Spigt Mark, Rikkers Annelies, Doornbos Mirte, Wouters Evelyn, Spitz Isi, Van Amelsvoort Ludovic, Zwietering Paul
Department of General Practice, Maastricht University, School for Public Health and Primary Care (CAPHRI).
Scand J Prim Health Care. 2009;27(4):232-7. doi: 10.3109/02813430903226480.
To investigate to what extent differences in diagnosed diabetes prevalence can be attributed to differences in the general practitioner's (GP) screening activity.
An analysis of electronic patient files in combination with a survey among GPs. Setting. Ten primary healthcare centres with 44 GPs in the Netherlands.
General population (n = 58,919) and type 2 diabetic patients (n = 2582).
Each GP filled in a questionnaire with questions concerning screening methods for diabetes. The presence of diabetes and date of diagnosis were determined. The potential confounding variables age, sex, and postal code (which we used to determine socioeconomic status) were retrieved from patient records.
The yearly point prevalence of diabetes increased significantly from 2.92% in 2000-2001 to 4.25% in 2005-2006 (p = 0.002). The incidence increased from 3.29/1000 person-years to 5.13/1000 person-years (p = 0.019). High screening activity of the general practitioner resulted in statistically significantly higher odds (1.35; p = 0.015) of being diagnosed as a patient with diabetes. The effect was independent of the influence of age, gender, and socioeconomic status.
Screening activity of the GP has a statistically significant and relevant influence on the prevalence of diagnosed diabetes. General practitioners should evaluate their screening activity to optimize the identification of diabetic patients.
调查确诊糖尿病患病率的差异在多大程度上可归因于全科医生（GP）的筛查活动。
结合对全科医生的调查对电子患者档案进行分析。背景。荷兰的10个初级医疗保健中心，有44名全科医生。
普通人群（n = 58,919）和2型糖尿病患者（n = 2582）。
每位全科医生填写一份关于糖尿病筛查方法的问卷。确定糖尿病的存在情况和诊断日期。从患者记录中获取潜在的混杂变量年龄、性别和邮政编码（我们用其确定社会经济地位）。
糖尿病的年度时点患病率从2000 - 2001年的2.92%显著增加到200该文本中2005 - 2006年的4.25%（p = 0.002）。发病率从3.29/1000人年增加到5.13/1000人年（p = 0.019）。全科医生的高筛查活动导致被诊断为糖尿病患者的几率在统计学上显著更高（1.35；p = 0.015）。该效应独立于年龄、性别和社会经济地位的影响。
全科医生的筛查活动对确诊糖尿病的患病率有统计学上显著且相关的影响。全科医生应评估其筛查活动，以优化糖尿病患者的识别。 年的数据不完整，请你检查一下原文是否准确。若准确，请告诉我，我会继续为你完善翻译。
