REAL-WORLD RETROSPECTIVE ANALYSIS OF DEMOGRAPHIC CHARACTERISTICS AND PREVALENCE OF DIABETES IN SHANGHAI MINHANG DISTRICT
Author(s)
Huang Y1, Xu Z1, Xu S2, Chen W31Fudan School of Public Health, Shanghai, China, 2Minhang Bureau of Health, Shanghai, China, 3Fudan University, Shanghai, Shanghai, China
Presentation Documents
OBJECTIVES: The objective was to examine the demographic characteristics and prevalence of diabetes in Shanghai Minhang district. METHODS: The study was based on the information system from the community-hospital-integrated diabetes management program established since 2007. The program screened for diabetes in 12 community health centers, built up an information system of Electronic Health Record (EHR), and conducted various forms of follow-up visits and disease management with different time spans according to patients’ diabetes situation. RESULTS: There were 43,709 diabetes patients managed during the study period from October 2008 to September 2009. Type1 diabetes (T1DM), Type2 diabetes (T2DM), impaired glucose tolerance (IGT), and impaired fasting glucose (IFG) patients accounted for 0.97%, 92.11%, 5.08%, and 1.83%, respectively. The average diabetes duration was 7.27±6.06 years and the mean age was 64.98±11.14 years old. Among the patients, 5.76% had at least one complication and 0.86% had more than one complication. The most common complication was diabetic vasculopathy, accounting for 45.15% of the patients with complications. Diabetic retinopathy, diabetic nephropathy, diabetic neuropathy, and diabetic dermadrome occupied 34.70%, 15.46%, 13.39%, and 9.82% of the patients with complications, respectively. Based on the last follow-up visit during the study period, the average fasting plasma glucose (FPG) was 7.05±1.91mmol/L and the average postprandial plasma glucose (PPG) was 8.64±3.29mmol/L. The percentage of the patients whose blood sugar level was considered to be ideal, fair, and poor was 36.12%, 32.53% and 31.34% respectively. As with HbA1C level, the number was 67.27%, 20.08% and 12.65%. CONCLUSIONS: The diabetes patients managed are mainly T2DM with long disease durations and the elderly. The complication prevalence was relatively low, suggesting that there were deficiencies in the complications screening and information recording in the program. The program provided an effective and efficient way to better understand real-world management of diabetes.
Conference/Value in Health Info
2012-06, ISPOR 2012, Washington, D.C., USA
Value in Health, Vol. 15, No. 4 (June 2012)
Code
PDB87
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Treatment Patterns and Guidelines
Disease
Diabetes/Endocrine/Metabolic Disorders