Short report. Effect of the application of the new diagnostic criteria of diabetes mellitus in the prevalence estimates and diagnostic level in the general population

Muñiz, Javier; Cordido, Fernando; Rodríguez, Isidro López; Beiras, Alfonso Castro

doi:10.1093/eurpub/9.2.149

Cited by 14 publications

(6 citation statements)

References 6 publications

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“…The variety of sources, methodologies, and estimations made it difficult to select only one value; 5% is the figure from the 1997 Spanish National Health Survey (28) for adults (18 years and older) who reported that they had diabetes, had high blood glucose levels, or used antidiabetes drugs. In more recent studies, prevalence was near 6% or even higher (18,26,27,29). The interval selected is rather conservative, given that it is well established that a significant percentage of diabetes is not diagnosed (18,30), whereas prevalence of diabetes is increasing.…”

Section: Research Design Andmentioning

confidence: 91%

“…In more recent studies, prevalence was near 6% or even higher (18,26,27,29). The interval selected is rather conservative, given that it is well established that a significant percentage of diabetes is not diagnosed (18,30), whereas prevalence of diabetes is increasing. Another assumption is that 90% of cases were considered type 2 diabetes and 10% type 1 diabetes (30).…”

Section: Research Design Andmentioning

confidence: 91%

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Direct Health Care Costs of Diabetic Patients in Spain

et al. 2004

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OBJECTIVE -The goal of this study was to estimate the health care resources spent by type 1 and type 2 diabetic patients in Spain during the year 2002. RESEARCH DESIGN AND METHODS-This is a cost-of-illness study focusing on direct health care costs estimated from primary and secondary sources of information. A prevalence of diabetes ranging from 5 to 6% of the adult population was determined. Total cost is composed of six items: insulin and oral hypoglycemic agents, other drugs, disposable and consumable goods (glucose test strips, needles, and syringes), hospitalization, primary care visits, and visits to endocrinologists and dialysis.RESULTS -The estimated direct cost of diabetes in 2002 ranges from €2.4 to 2.67 billion. Hospital costs were the most (€933 million), followed by noninsulin, nonhypoglycemic agent drugs (€777-932 million). Much lower are the costs of insulin and oral hypoglycemic agents (€311 million), primary care visits (€181-272 million), specialized visits (€127-145 million), and disposable elements (€70 -81 million). Expenditures for all drugs and consumable goods ranged between €1.16 and 1.3 billion, representing 48 -49% of total cost, which is 15% higher than hospital costs.CONCLUSIONS -The direct health care costs of diabetic patients are high (6.3-7.4% of total National Health System expenditure). Their average annual cost is €1,290 -1,476. For individuals without diabetes, the average annual cost is €865.

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Section: Research Design Andmentioning

confidence: 91%

Section: Research Design Andmentioning

confidence: 91%

Direct Health Care Costs of Diabetic Patients in Spain

et al. 2004

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“…In Spain, estimates of its prevalence range from 7% to 16%, depending on the geographical area and diagnostic criteria used, highlighting the fact that undiagnosed diabetes could constitute a further 3.7%. Incidence ranges between 8.1 and 10.8 per thousand inhabitants ⁄ year (5)(6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Quality of care of patients with type-2 diabetes in Galicia (NW Spain) [OBTEDIGA project]

Pardo

Pérez-Castro²,

Álvarez

et al. 2011

International Journal of Clinical Practice

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There is a wide margin for improvement in the adaptation of clinical practice to recommendations for diabetic patients. The large variation existing in certain indicators would suggest that certain control objectives are less demanding than advisable in those that comply least, while low compliance and low variability in other indicators point to structural problems or unsatisfactory training of doctors.

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“…The fact that prevalence figures are higher based on the proposed new criteria, though not applied in quite the same way, than those based on the old criteria is in line with those obtained in the DECODE study, which included the same elderly source population examined in this study for the first time in 1991 -92 (9). In addition, the recent paper by Muñ iz et al showed that the prevalence figures are clearly higher among elderly subjects when the proposed new fasting values are used as diagnostic criteria for diabetes (10).…”

Section: Discussionmentioning

confidence: 99%

Effects of the WHO 1985 criteria and the proposed new diagnostic criteria on the prevalence of diabetes in an elderly population

Hiltunen

Keinänen‐Kiukaanniemi

2000

Scand J Public Health

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Population data suggest that a fasting blood glucose level of > or = 6.1 mmol/l corresponds best to a two-hour blood glucose level of > or = 11.1 mmol/l, which is associated with an increased risk of developing microvascular complications. The proposed new criteria, and the WHO 1985 criteria for diabetes, were applied in an elderly population, which underwent a two-hour oral glucose tolerance test. The prevalence of diabetes was higher when the proposed new criteria were used than when the old criteria were used. In calculating the prevalence of diabetes, the fasting blood glucose > or = 6.1 mmol/l corresponded better to the combination of fasting and/or two-hour values than did fasting blood glucose > or = 6.7 mmol/l. The prevalence obtained by using either of these fasting values alone or in combination with two-hour values corresponded poorly to that obtained by using mere two-hour blood glucose values.

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Short report. Effect of the application of the new diagnostic criteria of diabetes mellitus in the prevalence estimates and diagnostic level in the general population

Cited by 14 publications

References 6 publications

Direct Health Care Costs of Diabetic Patients in Spain

Direct Health Care Costs of Diabetic Patients in Spain

Quality of care of patients with type-2 diabetes in Galicia (NW Spain) [OBTEDIGA project]

Effects of the WHO 1985 criteria and the proposed new diagnostic criteria on the prevalence of diabetes in an elderly population

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