Epidemiology of Type 1 Diabetes Mellitus in Korea through an Investigation of the National Registration Project of Type 1 Diabetes for the Reimbursement of Glucometer Strips with Additional Analyses Using Claims Data
Epidemiology of Type 1 Diabetes Mellitus in Korea through an Investigation of the National Registration Project of Type 1 Diabetes for the Reimbursement of Glucometer Strips with Additional Analyses Using Claims Data
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DOI：
10.4093/dmj.2016.40.1.35
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发表时间：
2016-02-01
影响因子：
5.9
通讯作者：
Lim, Dong-Ha
中科院分区：
文献类型：
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作者：
Song, Sun Ok;Song, Young Duk;Lim, Dong-Ha
背景：这项研究的目的是评估韩国1型糖尿病(T1 DM)的患病率和发病率。此外，我们还计划对1型糖尿病登记项目的耗材报销情况进行绩效分析。方法：为了获得全国范围内的T1 DM发病率和患病率数据，我们从国家医保数据库中提取了2011年7月至2013年8月《1型糖尿病耗材报销登记项目》中的报销数据。结果：在历时26个月的8256名受试者中，男女比例为1：1.12，年龄中位数为37.1岁，平均每月新增T1 DM患者136人，每年新增T1 DM患者1,632人。我们发现，T1 DM新发病例的发病率为3.28/10万。T1 DM患者占各地区人口的平均比例为0.0125%。韩国共有49,662,097名全民强制医保投保人，糖尿病患者总数为3,762,332人。结论：本研究期间T1 DM患病率约占韩国总人口的0.017%~0.021%，T1 DM年发病率总体为3.2 8：10 0 0，20岁以下人群为3.2 5：10 0 0。
Background: The aim of this study was to estimate the prevalence and incidence of type 1 diabetes mellitus (T1DM) in Korea. In addition, we planned to do a performance analysis of the Registration Project of Type 1 diabetes for the reimbursement of consumable materials.Methods: To obtain nationwide data on the incidence and prevalence of T1DM, we extracted claims data from July 2011 to August 2013 from the Registration Project of Type 1 diabetes on the reimbursement of consumable materials in the National Health Insurance (NHI) Database. For a more detailed analysis of the T1DM population in Korea, stratification by gender, age, and area was performed, and prevalence and incidence were calculated.Results: Of the 8,256 subjects enrolled over the 26 months, the male to female ratio was 1 to 1.12, the median age was 37.1 years, and an average of 136 new T1DM patients were registered to the T1DM registry each month, resulting in 1,632 newly diagnosed T1DM patients each year. We found that the incidence rate of new T1DM cases was 3.28 per 100,000 people. The average proportion of T1DM patients compared with each region's population was 0.0125%. The total number of insurance subscribers under the universal compulsory NHI in Korea was 49,662,097, and the total number of diabetes patients, excluding duplication, was 3,762,332.Conclusion: The prevalence of T1DM over the course of the study was approximately 0.017% to 0.021% of the entire population of Korea, and the annual incidence of T1DM was 3.28:100,000 overall and 3.25:100,000 for Koreans under 20 years old.