Analysis of epidemiological indices of type 2 diabetes mellitus in the adult population of Moscow
https://doi.org/10.14341/DM201435-16
Abstract
Diabetes mellitus is a disease that presents a global medical problem. It is necessary to implement an in-depth analysis of the epidemiological situation of type 2 diabetes mellitus for planning and organizing specialized medical help to patients with type 2 diabetes mellitus.
Aim.
To rate the basic epidemiological indices of type 2 diabetes mellitus in actual clinical practice using the informational database of national registry of diabetic patients.
Materials and methods.
Epidemiological analyses were performed in two administrative districts of Moscow. From 1999 to 2011 48978 adult patients with type 2 diabetes mellitus who were aged 18 years and older were registered. We used methods of clinical, analytical and statistical epidemiology with elements of descriptive research.
Results.
The prevalence rate of type 2 diabetes mellitus was 1590 per hundred thousand, most patients were in the 60?64 and 70?74 age groups, and approximately 80% of patients were older than 55 years. The morbidity rate of type 2 diabetes mellitus was 138,72 per hundred thousand and was found to be higher in women at 1,89. The mortality rate of adult patients with diabetes mellitus was 0,83, mostly in men of all ages. Cardiovascular diseases accounted for most of the registered cases of deaths (34,4%). The average life expectancy appeared to be 75,24?0,45 years, although women lived 6 years longer than men. The average duration of the disease was 10,04?0,34 years. A total of 0,4% of patients underwent hospital treatment and the average length of treatment was 17?18 days. The total number of days of disablement was an average of 307,33?30,13 days (80% of patients were older than 55 years). In the study group, a mean grade of НbА1c <7% was observed in 56,6% of patients. The prevalence rate of detected chronic complications was considerably lower compared to other epidemiological studies.
Conclusions.
Our epidemiological analyses revealed a number of features and consistent patterns dependent on sex and age indices. It is necessary to reform the system of health services of the Russian Federation and to assign some additional funding directed towards organising ubiquitous screening for early detection of complications of diabetes mellitus and timely treatment to prevent and lower the frequency of chronic complications of diabetes mellitus.
Aim.
To rate the basic epidemiological indices of type 2 diabetes mellitus in actual clinical practice using the informational database of national registry of diabetic patients.
Materials and methods.
Epidemiological analyses were performed in two administrative districts of Moscow. From 1999 to 2011 48978 adult patients with type 2 diabetes mellitus who were aged 18 years and older were registered. We used methods of clinical, analytical and statistical epidemiology with elements of descriptive research.
Results.
The prevalence rate of type 2 diabetes mellitus was 1590 per hundred thousand, most patients were in the 60?64 and 70?74 age groups, and approximately 80% of patients were older than 55 years. The morbidity rate of type 2 diabetes mellitus was 138,72 per hundred thousand and was found to be higher in women at 1,89. The mortality rate of adult patients with diabetes mellitus was 0,83, mostly in men of all ages. Cardiovascular diseases accounted for most of the registered cases of deaths (34,4%). The average life expectancy appeared to be 75,24?0,45 years, although women lived 6 years longer than men. The average duration of the disease was 10,04?0,34 years. A total of 0,4% of patients underwent hospital treatment and the average length of treatment was 17?18 days. The total number of days of disablement was an average of 307,33?30,13 days (80% of patients were older than 55 years). In the study group, a mean grade of НbА1c <7% was observed in 56,6% of patients. The prevalence rate of detected chronic complications was considerably lower compared to other epidemiological studies.
Conclusions.
Our epidemiological analyses revealed a number of features and consistent patterns dependent on sex and age indices. It is necessary to reform the system of health services of the Russian Federation and to assign some additional funding directed towards organising ubiquitous screening for early detection of complications of diabetes mellitus and timely treatment to prevent and lower the frequency of chronic complications of diabetes mellitus.
About the Authors
Marina Fedorovna Kalashnikova
Sechenov First Moscow State Medical University, Moscow
Russian Federation
MD, PhD, the chair of endocrinology of The Sechenov First Moscow State Medical University
Russian Federation
MD, PhD, the chair of endocrinology of The Sechenov First Moscow State Medical University
Yury Ivanovich Suntsov
Endocrinology Research Centre, Moscow
Russian Federation
MD, PhD, Professor, head of the department of epidemiology and state register of diabetes in Endocrinology Research Centre
Russian Federation
MD, PhD, Professor, head of the department of epidemiology and state register of diabetes in Endocrinology Research Centre
Dmitriy Yur'evich Belousov
LLC "Center of Pharmacoeconomics and Outcomes Research", Moscow
Russian Federation
Russian Federation
Derector-general of the Limited Liability Company "Centerof Pharmacoeconomics and Outcomes Research»
Maria Alekseevna Kantemirova
Sechenov First Moscow State Medical University, Moscow
Russian Federation
resident of The Sechenov First Moscow State Medical University
Russian Federation
resident of The Sechenov First Moscow State Medical University
References
1. International Diabetes Federation. Diabetes atlas. 6-th edition 2013; Available from: http://www.idf.org/diabetesatlas
2. Dedov II, Shestakova MV, Suntsov YI, Peterkova VA, Galstyan GR, Mayorov AY, et al. Federal targeted programme “Prevention and Management of Socially Significant Diseases (2007-2012)”: results of the “Diabetes mellitus” sub-programme. Diabetes mellitus 2013;-(2S):1-48. doi: 10.14341/2072-0351-3879
3. Suntsov YI, Dedov II. Gosudarstvennyy registr bol'nykh sakharnym diabetom - osnovnayainformatsionnnaya sistema dlya rascheta ekonomicheskikh zatratgosudarstva na sakharnyy diabet i ikh prognozirovanie. Diabetes mellitus 2005;-(2):2-5. Available from: http://endojournals.ru/index.php/dia/article/view/5773 doi: 10.14341/2072-0351-5773.
4. Suntsov YI, Bolotskaya LL, Maslova OV, Kazakov IV. Epidemiology of diabetes mellitus and prognosis of its prevalence in the Russian Federation. Diabetes mellitus 2011;-(1):15-19. Available from: http://endojournals.ru/index.php/dia/article/view/6245 doi: 10.14341/2072-0351-6245
5. Suntsov. YuI , Dedov II, Shestakova MV. Skrining oslozhneniy sakharnogo diabeta kak metod otsenki kachestva lechebnoy pomoshchi bolnym. Moscow; 2008.
6. Economic Costs of Diabetes in the U.S. in 2012. Diabetes Care 2013;36(4):1033-1046. Available from: http://care.diabetesjournals.org/cgi/doi/10.2337/dc12-2625 doi: 10.2337/dc12-2625
7. Dedov II, Shestakova MV, Suntsov YI, Yagudina RI, Krysanov IS, Kulikov AY, et al. Pharmacoeconomic simulation of delayed results of the treatment of type 2 diabetes mellitus with modern insulin analogsin comparison with oral hypoglycemic agents. Diabetes mellitus 2010; -(1):101-110. Available from: http://endojournals.ru/index.php/dia/article/view/6024 doi: 10.14341/2072-0351-6024
8. 1999 - 2013 Federal'naya sluzhba gosudarstvennoy statistiki. Goskomstat Rossiyskoy Federatsii; 2013. Available from: http://moscow.gks.ru/wps/wcm/connect/rosstat_ts/moscow/ru/
9. Doklad o razvitii chelovecheskogo potentsiala v Rossiyskoy Federatsii za 2011 g. Moscow: PROONvRF; 2011. Available from: http://www.undp.ru/documents/nhdr2011rus.pdf
10. WHO 2008. The global burden of disease: 2004 update. Geneva: 2012. Available from: http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf
11. World. Health Organization . The top 10 causes of death. Fact sheet N°310 2014. Available from: http://www.who.int/mediacentre/factsheets/fs310/ru
12. Roshchin DO, Sabgayda TP, Evdokushkina GN. The problem of diabetes mellitus recording while diagnostics of death causes. Sotsial'nye aspekty zdorov'ya naseleniya 2012;27(5). Available from: http://vestnik.mednet.ru/content/view/430/30/lang,ru
13. Vaisman DSh . Analysis system of mortality statistics based on medical death certificates and reliability of registration of causes of death. Sotsial'nye aspekty zdorov'ya naseleniya 2013;30(2). Available from: http://vestnik.mednet.ru/content/view/465/30/lang,ru
14. Heron M. Deaths: leading causes for 2009. Natl Vital Stat Rep 2012;61(7):1-94. Available from: http://www.cdc.gov/nchs/http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_07.pdf PubMed PMID: 24964584.
15. The demographic yearbook of Russia 2010: Statistical handbook. Moscow: Federal State Statistics Service(Rosstat);2010. 525 p.
16. Wood S. "Heart Failure Is Killing Your Diabetes Patients", Experts Warn at EASD. Proceedings of EASD. 2013. Available from: http://www.medscape.com/viewarticle/811716
17. Algorithms specialized medical care for patients with diabetes. Edited Dedov II, Shestakova MV. 5-th edition. Moscow; 2011. P. 115.
Supplementary files
Review
For citations:
Kalashnikova M.F., Suntsov Yu.I., Belousov D.Yu., Kantemirova M.A. Analysis of epidemiological indices of type 2 diabetes mellitus in the adult population of Moscow. Diabetes mellitus. 2014;17(3):5-16. https://doi.org/10.14341/DM201435-16
Views:
2776
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).
Email this article 
