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Prevalence of diabetes mellitus at the end of life: An investigation using individually linked cause-of-death and medical register data

Diabetes Research and Clinical Practice Feb 25, 2020

Mitratza M, et al. - Researchers investigated the prevalence of diabetes in the end-of-life population, in order to appraise which medical register has the largest added value to cause-of-death data in detecting diabetes cases, and to estimate the extent to which reporting of diabetes as a cause of death is linked with disease severity. The study population comprised deaths in the Netherlands (2015–2016) incorporated in Nivel Primary Care Database (Nivel-PCD; N = 18,162). The analysis revealed that in the Netherlands, diabetes was prevalent at the end of life in nearly 30% of those who died. Nearly 80% of all who died with diabetes were on used antidiabetic drugs. They identified primary care data as possibly the best for detection of cases not recognized in cause-of-death registries.
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