title: [Statistics and causes of mortality in type-2 diabetes].
abstract: OBJECTIVE
  To establish the causes of mortality in people with type-2 diabetes and check the reliability of official records.
  
  
  METHODS
  Cross-sectional, descriptive study.
  
  
  METHODS
  Urban health centre with a population which has aged and is depressed socially and economically.
  
  
  METHODS
  Randomised sample of 120 deceased patients with type-2 diabetes, extracted from the total number of deceased patients with type-2 diabetes on the centre's lists over the last five years.
  
  
  METHODS
  Personal details, clinical data and clinical cause of death were gathered from the history. Then the clinical cause of death recorded in the Civil Registry was obtained.
  
  
  RESULTS
  The main cause of death is neoplasm (25.8%), but if we group the cardiovascular causes they add up to 47.4% of the total. According to official statistics, cardiovascular disease only occasioned death in 35% of cases. There was 61.7% overall concordance between the clinical cause and the official cause in the Civil Registry. There was close concordance only in the case of neoplasms (kappa = 0.84).
  
  
  CONCLUSIONS
  We found in our study that the main cause of death in type-2 diabetics was cardiovascular disease (47.7%), while in the Civil Registry mortality for this reason is clearly lower, which leads us to question the validity of the official statistics. This suggests we should insist even more on the importance of monitoring cardiovascular risk factors.
authors: ABS Raval Sud. Barcelona. jmoratog@meditex.es
authors: M
authors: M
authors: Salgado Pineda
authors: J
authors: J
authors: Franch Nadal
authors: M
authors: M
authors: Pallas Ellacuria
authors: C
authors: C
authors: Oriol Zerbe
authors: J
authors: J
authors: Grau Bartomeu
authors: J
authors: J
authors: Castellà García
mesh_terms: D002423:Cause of Death; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000401:mortality*; D005260:Female; D006801:Humans; D008297:Male