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Recent diabetes-related mortality trends in Romania

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Abstract

Aims

As there are no published articles on country-level diabetes-related mortality in Romania, we aimed to investigate this aspect for the 1998–2015 period.

Methods

Anonymized demographic and diabetes-related mortality data (underlying or first secondary cause of death) were retrospectively obtained from the National Institute of Statistics/Eurostat microdata. Age-standardized mortality rates (ASMR) and their annual percentage change (APC) were analysed.

Results

During 1998–2015, 4,567,899 persons died in Romania, among whom, diabetes was responsible for 168,854 cases. The ASMR for diabetes was 39.34 per 100,000 person-years (p-y) (95% CI 39.32–39.35). There was an increase in ASMR from 27.10 per 100,000 p-y (95% CI 27.01–27.19) in women and 30.88 per 100,000 p-y (95% CI 30.77–30.99) in men in 1998 to 35.42 per 100,000 p-y (95% CI 35.34–35.51) in women and 48.41 per 100,000 p-y (95% CI 48.29–48.52) in men, in 2015. The mean APC in women was 3.8% per year (95% CI 3.5–4.0, p < 0.001) during 1998–2010 and − 1.9% per year (95% CI − 2.7 to − 1.1, p < 0.001) during 2010–2015. The mean APC in men was 5.3% per year (95% CI 5.0–5.5, p < 0.001) during 1998–2010 and − 1.5% per year (95% CI − 2.2 to − 0.8, p < 0.001) during 2010–2015. Diabetes-related mortality rates increased with age, with men experiencing higher mortality rates than women for most age groups and calendar years.

Conclusions

Diabetes-related mortality rates increased significantly in Romania during 1998–2010, followed by a steady decline during 2010–2015.

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Authors and Affiliations

  1. “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Sorin Ioacara, Anca Sirbu & Simona Fica

  2. “Elias” University Emergency Hospital, Bucharest, Romania

    Sorin Ioacara, Elisabeta Sava, Olivia Georgescu, Anca Sirbu & Simona Fica

Authors
  1. Sorin Ioacara
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  2. Elisabeta Sava
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  3. Olivia Georgescu
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  4. Anca Sirbu
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  5. Simona Fica
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Correspondence to Elisabeta Sava.

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The authors declare that they have no competing interest.

Research involving human/animal participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Ioacara, S., Sava, E., Georgescu, O. et al. Recent diabetes-related mortality trends in Romania. Acta Diabetol 55, 821–826 (2018). https://doi.org/10.1007/s00592-018-1156-5

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  • DOI: https://doi.org/10.1007/s00592-018-1156-5

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