Deaths, cases per 100,000 inhabitants (age-standardized) (from 1998). Classification: years, region, age, sex, nationality, ICD-10, type of standardization

Shown values refer to:
Year: 2023, Region: Germany, Age: All age-groups, Sex: Total, Nationality: All nationalities, Type of standardization: Standard population "Germany 2011"

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ICD10	Figure
	Deaths	Deaths per 100,000 inhabitants	Deaths per 100,000 inhabitants (age- standardised)
All diseases and sequelae of effects of external causes	1,028,206	1,216.6	1,022.3
A00-B99 Certain infectious and parasitic diseases	18,385	21.8	18.3
C00-D48 Neoplasms	238,622	282.3	251.5
D50-D90 Diseases of the blood and blood-forming organs and certain       disorders involving the immune mechanism	5,240	6.2	5.1
E00-E90 Endocrine, nutritional and metabolic diseases	39,137	46.3	38.3
F00-F99 Mental and behavioural disorders	69,445	82.2	64.6
G00-H95 Diseases of the nervous system and the sense organs	39,225	46.4	39.4
I00-I99 Diseases of the circulatory system	348,312	412.1	332.2
J00-J99 Diseases of the respiratory system	72,502	85.8	73.3
K00-K93 Diseases of the digestive system	45,676	54.0	47.3
L00-L99 Diseases of the skin and subcutaneous tissue	2,219	2.6	2.2
M00-M99 Diseases of the musculoskeletal system and connective tissue	7,216	8.5	7.1
N00-N99 Diseases of the genitourinary system	28,813	34.1	27.1
O00-O99 Pregnancy, childbirth and the puerperium	X	X	X
P00-P96 Certain conditions originating in the perinatal period	1,371	1.6	1.6
Q00-Q99 Congenital malformations, deformations and chromosomal       abnormalities	2,256	2.7	2.5
R00-       R99 Symptoms, signs and abnormal clinical and laboratory findings, not       elsewhere classified	34,321	40.6	36.2
S00-T98 Injury, poisoning and certain other consequences of external causes	49,396	58.4	50.5
U00-U85 Codes for special purposes	26,041	30.8	25.1

Table was compiled on 13. May 2025 8:59 under www.gbe-bund.de

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Deaths Deaths per 100,000 inhabitants Deaths per 100,000 inhabitants (age-standardised)

Table shows following page dimension(s)		New selection:
Dimension	Current dimension value	List of dimension values
Year	2023	2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998
Region	Germany	Germany Baden-Wurttemberg Bavaria Berlin Brandenburg Bremen Hamburg Hesse Mecklenburg Western Pomerania Lower Saxony North Rhine-Westphalia Rhineland-Palatinate Saarland Saxony Saxony Anhalt Schleswig-Holstein Thuringia Former federal territory and East Berlin New federal states excluding East Berlin
Age	All age-groups	All age-groups Under 1 year 1 year to under 15 years 1 year to under 5 years 5 to under 10 years 10 to under 15 years 15 to under 20 years 20 to under 25 years 25 to under 30 years 30 to under 35 years 35 to under 40 years 40 to under 45 years 45 to under 50 years 50 to under 55 years 55 to under 60 years 60 to under 65 years 65 to under 70 years 70 to under 75 years 75 to under 80 years 80 to under 85 years 85 to under 90 years 90 years and older
Sex	Total	Total Male Female
Nationality	All nationalities	All nationalities German Non-German
Type of standardization	Standard population "Germany 2011"	Standard population "Germany 2011" Standard population "Germany 1987" Standard population of Europe 2013 Standard population "Old Länder 1987" Standard population "New Länder 1987" New standard population of Europe World standard population Standard population OECD Alte standard population of Europe

Change dimension:	Dimension	Row	Column	Page
	Year
	Region
	Age
	Sex
	Nationality
	ICD10
	Type of standardization
	Figure
The table has 19 cells (19 rows and 1 columns).

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Source(s)/Contact

• Statistics on the causes of death, Federal Statistical Office, Branch Bonn (more information on 
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  Data Source:	Statistics on the causes of death
  Contact:
  - Contact Person:	Federal Statistical Office / Statistisches Bundesamt [StBA] - Central Information Service
  - Data owner:	Abteilung H, Gruppe H 1, Referat H 11
  - Street:	Gustav-Stresemann-Ring 11
  - Post Code/Town:	65189 Wiesbaden
  - Telephone:	+49 611 75-2405
  - Contact form:	https://www.destatis.de/kontakt
  - Internet:	https://www.destatis.de
  Purpose of Data Collection:	The statistics on the causes of death provide information on the deceased in the reporting year with residence in Germany. They are a fundamental database for epidemiological research.
  Legal Base:	Law on the statistics of the population movement and the updating of the population. The text of the national legislation, as amended, can be found at https://www.gesetze-im-internet.de.
  Data Collector:	The basis of the data procurement consists of the medical cause of death certificates issued by the doctor. Information referring age and sex were attached from the deceased (natural movement of population statistics) and checked by the causes of death statistics.
  Reporting Stations:	Doctors (interview group) - health offices - Statistical offices of the Laender - Federal Statistical Office.
  Object under Review:	Causes of death on the death certificate
  Interviewees:	Health authorities
  Collection:
  - Instruments:	Death certificates.
  - Periodicity:	Continuous data procurement.
  - First:	1892
  - Last:	Inapplicable.
  Processing:
  - Periodicity:	Monthly, annually.
  Publication:
  - Regular:	Federal Statistical Office, detailed four-digit ICD-10 classification Publication online, for the last time for the reporting year 2023 https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/_inhalt.html.
  - Irregular:	Federal Statistical Office, WiSta, different magazines.
  Completeness, Sample Proportion and Representativity:	Full survey.
  Conceivable Modifications:	-
  Comparable Data Sources:	-
  Remarks:	As part of the cause of death statistics, the causes of death stated on the death certificate are evaluated in accordance with the rules of the International Statistical Classification of Diseases and Related Health Problems (ICD) of the World Health Organization (WHO) and both the underlying disease and the comorbidities are determined. Due to the adjustments to the ICD, structural breaks may occur in the results. In the long term, however, the data can be compared via the European Shortlist.
  Last Update:	April 11, 2025

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  methodology

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• Update of the state of the population, Federal Statistical Office (more information on 
  data source/contact person

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  Data Source:	Update of the state of the population
  Contact:
  - Contact Person:	Federal Statistical Office / Statistisches Bundesamt [StBA] - Central Information Service
  - Data owner:	Abteilung F, Gruppe F 2, Referat F 24
  - Street:	Gustav-Stresemann-Ring 11
  - Post Code/Town:	65189 Wiesbaden
  - Telephone:	+49 611 75-2405
  - Contact form:	https://www.destatis.de/kontakt
  - Internet:	https://www.destatis.de
  Purpose of Data Collection:	The statistics provide current data on the population structure (sex, age, family status, nationality). Data are used by ministries and local administrations for administrative and policy purposes and for the organisation of elections, as well as by the scientific and economic sectors, institutes, organisations, media, private persons and the general public. They are the basis for population projections and are of decisive importance for the assessment of the long-term effects of demographic changes (e.g. on the labor market and old age provision).
  Legal Base:	Regulation on population statistics. You can find the wording of the national legislation in its current version under https://www.gesetze-im-internet.de.
  Data Collector:	There is no data collection. Population data are calculated on the base of other statistical data.
  Reporting Stations:	Statistical offices of the Länder - Federal Statistical Office
  Object under Review:	Population stock.
  Interviewees:	Inapplicable.
  Collection:
  - Instruments:	Population data are calculated using the components method; The results of the last population census are updated using vital statistics on births, deaths, marriages and divorces, migration statistics and data on acquisition and lost of citizenship.
  - Periodicity:	Monthly, quarterly, half-yearly, annually.
  - First:	1950
  - Last:	Inapplicable.
  Processing:
  - Periodicity:	Monthly, quarterly, half-yearly, annually.
  Publication:
  - Regular:	Until Reporting year 2021: Fachserie 1, Reihe 1.3 From Reporting year 2022: Statistischer Bericht, Bevölkerungsfortschreibung Online publications in the database GENESIS (quarterly and yearly) and on the Destatis internet web page https://www.destatis.de/EN/Themes/Society-Environment/Population/Current-Population/_node.html.
  - Irregular:	-
  Completeness, Sample Proportion and Representativity:	Starting from the last census, the calculation is based on secondary, full survey statistics.
  Conceivable Modifications:	Following the publication of the results of census 2022, the population data for reporting periods after the census date (15.05.2022) were rebased on the new census results
  Comparable Data Sources:	-
  Remarks:	-
  Last Update:	April 11, 2025

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Definition(s)

• Age specific mortality

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  In terms of the glossary of the Robert Koch Institute (RKI):
  Mortality is very age-dependent. Therefore only the deaths and the population of a single age group are considered for the calculation of the age specific crude mortality rate and normally additionally separated by sex.

  Age standardization

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  Standardizations are arithmetic techniques for producing comparable epidemiological measures of structurally different populations. There can be a difference in structure of the population for example in terms of age, sex and/or other characteristics. The standardization by age occurs most often because the information is usually available and the age is important for the most health problems.
  Use: Age standardizations based on a standard population are often used at cancer registries to compare morbidity or mortality rates. If there are different age structures in populations of different regions or in a population in one region over time, mortality or morbidity rates is only limited. For interregional or inter-temporal comparability of their comparisons, therefore, an age standardization is necessary.For this purpose the age structure of a reference population, the so-called standard population, is assumed for the study population. The age specific mortality or morbidity rates of the study population are weighted according to the age structure of the standard population.
  Interpretation: By an age standardization, data of different years or regions are comparable, without distortion because of different age structures. In the interpretation of age standardized morbidity or mortality rates it is important to notice that they are not real information in the sense of empirically observable data. In fact, they describe, how the mortality or morbidity rate would be, if the reference population and the standard population were equal, thus abstracting from age structure effects.

  Sources:

  • www.rki.de
  • Forschungs- und Entwicklungsgesellschaft Hessen; Hessisches Sozialministerium (Hrsg.) (2001): Indikatorenkatalog zum Hessischen Gesundheitsbericht 2001. Wiesbaden

  Crude mortality rate

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  In terms of the glossary of the Robert Koch Institute (RKI):
  The crude (general) mortaility is calculated as follows: number of deaths divided by the average population. It is usually multiplied by 100,000, so that the scale unit is "Deaths per 100,000 of the population".

  Standard populations

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   Standard populations are "artificial populations" with fictitious age structures, that are used in age standardization as uniform basis for the calculation of comparable measures for the respective reference population(s).
  
  Use:
  Age standardizations based on a standard population are often used at cancer registries to compare morbidity or mortality rates. If there are different age structures in populations of different regions or in a population in one region over time, the comparability of their mortality or morbidity rates is only limited. For interregional or inter-temporal comparisons, therefore, an age standardization is necessary. For this purpose the age structure of a reference population, the so-called standard population, is assumed for the study population. The age specific mortality or morbidity rates of the study population are weighted according to the age structure of the standard population.
  Selection of a standard population:
  Which standard population is used for comparison basically, does not matter. It is important, however, that
  

  a) the demographic structure of the standard population is not too dissimilar to that of the reference population and

  
  
  

  b) the comparable rates refer to the same standard.

  The old standard population of Europe, the standard population of Europe 2013, the world standard population and the standard population OECD assumes that the groups of women and men have an identical age structure (age and sex standardization). That is why they are recommended for comparisons between men and women (see table).
  
  Interpretation:
  After an age standardization, data of different years or regions are comparable without distortion because of different age structures. In the interpretation of age standardized morbidity or mortality rates it is important to notice that they are not real information in the sense of empirically observable data. In fact, they describe, what the mortality or morbidity rate would be like, if the reference population and the standard population were equal, thus abstracting from age structure effects.

  Sources:

  • www.rki.de
  • Ministerium für Gesundheit, Soziales, Frauen und Familie des Landes Nordrhein-Westfalen (Hrsg.) (2003): Indikatorensatz für die Gesundheitsberichterstattung der Länder. (Dritte, neu bearbeitete Fassung). Düsseldorf, S. 740 ff.

   

   

  Standard populations for age standardization used in the Health Monitoring System	Data owner: data source + comments
  Standard population "Germany 1987"	Federal Statistical Office: Statistics on the natural movement of the population Year of the population census in the former federal territory
  Standard population "Old Länder 1987"	Federal Statistical Office: Statistics on the natural movement of the population
  Standard population "New Länder 1987"	Federal Statistical Office: Statistics on the natural movement of the population
  Standard population of Europe 2013	The Standard population of Europe 2013 assumes that the groups of women and men have an identical age structure.
  New standard population of Europe	WHO 1990
  Old standard population of Europe	WHO (1976) The old standard population of Europe assumes that the groups of women and men have an identical age structure.
  World standard population	United Nations World Populations Prospects The world standard population assumes that the groups of women and men have an identical age structure.
  Standard population OECD	Age structure of the OECD countries 1980 For further information see: www.ecosante.org/OCDEENG/112000.html This standard population assumes that the groups of women and men have an identical age structure.

  Sources:

  • www.rki.de
  • www.lzg.gc.nrw.de
  • www.ecosante.org/OCDEENG/112000.html
  • Ministerium für Gesundheit, Soziales, Frauen und Familie des Landes Nordrhein-Westfalen (Hrsg.) (2003): Indikatorensatz für die Gesundheitsberichterstattung der Länder (Dritte, neu bearbeitete Fassung). Düsseldorf.

Comment(s)

• Until 1997 deaths were recorded according to ICD-9. Therefore the numbers can be found in a separate ad hoc table (see links).

Refresh period of data

Information on corrections of the data

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Statistics on the causes of death

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• 17 Jan 2011:
  The data for 2009 was revised.


• 22 Nov 2011:
  For 1998-2010 the following ICD-positions were recoded: "A80.3" to "B91" and "P95" for all deaths older than 1 year to "P96.9".


• 04 Apr 2013:
  Up to this day the data for the years 2008-2011 for the age-group "18 years and older" was not correct. The data for the age-group "25 years to under 45 years" had been missing.


• 20 Jan 2015:
  For the year 2013 the ICD10 position R57.2 was transcoded to A41.9.


• 05 Aug 2016:
  For 2011 the position X59.9.9 was corrected.


• 01 Nov 2016:
  Up to this day the values for the ICD position V09 were missing from the summary position V09-V11 (influenza) for the years 2009 to 2014. Thus absolute and calculated values for the summary position have been incorrect.


• 09 Mar 2017:
  The data for North Rhine-Westphalia for 2015 was revised.

• The table was extended by the year 2023 on 19 Aug 2024.
  Information for a new reporting period will be added as soon as it is available.

Links

• Information concerning Population, annual average (census 19887, 1990) .
• Mortality figure (1980-1997) (table)
• Information concerning Population, annual average (census 2011) .
• Mortality, e.g. by family status (starting from 1998) (table)
• Standard populations (table)

The Federal Health Monitoring System 13. May 2025