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The European Journal of Public Health Advance Access published online on December 26, 2007
The European Journal of Public Health, doi:10.1093/eurpub/ckm113
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© The Author 2007. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Reporting of diabetes on death certificates of 1872 people with type 2 diabetes in Tayside, Scotland

J. M. M. Evans1, K. N. Barnett1, M. E. T. McMurdo2 and A. D. Morris2

1 Division of Community Health Sciences, University of Dundee, Dundee, DD2 4BF, Scotland, UK
2 Division of Medicine and Therapeutics, University of Dundee, Dundee, DD1 9SY, Scotland, UK

Correspondence: Josie M. M. Evans, Section of Public Health, Division of Community Health Sciences, Mackenzie Building, Kirsty Semple Way, Dundee, DD2 4BF, Scotland, UK, tel: 01382 420108, fax: 01382 420101, email: j.m.m.stansfield{at}dundee.ac.uk

Received April 24, 2007 , accepted October 30, 2007

Background: It has been suggested that diabetes is under-recorded on death certificates. Methods: We examined the death certificates of 1,872 people with type 2 diabetes in Tayside, Scotland, to determine how frequently diabetes was recorded. Results: Diabetes was mentioned on the certificates of 42.8% and was the underlying cause of death for 6.4%. There was mention of diabetes for 51.3% of the 811 people for whom cardiovascular disease was the underlying cause of death. Being male was associated with less frequent mention of diabetes, with more frequent mention associated with increasing duration of diabetes, increasing age and underlying cardiovascular cause of death. Conclusions: This study highlights the limitations of using routine mortality data for monitoring the burden of diabetes in populations.

Keywords: diabetes, death certificates, routine data


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