Evidence map›Paper›PMID 40600774›Full record

Observational studyClinical cardiology2025

A Rising Crisis: Escalating Burden of Diabetes Mellitus and Hypertension-Related Mortality Trends in the United States, 2000-2023.

Hibah Siddiqui, Zahra Imran, Dua Ali, Maryam Sajid, Taimor Mohammed Khan, Hussain Salim, Muhammad Salik Uddin, Shaheer Qureshi, Muzammil Farhan, Saad Ahmed Waqas

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Review
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hibah SiddiquiDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0004-7237-0403
Zahra ImranDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Dua AliDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Maryam SajidDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0007-3544-3513
Taimor Mohammed KhanDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0005-1118-3812
Hussain SalimDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Muhammad Salik UddinDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Shaheer QureshiDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Muzammil FarhanImperial College London, UK.
Saad Ahmed WaqasDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0008-9051-6081

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

introductionDiabetes mellitus and hypertension are major contributors to cardiovascular and renal disease mortality, yet their combined long-term impact on mortality trends in the United States remains underexplored. This study evaluates national trends in DM and hypertension-related mortality from 2000 to 2023, analyzing disparities across sex, age groups, race/ethnicity, urbanization, and geographic regions.

methodsWe analyzed mortality data from the CDC-WONDER database, identifying deaths with DM and hypertension as listed causes among adults aged 25 and older. Age-adjusted mortality rates (AAMRs) per 100,000 were calculated, and temporal trends were assessed using Joinpoint regression to determine annual percentage changes.

resultsA total of 2,742,668 DM and hypertension-related deaths were recorded. The AAMR nearly doubled from 33.7 per 100,000 in 2000 to 66.2 per 100,000 in 2023. A sharp increase was observed from 2018 to 2021 (APC: 16.3 [95% CI: 11.8-19.6]), followed by a decline through 2023. Men had consistently higher mortality rates than females. Mortality rates were highest among older adults (65+ years), Non-Hispanic Black individuals, and nonmetropolitan populations. The South had the highest mortality rates, with Mississippi and the District of Columbia reporting the greatest burden.

conclusionsDM and hypertension-related mortality has significantly increased over the past two decades, with notable demographic and geographic disparities. Public health interventions should prioritize high-risk populations to mitigate mortality trends and improve health equity.

Indexed as

Diabetes MellitusHypertensionAdultAgedAged, 80 and overCause of DeathFemaleHumansMaleMiddle AgedRisk FactorsSurvival RateUnited StatesCDC‐WONDERDiabetes Mellitushypertensionmortalitytrends

Identifiers

PMID40600774
PMCPMC12217654

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.