title: Increased cardiovascular and renal disease but not reduced life expectancy among diabetic participants in the general Northern Greek population.
abstract: We compared life expectancy and causes of death based on death certificates of 269 diabetic participants (group A) and 5659 nondiabetic participants (group B) who died from January 1, 1991 to December 31, 2010, in 3 small towns of Northern Greece. Age at death was significantly (P = .011) higher in group A (77.2 ± 8.7 years) than in group B (75.7 ± 18.9 years). Males with diabetes lived longer with a mean difference of 4.7 (2.8-6.6) years (P < .001), whereas females without diabetes lived longer, with a mean difference of 2.3 (1.1-5.6) years (P = .004). Diabetic participants died more frequently of myocardial infarction (P = .001), chronic renal failure (P < .001), followed by pneumonia (P = .010) and hyperosmolar non-ketotic coma (P < .001). Nondiabetic participants died more frequently of lung cancer (P < .001), old age (P < .001), and car accidents (P = .004). In conclusion, the cardiovascular and renal disease burden among diabetic participants did not reduce life expectancy, especially in men.
authors.affiliation: Outpatient Clinic of Obesity, Diabetes and Metabolism, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. papanasnikos@yahoo.gr
authors.forename: N
authors.initials: N
authors.lastname: Papanas
authors.forename: G
authors.initials: G
authors.lastname: Trypsianis
authors.forename: E K
authors.initials: EK
authors.lastname: Tiaka
authors.forename: A C
authors.initials: AC
authors.lastname: Manolakis
authors.forename: D
authors.initials: D
authors.lastname: Katsavaki
authors.forename: S
authors.initials: S
authors.lastname: Birka
authors.forename: K
authors.initials: K
authors.lastname: Natsiopoulos
authors.forename: E
authors.initials: E
authors.lastname: Maltezos
authors.forename: N
authors.initials: N
authors.lastname: Papazoglou
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology; D002423:Cause of Death / Q000639:trends; D003644:Death Certificates; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006115:Greece / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007674:Kidney Diseases / Q000453:epidemiology* / Q000209:etiology; D008017:Life Expectancy / Q000639:trends*; D008297:Male; D011159:Population Surveillance; D011379:Prognosis; D018570:Risk Assessment / Q000379:methods*