INTERNATIONAL ANALYSIS OF INSULIN-DEPENDENT DIABETES-MELLITUS MORTALITY - A PREVENTABLE MORTALITY PERSPECTIVE

被引：0

作者：

KITAGAWA, T ^{[1
]}

TAJIMA, N ^{[1
]}

AONO, M ^{[1
]}

AONO, S ^{[1
]}

HIBI, I ^{[1
]}

IKEDA, Y ^{[1
]}

ISSHIKI, G ^{[1
]}

KAWAMURA, M ^{[1
]}

KIDA, K ^{[1
]}

KOHNO, K ^{[1
]}

MARUYAMA, H ^{[1
]}

MATSUSHIMA, M ^{[1
]}

MATSUURA, N ^{[1
]}

MIKI, E ^{[1
]}

MIMURA, G ^{[1
]}

TAKEDA, A ^{[1
]}

TOYOTA, T ^{[1
]}

LAPORTE, RE ^{[1
]}

DRASH, AL ^{[1
]}

KULLER, LH ^{[1
]}

BARINAS, E ^{[1
]}

BECKER, DJ ^{[1
]}

CHANG, YF ^{[1
]}

DORMAN, JS ^{[1
]}

GOWER, IF ^{[1
]}

ORCHARD, TJ ^{[1
]}

SONGER, TJ ^{[1
]}

TULL, ES ^{[1
]}

VERGONA, RJ ^{[1
]}

TUOMILEHTO, J ^{[1
]}

LOUNAMAA, R ^{[1
]}

LOUNAMAA, P ^{[1
]}

REUNANEN, A ^{[1
]}

TUOMILEHTOWOLF, E ^{[1
]}

AKERBLOM, HK ^{[1
]}

LARON, Z ^{[1
]}

KARP, MM ^{[1
]}

GORDON, O ^{[1
]}

机构：

[1] UNIV PITTSBURGH,GRAD SCH PUBL HLTH,DEPT EPIDEMIOL,PITTSBURGH,PA 15213

来源：

AMERICAN JOURNAL OF EPIDEMIOLOGY | 1995年 / 142卷 / 06期

关键词：

DIABETES MELLITUS; INSULIN-DEPENDENT; MORTALITY;

D O I：

暂无

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Differential survival associated with insulin-dependent diabetes mellitus (IDDM) was evaluated in a crosscountry study using four population-based IDDM cohorts from Japan (n = 1,374), Israel (n = 610), Allegheny County, Pennsylvania (n = 995), and Finland (n = 5,144). For the purpose of this cross-country comparison, the Allegheny County cohort was taken to be representative of the United States, The mortality status as of January 1, 1990, was determined for all individuals who were diagnosed with diabetes at the age of less than 18 years between 1965 and 1979 and who were taking insulin at the time of hospital discharge. The results showed that the mortality experience for IDDM individuals in Japan and the United States was much worse than that in Finland and Israel. The age-adjusted mortality rates (per 100,000 person-years) for the four cohorts were 760 (Japan), 158 (Israel), 408 (Allegheny County), and 250 (Finland). By using the mortality data from Allegheny County, Pennsylvania, to extrapolate to the US IDDM mortality experience, the authors estimated 2,396 deaths among individuals with IDDM in the United States. It was calculated that 1,261 (53%) of these deaths would not have occurred in the United States given Finland's mortality rates. It is critical to determine why individuals with IDDM in the United States have a poorer outcome.

引用

页码：612 / 618

页数：7

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