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PMID: 8328597 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Underreporting of diabetes on death certificates, King County, Washington.

American journal of public health ·Vol. 83 ·No. 7 ·1993-07-00 ·Pages 1021-4

Andresen EM, Lee JA, Pecoraro RE, Koepsell TD, Hallstrom AP, Siscovick DS

Abstract

We estimated the reporting of diabetes on death certificates for persons known to have diabetes. Surveillance of 19 hospitals and two paramedic emergency medical services during 12 months in Seattle and King County, Washington, ascertained acute ischemic heart disease events for persons with diabetes and yielded 1235 persons with suspected ischemic heart disease. Mortality was 23.6%, and 41% of death certificates listed diabetes. The reporting of diabetes on the death certificate was not random, and it varied by patient and physician characteristics. Diabetes is strongly linked to fatal ischemic heart disease, but its importance is underrepresented by death certificates for some subgroups.

MeSH Terms
Acute Disease Cohort Studies Death Certificates Diabetes Complications Diabetes Mellitus/epidemiology,mortality Female Humans Male Myocardial Ischemia/etiology,mortality Population Surveillance Prevalence Washington/epidemiology
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Andresen E M
School of Medicine, University of Washington, Seattle.
Lee J A
Pecoraro R E
Koepsell T D
Hallstrom A P
Siscovick D S
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Article Info
Journal
American journal of public health
Abbr.
Am J Public Health
ISSN
0090-0036
DOI
10.2105/ajph.83.7.1021
Published
1993-07-00
Pages
1021-4
Language
English
Region
United States
NLM ID
1254074
PMCID
PMC1694790
Subset
IM
Corrections
CommentIn
PMID: 8328611
External Links
PubMed source DOI: 10.2105/ajph.83.7.1021 PMC Full Text View journal details
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