The epidemiology of diabetes in a large Israeli HMO
The epidemiology of diabetes in a large Israeli HMO
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DOI：
10.1023/b:ejep.0000006635.36802.c8
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发表时间：
2003-12-01
影响因子：
13.6
通讯作者：
Kookia, E
中科院分区：
文献类型：
--
作者：
Chodick, G;Heymann, AD;Kookia, E
糖尿病是全球最流行的非传染性疾病之一，也是大多数发达国家的主要死因之一。目前基于人群的研究目的是通过使用我们的HMO的自动化医疗数据库来描述以色列糖尿病的流行病学。在以色列第二大HMO的160万保险成员中，糖尿病登记处出现的所有糖尿病患者都被选中进行流行病学分析。我们确定了39，768名糖尿病患者（粗患病率为2.6%）。按年龄划分，男性的感染率较高。年龄别糖尿病患病率最高的是75岁及以上的男性（18.1%）。1999年至2001年期间，妇女和男子的发病率和死亡率分别从每10万人1.9人和2.8人上升到每10万人2.3人和3.8人。目前的研究表明，使用大型自动化医疗和管理数据库来确定慢性疾病（如糖尿病）的流行病学是有潜力的。糖尿病患者发病率和死亡率的上升对以色列卫生当局具有重要意义，应予以认真考虑。
Diabetes is one of the most prevalent noncommunicable disease globally and it is one of the leading cause for death in most developed countries. The current population- based study aim was to describe to the epidemiology of diabetes in Israel by using our HMO's automated medical databases. All diabetic patients appearing in the diabetes registry among 1.6 million insured members in the second largest HMO in Israel were selected for epidemiological analysis. We identified 39,768 diabetic patients ( crude prevalence rate of 2.6%). Higher age- specific prevalence rates were recorded among males. The highest age- specific prevalence rate of diabetes was calculated for men aged 75 and above ( 18.1%). A rise in the prevalence and mortality rates was recorded between 1999 and 2001 female ( from 1.9 to 2.8 per 100,000) and for men ( from 2.3 to 3.8 per 100,000). The current study demonstrates the potential of using large automated medical and administrative databases to determine the epidemiology of chronic disease, such as diabetes. The rise in the prevalence and mortality of diabetes patients has important implication for Israeli health authorities and should be seriously regarded.