Send to:

Choose Destination
See comment in PubMed Commons below
Popul Health Metr. 2004 Mar 23;2(1):4.

Using linked data to calculate summary measures of population health: Health-adjusted life expectancy of people with Diabetes Mellitus.

Author information

  • 1Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.



To estimate the health-adjusted life expectancy (HALE) from diabetes mellitus (DM) using a population health survey linked to a population-based DM registry.


The 1996/97 Ontario Health Survey (N = 35,517) was linked to the Ontario Diabetes Database (N = 487,576). The Health Utilities Index (HUI3) was used to estimate health-related quality of life. HALE was estimated using an adapted Sullivan method.


Life expectancy at birth of people with DM was 64.7 and 70.7 years for men and women - 12.8 and 12.2 years less than for men and women without DM. The HUI3 was lower for physician-diagnosed DM compared to self-reported DM (0.799 versus 0.872). HALE at birth was 58.3 and 62.8 years for men and women - 11.9 and 10.7 years less than that of men and women without DM.


The linked data approach demonstrates that DM is an important cause of disease burden. This approach reduces assumptions when estimating the prevalence and severity of disability from DM compared to methods that rely on self-reported disease status or indirect assessment of disability severity.

[PubMed - as supplied by publisher]
Free PMC Article
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for BioMed Central Icon for PubMed Central
    Loading ...
    Write to the Help Desk