McEwen, Laura N.Karter, Andrew J.Curb, J DavidMarrero, David G.Crosson, Jesse C.Herman, William H.2013-09-042013-09-042011-07McEwen, L. N., Karter, A. J., Curb, J. D., Marrero, D. G., Crosson, J. C., & Herman, W. H. (2011). Temporal Trends in Recording of Diabetes on Death Certificates Results from Translating Research Into Action for Diabetes (TRIAD). Diabetes care, 34(7), 1529-1533.https://hdl.handle.net/1805/3509OBJECTIVE: To determine the frequency that diabetes is reported on death certificates of decedents with known diabetes and describe trends in reporting over 8 years. RESEARCH DESIGN AND METHODS: Data were obtained from 11,927 participants with diabetes who were enrolled in Translating Research into Action for Diabetes, a multicenter prospective observational study of diabetes care in managed care. Data on decedents (N=2,261) were obtained from the National Death Index from 1 January 2000 through 31 December 2007. The primary dependent variables were the presence of the ICD-10 codes for diabetes listed anywhere on the death certificate or as the underlying cause of death. RESULTS: Diabetes was recorded on 41% of death certificates and as the underlying cause of death for 13% of decedents with diabetes. Diabetes was significantly more likely to be reported on the death certificate of decedents dying of cardiovascular disease than all other causes. There was a statistically significant trend of increased reporting of diabetes as the underlying cause of death over time (P<0.001), which persisted after controlling for duration of diabetes at death. The increase in reporting of diabetes as the underlying cause of death was associated with a decrease in the reporting of cardiovascular disease as the underlying cause of death (P<0.001). CONCLUSIONS: Death certificates continue to underestimate the prevalence of diabetes among decedents. The increase in reporting of diabetes as the underlying cause of death over the past 8 years will likely impact estimates of the burden of diabetes in the U.S.en-USdiabetesdeath certificatescause of deathmanaged care programsArticle