EPH158 Years of life lost due to diabetes mellitus in Colombia, 1979-2017

Objective To quantify the impact of mortality due to diabetes mellitus (DM) by estimating the Years of Life Lost (YLLs) in Colombia, in 1979-2017. Methods We carried out an ecologic analysis using mortality data from the Colombian National Administrative Department of Statistics. YLLs attributable to DM were estimated by five-year age group and departments (states), and YLLs trends were evaluated by sex and age group using Joinpoint regression analysis. We made a mid-cycle adjustment to avoid overestimating the YLLs. YLLs were estimated as follows: YLLi=LEi– (i+k) where YLLi (age group in which the loss is estimated), LE: life expectancy of the age group, and k is the mid-term adjustment factor. For each age group, YLL was calculated by multiplying the number of YLLs by the number of deaths. YLLs rates per 100,000 population adjusted by sex through the direct method were calculated. Annual percentage change (APC) and estimated annual percentage change (EAPC) were analyzed to show Joinpoints. A 5% significance level was set. Results. Between 1979 and 2017, 200,650 DM deaths (58% in women) occurred (median age: 63.3 years), corresponding to 4,125,625 YLLs. 68% of all YLLs occurred in the 50-79 age group. The highest age-adjusted rate of YLL was observed in Meta (5.07). Five states (Antioquia, Valle del Cauca, Bogotá, D.C., Santander, and Atlántico) accumulated 53.9% of the total YLLs attributable to DM. The age-adjusted rate of YLL due to DM in women increased between 1979-2000, from 2.69 in 1979 to 2.94 in 2017 - EAPC=0.0 (p = 0.9). In men, the age-adjusted rate of YLL also increased from 1.65 in 1979 to 2.71 in 2017 – EAPC=1.8 (p <0.05). Conclusion. In Colombia, between 1979-2017, occurred a high number of deaths owing to DM representing an important burden of YLLs. Preventive actions should reflect an impact on longevity.

• Autores: Chaparro-Narváez, P; Diaz-Jimenez, D; Castañeda-Orjuela, C; Alvis Zakzuk, Nelson J.
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2022
• Institución: Corporación Universidad de la Costa
• Repositorio: REDICUC - Repositorio CUC
• Idioma: eng
• OAI Identifier: oai:repositorio.cuc.edu.co:11323/10725
• Acceso en línea: https://hdl.handle.net/11323/10725; https://repositorio.cuc.edu.co/
• Palabra clave: Diabetes mellitus; Morbility; Colombia
• Rights: embargoedAccess
• License: Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)