Poor care leads to 24 000 premature deaths from diabetes in England each year

BMJ 2011; 343 doi: (Published 13 December 2011) Cite this as: BMJ 2011;343:d8081
  1. Susan Mayor
  1. 1London

Around 24 000 people in England with diabetes are dying each year from complications that could be avoided with better management, the first national audit of diabetes mortality has shown.

The mortality audit linked information on 1.42 million people with diabetes included in the 2007-8 national diabetes audit with data from their death certificates. The annual diabetes audit collects data from general practices on numbers of people recorded on diabetes registers, their complication rates, and measures of care.

From its inception the diabetes audit team at the NHS Information Centre had planned to include mortality among its outcomes, but this is the first time it has been able to do so. Tracking death certificate data showed that 49 282 of the people in the 2007-8 audit died in the follow-up period from 1 November 2008 to 31 October 2009.

The audit included 68% of the 2.1 million people in England estimated on the basis of national Quality and Outcomes Framework …

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