Highlights
- •This study is the first nationwide estimates of diabetes mortality in Serbia.
- •Diabetes kills about 2500 people annually in Serbia.
- •The mortality rate from diabetes places Serbia among the countries with the highest diabetes mortality rates in Europe.
- •Overall diabetes mortality has undergone a significant increase in the last decades.
- •Particularly worrisome is the increased trend in mortality due to diabetes type 1 in men.
Abstract
Purpose
The aim of this study was to analyze the mortality trends of diabetes mellitus in
Serbia (excluding the Autonomous Province of Kosovo and Metohia).
Methods
A population-based cross sectional study analyzing diabetes mortality in Serbia in
the period 1991–2015 was carried out based on official data. The age-standardized
mortality rates (per 100,000) were calculated by direct standardization, using the
European Standard Population. Average annual percentage of change (AAPC) and the corresponding
95% confidence interval (CI) were computed using the joinpoint regression analysis.
Results
More than 63,000 (about 27,000 of men and 36,000 of women) diabetes deaths occurred
in Serbia from 1991 to 2015. Death rates from diabetes were almost equal in men and
in women (about 24.0 per 100,000) and places Serbia among the countries with the highest
diabetes mortality rates in Europe. Since 1991, mortality from diabetes in men significantly
increased by +1.2% per year (95% CI 0.7–1.7), but non-significantly increased in women
by +0.2% per year (95% CI −0.4 to 0.7). Increased trends in diabetes type 1 mortality
rates were significant in both genders in Serbia. Trends in mortality for diabetes
type 2 showed a significant decrease in both genders since 2010.
Conclusion
Given that diabetes mortality trends showed different patterns during the studied
period, our results imply that further observation of trend is needed.
Keywords
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Article info
Publication history
Published online: September 17, 2016
Accepted:
August 16,
2016
Received in revised form:
August 11,
2016
Received:
May 2,
2016
Identification
Copyright
© 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
