Cargando…

Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties

BACKGROUND: Cause-specific mortality is a commonly used endpoint of clinical trials or prospective studies. However, it is sometimes difficult for physician to determine the underlying-cause-of-death (UCD), especially for diabetic patients coexisted with cardiovascular diseases (CVD). The aim of thi...

Descripción completa

Detalles Bibliográficos
Autores principales: Lu, Tsung-Hsueh, Kwok, Ching-Fai, Ho, Low-Tone
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912904/
https://www.ncbi.nlm.nih.gov/pubmed/20653939
http://dx.doi.org/10.1186/1472-6823-10-13
_version_ 1782184648122564608
author Lu, Tsung-Hsueh
Kwok, Ching-Fai
Ho, Low-Tone
author_facet Lu, Tsung-Hsueh
Kwok, Ching-Fai
Ho, Low-Tone
author_sort Lu, Tsung-Hsueh
collection PubMed
description BACKGROUND: Cause-specific mortality is a commonly used endpoint of clinical trials or prospective studies. However, it is sometimes difficult for physician to determine the underlying-cause-of-death (UCD), especially for diabetic patients coexisted with cardiovascular diseases (CVD). The aim of this survey was to examine whether internists with different specialties have different opinions on the reporting of diabetes as the UCD. METHODS: A total of 549 physicians completed the questionnaire in Taiwan, which comprised seven hypothetical case scenarios, each indicating a different level of contribution of diabetes in initiating the chain of events leading to death. RESULTS: As a whole, endocrinologists were more likely than cardiologists and nephrologists to report diabetes as the UCD. The differences were more prominent when the diabetic patient had a coexisting CVD. In scenario 3 (a diabetic patient with hypertension who died from acute myocardial infarction), the percentage was 56% in endocrinologists, which was significantly higher than in cardiologists (42%) and nephrologists (41%). In scenario 4 (a diabetic patient with hypertension who died from cerebrovascular infarction), the percentage was 45% in endocrinologists, and only 31% in cardiologists and 36% in nephrologists. CONCLUSIONS: Internists of different sub-specialties do have different opinions on the reporting of diabetes as the UCD, especially when the diabetic patient has a coexisting CVD.
format Text
id pubmed-2912904
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-29129042010-07-31 Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties Lu, Tsung-Hsueh Kwok, Ching-Fai Ho, Low-Tone BMC Endocr Disord Research Article BACKGROUND: Cause-specific mortality is a commonly used endpoint of clinical trials or prospective studies. However, it is sometimes difficult for physician to determine the underlying-cause-of-death (UCD), especially for diabetic patients coexisted with cardiovascular diseases (CVD). The aim of this survey was to examine whether internists with different specialties have different opinions on the reporting of diabetes as the UCD. METHODS: A total of 549 physicians completed the questionnaire in Taiwan, which comprised seven hypothetical case scenarios, each indicating a different level of contribution of diabetes in initiating the chain of events leading to death. RESULTS: As a whole, endocrinologists were more likely than cardiologists and nephrologists to report diabetes as the UCD. The differences were more prominent when the diabetic patient had a coexisting CVD. In scenario 3 (a diabetic patient with hypertension who died from acute myocardial infarction), the percentage was 56% in endocrinologists, which was significantly higher than in cardiologists (42%) and nephrologists (41%). In scenario 4 (a diabetic patient with hypertension who died from cerebrovascular infarction), the percentage was 45% in endocrinologists, and only 31% in cardiologists and 36% in nephrologists. CONCLUSIONS: Internists of different sub-specialties do have different opinions on the reporting of diabetes as the UCD, especially when the diabetic patient has a coexisting CVD. BioMed Central 2010-07-23 /pmc/articles/PMC2912904/ /pubmed/20653939 http://dx.doi.org/10.1186/1472-6823-10-13 Text en Copyright ©2010 Lu et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lu, Tsung-Hsueh
Kwok, Ching-Fai
Ho, Low-Tone
Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties
title Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties
title_full Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties
title_fullStr Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties
title_full_unstemmed Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties
title_short Whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties
title_sort whether to report diabetes as the underlying cause-of-death? a survey of internists of different sub-specialties
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912904/
https://www.ncbi.nlm.nih.gov/pubmed/20653939
http://dx.doi.org/10.1186/1472-6823-10-13
work_keys_str_mv AT lutsunghsueh whethertoreportdiabetesastheunderlyingcauseofdeathasurveyofinternistsofdifferentsubspecialties
AT kwokchingfai whethertoreportdiabetesastheunderlyingcauseofdeathasurveyofinternistsofdifferentsubspecialties
AT holowtone whethertoreportdiabetesastheunderlyingcauseofdeathasurveyofinternistsofdifferentsubspecialties