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The decline in mortality due to acute complications of diabetes mellitus in Brazil, 1991–2010

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The decline in mortality due to acute complications of diabetes mellitus in Brazil, 1991–2010

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Título The decline in mortality due to acute complications of diabetes mellitus in Brazil, 1991–2010
Autor Lima, André Klafke de
Duncan, Bruce Bartholow
Stevens, Antony Peter
Rosa, Roger dos Santos
Moura, Lenildo de
Malta, Deborah Carvalho
Schmidt, Maria Inês
Abstract Background: Mortality from acute complications of diabetes, a predominantly preventable condition, although controlled in high income countries, remains a major challenge for low/middle income countries. The aim of this study is to describe trends in mortality from acute complications of diabetes between 1991 and 2010 in Brazil, a period during which a national health system was implemented offering broad access to diabetes treatment. Methods: We obtained the number of deaths listed in the Brazilian Mortality Information System between 1991 and 2010 as due to acute complications of diabetes (ICD-9 250.1, .2, or .3 and ICD-10 E10–14.0 or 1), corrected this number for ill-defined causes of death and incompleteness in mortality reporting, and calculated mortality rates standardized to the world’s population. We describe mortality trends with Joinpoint regressions. Results: Over this 20 year period, mortality due to the acute complications of diabetes fell 70.9 % (95 % CI 67.2 to 74.5 %), from 8.42 (95 % CI 8.27 to 8.57) deaths per 100000 inhabitants in 1991 to 2.45 (95 % CI 2.38 to 2.52) per 100000 in 2010. The reduction occurred in men and women, in all age groups, and in all regions of Brazil. Conclusions: Mortality from acute complications of diabetes in Brazil has declined markedly in parallel with the implementation of a national health system providing access to insulin and organization of health care. Further decline is possible and necessary.
Contido em BMC public health. London. Vol. 15 (2015), 8p. 15:772
Assunto Diabetes mellitus
Mortalidade
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/129941
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