khubaib Tariq MansoorDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan, duhs.edu.pk.ORCID https://orcid.org/0009-0006-6019-9842
Fatima AqsaDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan, duhs.edu.pk.
Muhammad Abdullah NaveedDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan, duhs.edu.pk.ORCID https://orcid.org/0009-0006-9230-6569
Ahila AliDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan, duhs.edu.pk.ORCID https://orcid.org/0009-0003-1176-7928
Harigopal SandhyavenuDepartment of Cardiology, UT Health Science Center, San Antonio, Texas, USA, uth.edu.ORCID https://orcid.org/0000-0002-2567-6651
Binish QureshiDepartment of Cardiology, UT Health Science Center, San Antonio, Texas, USA, uth.edu.ORCID https://orcid.org/0009-0008-8328-9925
Sivaram NeppalaDepartment of Cardiology, UT Health Science Center, San Antonio, Texas, USA, uth.edu.ORCID https://orcid.org/0009-0008-8182-1260

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetes mellitus (DM) and chronic obstructive pulmonary disease (COPD) are among the leading chronic diseases that significantly impact global morbidity and mortality. Growing evidence indicates a bidirectional interplay between metabolic and pulmonary dysfunction. This study aims to identify the demographic and regional trends of DM and COPD-related mortality in the United States from 2000 to 2023. METHODOLOGY: DM- and COPD-related deaths in the United States from 2000 to 2023 were obtained from the CDC WONDER database using ICD-10 code E10-14 for DM and J40-44 as the underlying cause of death. Results are presented as age-adjusted mortality rates (AAMR) per 100,000 population, with Joinpoint regression used for trend analysis and to calculate annual percentage change (APC).

resultsA total of 796,757 DM- and COPD-related deaths were recorded. From 2000 to 2008, the AAMR for DM and COPD increased from 11.19 to 14.32, remaining relatively stable until 2018. This was followed by a significant rise to 19.03 in 2021 (APC: 10.57), before declining to 16.28 in 2023 (APC: -9.08). Men demonstrated a higher AAMR (19.28) than women (12.02); however, both experienced decline post-2021, with rates falling to 20.54 in men (APC: -9.08) and 13.02 in women (APC: -8.33). AAMR increased among all racial groups except Asians and Hispanics. From 2000 to 2021, American Indians had the highest AAMR (30.48). After 2021, AAMR declined across all groups. Rural areas reported higher AAMR (19.02), compared to urban areas (12.85). AAMR in rural areas increased markedly from 2018 to 2020 (13.67). State-level comparisons revealed substantial variation in AAMR. Oklahoma had the highest rate at 28.79, followed by West Virginia (28.53), Kentucky (26.74), Vermont (23.95), and Mississippi (20.83). In contrast, Hawaii (6.69), Utah (7.33), and Massachusetts (7.99) reported the lowest rates, all below 10. Regionally, the Midwest had the highest average AAMR (16.30).

conclusionCOPD-related diabetes mortality rose from 2000 to 2020, highest among men, Non-Hispanic American Indians, and rural populations, and then declined post-2021. Findings indicate increased vulnerability during acute events, highlighting the need for targeted interventions.

Indexed as

Diabetes MellitusPulmonary Disease, Chronic ObstructiveAgedAged, 80 and overComorbidityDatabases, FactualFemaleHumansMaleUnited Stateschronic obstructive pulmonary disease (COPD)diabetes mellitusgendermortalityrace

Identifiers

PMID42504905
PMCPMC13403471

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Registered trials

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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.