TY - JOUR TI - The burden of diabetes-related mortality in France in 2002: an analysis using both underlying and multiple causes of death AU - Romon, Isabelle AU - Jougla, Eric AU - Balkau, Beverley AU - Fagot-Campagna, Anne T2 - European journal of epidemiology AB - AIM: To describe the burden of diabetes-related mortality in France. METHODS: Underlying and multiple causes (all causes listed) of death were extracted from the 2002 French national mortality registry. Death rates were standardized on the age structure of the European population. RESULTS: Diabetes was reported as the underlying cause of death in 11,177 certificates (2.1%), and as multiple causes in 29,357 certificates (5.3%), giving a ratio (multiple/underlying causes) of 2.6. When diabetes was a multiple cause, the mean age at death was 75 years in men, 81 years in women. The age-standardized mortality rates were 41.0/100,000 in men, 24.6/100,000 in women. The excess mortality observed in men (men/women ratio = 1.7) decreased with age. Geographic differences were observed: higher rates in the North-East, lower rates in the West of the country. In certificates mentioning diabetes, the most frequent cause of death was diseases of the circulatory system (76%). Coronary heart diseases, foot ulcers and renal diseases were more likely to be mentioned in certificates referring to diabetes than in those that did not. DISCUSSION: The use of multiple rather than underlying causes of death more than doubled diabetes-related mortality rates. While probably still under-estimated, the burden of diabetes-related mortality corresponds to a high proportion of the total mortality, especially in men. Geographic differences partially reflect disparities in diabetes prevalence. Causes more frequently associated with diabetes include coronary heart disease and complications related to neuropathy and nephropathy. DA - 2008/// PY - 2008 DO - 10.1007/s10654-008-9235-5 DP - NCBI PubMed VL - 23 IS - 5 SP - 327 EP - 334 J2 - Eur. J. Epidemiol. LA - eng SN - 0393-2990 ST - The burden of diabetes-related mortality in France in 2002 KW - Adult KW - Age Factors KW - Aged KW - Aged, 80 and over KW - Cardiovascular Diseases KW - Comorbidity KW - Confidence Intervals KW - Diabetes Complications KW - Diabetes Mellitus KW - Female KW - France KW - Humans KW - Male KW - Middle Aged KW - Prevalence KW - Registries KW - Sex Factors ER -