Change in life expectancy with type 2 diabetes: a study using claims data from lower Saxony, Germany

Abstract

BackgroundThis study estimates life expectancy with and without type 2 diabetes for individuals in Lower Saxony, Germany in order to detect a trend in population health.MethodsMorbidity and mortality data derived from German administrative claims data (statutory health insurance, AOK Niedersachsen, N = 2,900,065) were used covering 10 years from 2005 to 2014. Life table analysis was applied for calculating life expectancy, life expectancy free of type 2 diabetes, life expectancy with type 2 diabetes, and the proportion of life expectancy free of diabetes to total life expectancy using the Sullivan method.ResultsThe total life expectancy increase is stronger in men than in women: At the age of 20, total life expectancy was 55.0 years in 2005 and 56.3 years in 2014 for men, whereas it was 61.7 years in 2005 and 62.5 years in 2014 for women. Decreases in life expectancy without type 2 diabetes were more pronounced in women than in men. Accordingly, life expectancy with type 2 diabetes increased in both women and in men. The proportion of life expectancy without diabetes to total life expectancy decreased, indicating a similar development in both. For example, at the age of 60, the proportion of life expectancy without diabetes to total life expectancy decreased from 0.75 in 2005 to 0.66 in 2014 for men, while it decreased from 0.77 in 2005 to 0.70 in 2014 for women.ConclusionsAgainst the background of increasing total life expectancy, the time spent in morbidity increased for the case of type 2 diabetes in Lower Saxony, Germany.

Life expectancy and survival analysis of patients with diabetes compared to the non diabetic population in Bulgaria

“…However, our analysis did show a gradual increase in life expectancy and reduction in mortality, particularly for the female diabetic population for the period 2012-2015. Similarly, Muschik et al(2017) concluded that the life expectancy among diabetics in Lower Saxony, Germany had been increasing for the period 2005-2014, but the paper has not made any comparative analysis of diabetic patients with general population [7]. Logically, diabetes-related mortality rates rise as the age of patients progresses, which have been demonstrated in previous studies [4].…”

“…longer duration of disease). [7] In Bulgaria current prevalence estimates put the number of people diagnosed with diabetes at almost 500 000 people (6.5% of the population), where the highest prevalence is seen between the ages of 60 and 74 [8]. The most recent estimates point that a further 2.5% are with undiagnosed diabetes mellitus.…”

Projections of demand for healthcare in Ireland, 2015-2030: First report from the Hippocrates Model

“…diabetes). A recent German study of healthcare claims data from 2005 to 2014 found that the proportion of life spent with type 2 diabetes increased with life expectancy (188). However, it could not be ascertained if this was an expansion of morbidity or a dynamic equilibrium, due to a lack of disease severity data.…”

Trends in life expectancy: did the gap between the healthy and the ill widen or close?

“…We are not aware of any existing study that has examined trends in the remaining life expectancy for populations with a history of hip fracture, myocardial infarction, or stroke-even though the latter two conditions are the most common causes of death both in Sweden and globally [21]. A few studies that have explored trends in life expectancy among population subgroups with, for instance, diabetes or some cancer types have reported converging trends, i.e., a narrowing gap between life expectancy in the general population and among subgroups with a history of disease [22,23]. A persistent gap was, however, found for population subgroups with lung cancer [23].…”