Middaugh J, Talbot J, Roche J
Section of Epidemiology, Department of Health and Social Services, Anchorage, Alaska.
Arctic Med Res. 1991 Jul;50(3):107-19.
The prevalence of diabetes in Alaska from 1984 to 1986 was determined through medical records review. Cases were identified from hospital and physician discharge forms and from financial abstracts. As of December 1986, 3,719 Alaskans met the criteria for physician diagnosis of diabetes. The overall age-adjusted prevalence of diagnosed diabetes mellitus, 1,357/100,000, was lower than the U.S. rate of 2,470/100,000. The overall age-adjusted prevalence rates of specific complications and pregnancy among Alaskans with diabetes were retinopathy--167.5/1,000; blindness--24.3/1,000; amputations--19.4/1,000; end stage renal disease--9.7/1,000; pregnancy--50.7/1,000. Limitations in available data sources such as death certificates, hospital records, and subspecialists' medical records provided serious problems in identifying persons with diabetes, especially those in the 30- to 69-year age group who have not yet developed complications requiring hospitalization or subspecialty care. This population perhaps is most in need of services to prevent future complications of diabetes.
通过查阅医疗记录确定了1984年至1986年阿拉斯加糖尿病的患病率。病例从医院和医生出院表格以及财务摘要中识别出来。截至1986年12月，3719名阿拉斯加人符合医生诊断糖尿病的标准。经年龄调整后的确诊糖尿病总体患病率为1357/10万，低于美国的2470/10万。阿拉斯加糖尿病患者中特定并发症和妊娠的总体年龄调整患病率分别为：视网膜病变——167.5/1000；失明——24.3/1000；截肢——19.4/1000；终末期肾病——9.7/1000；妊娠——50.7/1000。现有数据源（如死亡证明、医院记录和专科医生的医疗记录）存在局限性，这在识别糖尿病患者时带来了严重问题，尤其是30至69岁尚未出现需要住院治疗或专科护理并发症的人群。这一人群可能最需要预防糖尿病未来并发症的服务。
