T Tönnies1, A Hoyer2, R Brinks3. 1. Institute for Biometrics and Epidemiology, German Diabetes Centre (DDZ), Leibniz Centre for Diabetes Research at Heinrich Heine University, Auf'm Hennekamp 65, 40225, Düsseldorf, Germany; German Centre for Diabetes Research (DZD), Ingolstädter Landstraße 1, 85764, Neuherberg, Germany. Electronic address: thaddaeus.toennies@ddz.uni-duesseldorf.de. 2. Institute for Biometrics and Epidemiology, German Diabetes Centre (DDZ), Leibniz Centre for Diabetes Research at Heinrich Heine University, Auf'm Hennekamp 65, 40225, Düsseldorf, Germany. 3. Institute for Biometrics and Epidemiology, German Diabetes Centre (DDZ), Leibniz Centre for Diabetes Research at Heinrich Heine University, Auf'm Hennekamp 65, 40225, Düsseldorf, Germany; Hiller Research Unit for Rheumatology, University Hospital Duesseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Abstract
BACKGROUND AND AIMS: The hazard ratio (HR) is a meaningful concept for comparing the mortality of people with and without type 2 diabetes (T2D). Nevertheless, there is only one German study estimating age-specific HRs. Thus, this study aimed to provide population-wide age-specific HRs for Germany using a novel method based on aggregated population data. METHODS AND RESULTS: We used an illness-death model and published data on T2D prevalence and incidence as well as mortality in the German general population to estimate age-specific HRs in the year 2012 for the population aged 65-90 years. For men, the overall HR was 2.3, which decreased from 2.8 between 65 and 69 years old to 1.6 between 85 and 90 years old. For women, the overall HR was 3.0, which decreased from 4.2 to 1.7 in the same age groups, respectively. CONCLUSION: In Germany, men and women in 2012 with T2D aged 65-90 years experienced a three-to four-fold higher mortality compared to people without T2D, which might indicate that the excess mortality could be higher than in countries with comparable health care systems. Female sex and younger age were associated with higher excess mortality.
BACKGROUND AND AIMS: The hazard ratio (HR) is a meaningful concept for comparing the mortality of people with and without type 2 diabetes (T2D). Nevertheless, there is only one German study estimating age-specific HRs. Thus, this study aimed to provide population-wide age-specific HRs for Germany using a novel method based on aggregated population data. METHODS AND RESULTS: We used an illness-death model and published data on T2D prevalence and incidence as well as mortality in the German general population to estimate age-specific HRs in the year 2012 for the population aged 65-90 years. For men, the overall HR was 2.3, which decreased from 2.8 between 65 and 69 years old to 1.6 between 85 and 90 years old. For women, the overall HR was 3.0, which decreased from 4.2 to 1.7 in the same age groups, respectively. CONCLUSION: In Germany, men and women in 2012 with T2D aged 65-90 years experienced a three-to four-fold higher mortality compared to people without T2D, which might indicate that the excess mortality could be higher than in countries with comparable health care systems. Female sex and younger age were associated with higher excess mortality.
Authors: Alberto Montesanto; Anna Rita Bonfigli; Maria De Luca; Paolina Crocco; Paolo Garagnani; Elena Marasco; Chiara Pirazzini; Cristina Giuliani; Fabio Romagnoli; Claudio Franceschi; Giuseppe Passarino; Roberto Testa; Fabiola Olivieri; Giuseppina Rose Journal: Sci Rep Date: 2019-07-17 Impact factor: 4.379
Authors: Thaddäus Tönnies; Giuseppina Imperatore; Annika Hoyer; Sharon H Saydah; Ralph B D'Agostino; Jasmin Divers; Scott Isom; Dana Dabelea; Jean M Lawrence; Elizabeth J Mayer-Davis; Catherine Pihoker; Lawrence Dolan; Ralph Brinks Journal: Ann Epidemiol Date: 2019-07-12 Impact factor: 6.996