A major improvement in the prognosis of individuals with IDDM in the past 30 years in Japan

被引：12

作者：

Nishimura, R ^{[1
]}

Matsushima, M ^{[1
]}

Tajima, N ^{[1
]}

Agata, T ^{[1
]}

Shimizu, H ^{[1
]}

LaPorte, RE ^{[1
]}

Kitagawa, T ^{[1
]}

Matsuura, N ^{[1
]}

Toyota, T ^{[1
]}

Ikeda, Y ^{[1
]}

Hibi, I ^{[1
]}

Miki, E ^{[1
]}

Maruyama, H ^{[1
]}

Kawamura, M ^{[1
]}

Isshiki, G ^{[1
]}

Takeda, A ^{[1
]}

Kida, K ^{[1
]}

Kohno, Y ^{[1
]}

Mimura, G ^{[1
]}

Aono, M ^{[1
]}

Aono, S ^{[1
]}

Maruyama, M ^{[1
]}

Shimizu, K ^{[1
]}

Asao, K ^{[1
]}

机构：

[1] UNIV PITTSBURGH, GRAD SCH PUBL HLTH, DEPT EPIDEMIOL, PITTSBURGH, PA USA

来源：

DIABETES CARE | 1996年 / 19卷 / 07期

关键词：

D O I：

10.2337/diacare.19.7.758

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVE - To evaluate the time trends of mortality among individuals with IDDM in Japan. RESEARCH DESIGN AND METHODS - A historical prospective study of two independent population-based cohorts composed of individuals who were diagnosed between 1965 and 1969 (1960s cohort) and between 1975 and 1979 (1970s cohort), which included 286 IDDM patients (onset age <18 years) for the 1960s cohort and 779 patients for the 1970s cohort, was performed. After 10 years of observation, mortality status and causes of deaths between the two cohorts were compared. RESULTS - The age-adjusted mortality rate per 100,000 person-years of the 1960s cohort was 754 (95% CI, 471-1,141); in contrast, that of the 1970s cohort was only 196 (95% CI, 107-329) (P < 0.001). The standardized mortality ratio of the 1960s cohort was 1,432 (95% CI, 898-2,161), and that of the 1970s cohort was 489 (95% CI, 267-821). Analyses of the causes of deaths revealed a marked decline in recent years in the number of deaths by acute complications and renal disease. CONCLUSIONS - A major decline in the mortality of diabetic children in Japan may be attributed to the dramatic changes in the quality of care care and medical infrastructure that occurred alter the mid-1970s.

引用

页码：758 / 760

页数：3

共 17 条

[1]

AAGENAES O, 1983, DIABETOLOGIA, V25, P135

[2] CONFIDENCE-INTERVALS FOR WEIGHTED SUMS OF POISSON PARAMETERS [J].

DOBSON, AJ ;

KUULASMAA, K ;

EBERLE, E ;

SCHERER, J .

STATISTICS IN MEDICINE, 1991, 10 (03) :457-462

[3] THE PITTSBURGH INSULIN-DEPENDENT DIABETES-MELLITUS (IDDM) MORBIDITY AND MORTALITY STUDY - MORTALITY RESULTS [J].

DORMAN, JS ;

LAPORTE, RE ;

KULLER, LH ;

CRUICKSHANKS, KJ ;

ORCHARD, TJ ;

WAGENER, DK ;

BECKER, DJ ;

CAVENDER, DE ;

DRASH, AL .

DIABETES, 1984, 33 (03) :271-276

[4]

GREEN A, 1985, DIABETOLOGIA, V28, P339

[5]

HIBI I, 1980, REPORT CHILDHOOD DIA

[6] THE MORTALITY OF CHILDREN WITH TYPE-1 (INSULIN-DEPENDENT) DIABETES-MELLITUS IN NORWAY, 1973-1988 [J].

JONER, G ;

PATRICK, S .

DIABETOLOGIA, 1991, 34 (01) :29-32

[7]

Krall LP., 1994, JOSLINS DIABETES MEL, P1

[8]

LAPORTE RE, 1991, DIABETES CARE, V14, P49

[9] LONGEVITY AND MORTALITY OF DIABETICS [J].

MARKS, HH .

AMERICAN JOURNAL OF PUBLIC HEALTH AND THE NATIONS HEALTH, 1965, 55 (03) :416-423

[10] MARKEDLY INCREASED RENAL-DISEASE MORTALITY AND INCIDENCE OF RENAL REPLACEMENT THERAPY AMONG IDDM PATIENTS IN JAPAN IN CONTRAST TO ALLEGHENY COUNTY, PENNSYLVANIA, USA [J].

MATSUSHIMA, M ;

TAJIMA, N ;

LAPORTE, RE ;

ORCHARD, TJ ;

TULL, ES ;

GOWER, IF ;

KITAGAWA, T .

DIABETOLOGIA, 1995, 38 (02) :236-243

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