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Changes in proportional mortality from diabetes and circulatory disease in Mauritius and Fiji: possible effects of coding and certification.

BMC Public Health · 2019 · PMC6498492 · PMID 31046741

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an increasing trendno p-value reported
This situation appears to reflect an increasing trend of medical certifiers to place diabetes in Part I of the DC, combined with ICD–10 coding instructions that prevent removal of ‘uncomplicated diabetes’ from Part I of the DC.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.