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1000 Titel
  • Mortality of type 2 diabetes in Germany: additional insights from Gompertz models
1000 Autor/in
  1. Kuss, Oliver |
  2. Baumert, Jens |
  3. Schmidt, Christian |
  4. Tönnies, Thaddäus |
1000 Verlag
  • Springer Milan
1000 Erscheinungsjahr 2024
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2024-03-11
1000 Erschienen in
1000 Quellenangabe
  • 61(6):765-771
1000 Copyrightjahr
  • 2024
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00592-024-02237-w |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101541/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Aims</jats:title> <jats:p>The Gompertz law of mortality proclaims that human mortality rates in middle to old ages grow log-linearly with age and this law has been confirmed at multiple instances. We investigated if diabetes mortality in Germany also obeys to the Gompertz law and how this information helps to communicate diabetes mortality more intuitively.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>We analyzed all statutory health-insured persons in Germany in 2013 that were aged 30 years or older. Deaths in 2014 were recorded and given in 5-year age groups. We fitted weighted linear regression models (separately for females and males and for people with and without diabetes) and additionally computed the probability that a person with diabetes dies before a person of the same age and sex without diabetes, and the “diabetes age”, that is, the additional years of mortality risk added to an individual’s chronological age due to diabetes-related excess mortality.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>We included <jats:italic>N</jats:italic> = 47,365,120 individuals, 6,541,181 of them with diabetes. In 2014, 763,228 deaths were recorded, among them 288,515 with diabetes. Diabetes mortality followed nearly perfectly Gompertz distributions. The probability that a person with diabetes dies before a person without diabetes was 61.9% for females and 63.3% for males.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Diabetes mortality for females and males aged 30 years or older in Germany in 2014 followed the Gompertz law of mortality. The survival information of the population with diabetes during a large part of the lifespan can thus be reduced to the two parameters of the Gompertz distribution.</jats:p> </jats:sec>
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0003-3301-5869|https://orcid.org/0000-0003-1399-6874|https://orcid.org/0000-0002-8419-8856|https://orcid.org/0000-0003-1577-4212
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