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

E. M. Andresen | Zendy; John A. Lee | Zendy; Rosaria Pecoraro | Zendy; Thomas D. Koepsell | Zendy; Al Hallstrom | Zendy; D. S. Siscovick | Zendy

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

Author(s) -

E. M. Andresen,

John A. Lee,

Rosaria Pecoraro,

Thomas D. Koepsell,

Al Hallstrom,

D. S. Siscovick

Publication year - 1993

Publication title -

american journal of public health

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.284

H-Index - 264

eISSN - 1541-0048

pISSN - 0090-0036

DOI - 10.2105/ajph.83.7.1021

Subject(s) - death certificate , diabetes mellitus , medicine , cause of death , disease , emergency medicine , gerontology , heart disease , birth certificate , family medicine , medical emergency , environmental health , population , endocrinology

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.

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