Changes in incidence of diabetes mellitus-related eye disease among US elderly persons, 1994-2005.
Changes in incidence of diabetes mellitus-related eye disease among US elderly persons, 1994-2005.
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DOI：
10.1001/archopht.126.11.1548
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发表时间：
2008-11
影响因子：
--
通讯作者：
Lee, Paul
中科院分区：
文献类型：
--
作者：
Sloan, Frank A.;Belsky, Daniel;Ruiz, David, Jr.;Lee, Paul
确定糖尿病性眼病在美国老年人中是否随时间发生变化，并探索观察到变化的可能性。我们对1991年1月1日至2004年12月31日收集的全国代表性医疗保险数据（医疗保险5%样本）进行了纵向分析，使用标准索赔数据算法和医疗保险当前受益人调查的横截面分析。与1994年首次诊断为糖尿病的医疗保险受益人相比，1999年和2003年首次诊断为糖尿病的患者在诊断后1年内以及1999年队列中6年随访期间的背景和增殖性糖尿病视网膜病变的发生率较低。1999年队列中受益人6年视网膜病变手术率低于1994年队列，血糖、血脂和胆固醇监测率较高。此外，在1999年队列中，6年期间高血压的诊断率更高。来自医疗保险当前受益人调查的数据显示，与1994年相比，1999年诊断为糖尿病的人中抗高血压药物的使用率较高。从1994年到2004年，新诊断为糖尿病的人中糖尿病视网膜病变的发病率下降，同时糖尿病初级保健的改善表明，尽管其他不良后果的发生率增加，但更好的初级保健对医疗保险人群产生了影响。
To determine if diabetic eye disease has changed over time among older Americans and to explore possibilities for observed change. We performed a longitudinal analysis of nationally representative Medicare data, the Medicare 5% sample, collected from January 1, 1991, through December 31, 2004, using standard claims data algorithms and cross-sectional analysis of the Medicare Current Beneficiary Survey. Compared with Medicare beneficiaries first diagnosed with diabetes mellitus in 1994, those first diagnosed with diabetes in 1999 and in 2003 showed lower rates of background and proliferative diabetic retinopathy within 1 year after diagnosis and during 6 years of follow-up among the 1999 cohort. Six-year rates of surgical procedures for retinopathy were lower among beneficiaries in the 1999 cohort than in the 1994 cohort, and rates of glucose, lipid, and cholesterol monitoring were higher. In addition, hypertension was diagnosed more frequently among the 1999 cohort during 6 years. Data from the Medicare Current Beneficiary Survey showed higher rates of antihypertensive drug use among persons diagnosed with diabetes in 1999 compared with 1994. Decreases in rates of diabetic retinopathy among persons newly diagnosed with diabetes enrolled in Medicare from 1994 to 2004 and concurrent improvements in primary care for diabetes suggest that better primary care has had an effect on the Medicare population, despite increasing rates of other adverse outcomes.
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DOI：
10.1177/106286069901400607
发表时间：
1999-11-01
期刊：
American journal of medical quality : the official journal of the American College of Medical Quality
影响因子：
--
作者：
Hebert, P L;Geiss, L S;McBean, A M
通讯作者：
McBean, A M
DOI：
10.1111/j.1532-5415.1999.tb07233.x
发表时间：
1999-04-01
影响因子：
6.3
作者：
Kell, SH;Drass, J;Gohdes, D
通讯作者：
Gohdes, D
影响因子：
16.2
作者：
PARVING, HH
通讯作者：
PARVING, HH
影响因子：
16.2
作者：
Peters, AL;Ossorio, RC;Davidson, MB
通讯作者：
Davidson, MB
影响因子：
39.2
作者：
Snow, V;Weiss, KB;Mottur-Pilson, C
通讯作者：
Mottur-Pilson, C