• Jose A Quesada, Concepción Carratalá-Munuera, Alvaro Carbonell-Soliva, Jean Carlo Segura-Aparicio, Jessica González-Fernández, Lizbeth Salazar-Sánchez, Vicente F Gil-Guillén, Adriana López-Pineda, Rauf Nouni-García, and Domingo Orozco-Beltrán.
• Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
• Postgrad Med. 2023 Mar 1; 135 (2): 128140128-140.

ObjectivesTo analyze the temporal trends of premature mortality from diabetes in Costa Rica in the period 2000-2020, at a national level and by province, and the effect of the COVID-19 pandemic on diabetes mortality during the year 2020.MethodsWe studied the temporal trends of mortality from diabetes in Costa Rica in the period between 2000 and 2020. Age-standardized mortality rates and corresponding 95% confidence intervals were calculated for each year, sex and province.ResultsWe analyzed the data of 17,968 deceased persons. The mean age was 72.5 years (range 1 to 109 years), and 51.5% of the population (n = 9253) was younger than 75 years. In both men and women, we observed a significant decrease in mortality from 2000 to 2014, followed by the opposite trend from 2014 to 2020, with average yearly increases of 13.9% in men and 11.6% in women.ConclusionsPremature mortality from diabetes has been growing from 2014. The COVID-19 pandemic changed the mortality pattern, increasing premature diabetes deaths in Costa Rica in 2020.

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