Causes of death in Japanese patients with diabetes based on the results of a survey of 45,708 cases during 2001–2010: Report of the Committee on Causes of Death in Diabetes Mellitus

• DOI: 10.1111/jdi.12645
• Publication Date: 2017-03-28T04:22:43Z
• Authors: Jiro Nakamura; Hideki Kamiya; Masakazu Haneda; Nobuya Inagaki; Yukio Tanizawa; Eiichi Araki; Kohjiro Ueki; Takeo Nakayama
• Keywords: Diabetic ketoacidosis; Diabetic coma

Abstract The principal causes of death among 45,708 patients with diabetes (29,801 men and 15,907 women) who died in 241 hospitals throughout Japan during 2001–2010 were determined based on a survey the hospital records. Autopsy had been conducted 978 cases. most frequent cause was malignant neoplasia (38.3%), followed by, order descending frequency: infections (17.0%); then vascular diseases (14.9%), including renal failure (3.5%), ischemic heart (4.8%) cerebrovascular (6.6%). Diabetic coma associated hyperglycemia or without ketoacidosis accounted for only 0.6% deaths. In regard to relationship between age diabetes, incidence due higher over 30 40 years, 97.0% total observed 50 years. infectious diseases, especially pneumonia, increased an age‐dependent fashion, 80.7% pneumonia 70 ’Poorer’ glycemic control reduced lifespan those nephropathy. average at population 72.6 1.6 years shorter ‘poorer’ than ‘better’ control. less 10 years’ duration, macroangiopathy that Of 33.9% oral medication, 41.9% received insulin therapy 18.8% treated by diet alone. Among whom diabetic nephropathy, high percentage, 53.7%, therapy. 71.4 75.1 women. However, report Ministry Health Welfare 2010 set Japanese 79.6 86.3 Thus, still appears be general Japan. differences former surveys.