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Mortality
One of the St. Vincent declaration goals is to align the lifespans of people with diabetes with those of people without diabetes (WHO & IDF, 1990). Until now, estimates of excess mortality have either been based on a selective set of data or their low case numbers have prevented stratification by age and sex (Heidemann & Scheidt-Nave, 2017).
Key messages
- The age-standardized mortality rate per 1,000 persons aged 30 years and older is more than half higher for persons with diabetes than for persons without diabetes.
- Women and men with diabetes in Germany show a comparably increased mortality rate compared to women and men without diabetes.
- With increasing age, mortality rates equalized between the groups with and without diabetes.
cross-section
By state
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By gender
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By age
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By education group
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Results
Relative to 1,000 persons, the mortality rate in 2014 was 20.0 for women aged 30 years and older with diabetes and 21.9 for men aged 30 years and older
with diabetes. Thus, the mortality rates per 1,000 persons are each significantly above the values for women aged 30 years and older (12.2) and men aged 30 years and older (12.8). With increasing age, there is a clear convergence of mortality rates between persons with and without diabetes.
In the 30- to 39-year-old age group, the death rate per 1,000 persons is 3.1 in the group with diabetes and 0.55 in the group without diabetes, which is more than 5 times higher in the group with diabetes.
The relative gap of mortality rates reduces in the age group of 50-59 years, it is 10.9 in the group with diabetes and 3.9 in the group without diabetes, being still 2.8 times higher in the group with diabetes.
Finally, the mortality rate per 1,000 persons in the age group 80 years and older is 112.0 in persons with diabetes and 86.3 in persons without diabetes, thus reducing the relative gap in mortality rates between the two groups to a 1.3-fold increase in mortality.
Conclusion
In 2014, the mortality rate for people with diabetes aged 30 and older is higher by more than half than for those without diabetes. These results are consistent with findings from population-based analyses for Germany (Röckl et al., 2017, Paprott et al., 2015). These previous analyses and international studies (Tancredi et al., 2015) are also consistent in showing that the mortality rates of people with and without diabetes converge at an advanced age when most deaths occur. This confirmation of DaTraV data results opens up the prospect of using this data basis for regionalised analyses and for observing the development of excess mortality over time.