Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2012 Nov;111(11):645-50. doi: 10.1016/j.jfma.2012.09.013. Epub 2012 Nov 7.
BACKGROUND/PURPOSE: Medical systems and care for diabetes have changed greatly in Taiwan in recent years. This study investigated mortality trends in patients with diabetes in Taiwan from 2000 to 2009.
We linked the National Health Insurance (NHI) claims database, which contains data on 99% of the population of Taiwan, to the National Death Registry and Cancer Registry. Patients were classified as having diabetes if they had at least one hospital admission or three or more outpatient visits with a diabetes diagnostic code in each calendar year. Mortality data from the Collaboration Center of Health Information Application were used to estimate age- and sex-specific mortality rates, all-cause mortality, and life expectancy (LE).
The mortality of patients with diabetes in Taiwan decreased continuously from 2000 to 2009 for both sexes and all age groups; the mortality rate was generally higher for men than for women (3.92% vs. 3.29% in 2000; 3.64% vs. 3.11% in 2005, and 3.12% vs. 2.71% in 2009, all p < 0.05). Diabetic patients had a shorter LE than the entire population, although this difference decreased over time. The estimated loss of life due to diabetes was 6.1 years in women and 5.3 years in men in 2009, when diabetes was diagnosed at the age of 40. The four major causes of death were diabetes, malignancies, heart diseases, and cerebrovascular diseases.
The mortality of diabetic patients in Taiwan decreased from 2000 to 2009. Although patients with diabetes had a shorter LE than the entire population, the difference decreased over time.
背景/目的：近年来，台湾的医疗体系和糖尿病护理发生了巨大变化。本研究调查了 2000 年至 2009 年台湾糖尿病患者的死亡率趋势。
我们将国家健康保险（NHI）理赔数据库与国家死亡登记处和癌症登记处相关联，该数据库包含了台湾 99%人口的数据。如果患者在每个日历年内至少有一次住院或三次或更多次门诊就诊且有糖尿病诊断代码，则将其归类为患有糖尿病。来自合作健康信息应用中心的数据用于估计按年龄和性别划分的死亡率、全因死亡率和预期寿命（LE）。
台湾的糖尿病患者死亡率从 2000 年到 2009 年持续下降，无论是男性还是女性，所有年龄段的死亡率普遍较高；男性的死亡率高于女性（2000 年为 3.92%，3.64%；2005 年为 3.29%，3.11%；2009 年为 3.12%，2.71%，均<0.05）。与整个人群相比，糖尿病患者的 LE 更短，尽管这种差异随着时间的推移而缩小。2009 年，当糖尿病患者在 40 岁时被诊断出来时，女性因糖尿病导致的预期寿命损失为 6.1 年，男性为 5.3 年。导致死亡的四个主要原因是糖尿病、恶性肿瘤、心脏病和脑血管疾病。
台湾糖尿病患者的死亡率从 2000 年到 2009 年下降。尽管与整个人群相比，糖尿病患者的 LE 更短，但这种差异随着时间的推移而缩小。
