DIABETES-RELATED MORTALITY TRENDS IN THE GENDER AND AGE-ADJUSTED AMONG ADULTS IN SOUTH KOREA BETWEEN 2011 AND 2015
Young-Hwan Kwon, Hyeong-Ae Bang, Myeong-Jin Lee and Won-Chang Lee*
Objective: The purpose of this paper is to estimate the epidemiological trends in the gender and age-specific adjusted crude mortality rate (CMR) among Korean adults with diabetes mellitus (DM) by the International Classification of Diseases (Codes of ICD: E10-E14) in the last half-decade between 2011 and 2015. Methods: Raw data analyzed in this study were obtained from the website of “the Crude Mortality of Diabetes” of Annual Report on the Cause of Death Statistic between 2011 and 2015 managed by the Korea Statistics Promotion Institute (KSPI). Results: There were a total of 10,793 nationwide fatal-cases (FCs) of DM with a CMR of 21.3 per 100,000 populations in 2011, while there were a total of 10,558 FCs with a CMR of 20.5 in 2015; the CMR of DM decreased in 2015 since 2011 (p<0.01). The male to female mortality ratio (MFMR) was similar between 2011 and 2015. The distribution of the CMR with DM by age adjusted groups under the 69-year-old groups in 2011 decreased in 2015 (p<0.01). However, the age group of over 70-year-old clearly showed higher occurrences in 2015 (p<0.01). Trends in FCs and CMR of DM by gender were compared with respect to the 10 key classification of ICD (E10-E14) among men between 2011 and 2015 as follows; DM with ketoacidosis, and renal complications increased in 2015 since 2011, while DM with neurological multiple and unspecified complications decreased (p<0.01). During the same period among women, DM with coma renal complications increased in 2015 than those in 2011, while DM with neurological and multiple complications decreased, respectively (p<0.01). On the other hand, trends in the age adjusted CMR among adults with DM by the ICD in less than 49 (30-49) year-old age groups between 2011 and 2015; DM with multiple complication was decreased in 2015 than that in 2011 (p<0.01), while in over 50 year-old age groups; DM with ketoacidosis, renal, peripheral, other specified, and unspecified complications were statistically significantly increased from 2011 to 2015 (p<0.05∼p<0.01). Conclusion: DM is one of the most severe and relatively common chronic diseases in worldwide including Korea. The number of elderly FCs with a CMR of DM is overwhelmingly increasing in Korea as well as in westernized countries. It is necessary for us to care for the elderly who have DM in order to maintain their function and quality of life.
Keywords: diabetes; fatal cases; gender; age; crude mortality rate; ICD; Korea.
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