Viskum Elizabeth Sejr, Pedersen Michael Lynge
Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Queen Ingrid Primary Health Care Center, Nuuk, Greenland.
Queen Ingrid Primary Health Care Center, Nuuk, Greenland; Greenland Center of Health Research Greenland, Institute of Nursing and Health Science, University of Greenland, Nuuk, Greenland.
Diabetes Res Clin Pract. 2016 Nov;121:91-98. doi: 10.1016/j.diabres.2016.09.006. Epub 2016 Sep 21.
To estimate the actual prevalence of diagnosed diabetes in Greenland as at 2014, and to evaluate the quality of diabetes care among Greenlanders and non-Greenlanders in Greenland, six years after a national diabetes program was initiated.
The study was designed as an observational cross-sectional study based on review of data obtained from the electronic medical record (EMR) in Greenland. All permanent residents of Greenland who as at October 2014 were registered with the diagnosis diabetes in the EMR (n=1071) were included in the study. The prevalence was calculated using the population in Greenland as at first of June 2014 as background population. Quality of diabetes care was determined using indicators proposed by the Organization for Economic Cooperation and Development.
The prevalence among Greenlanders aged 20-79years was 2.36% (95% CI 2.19-2.52) and significantly lower than the prevalence among non-Greenlanders in the same age group, which was 3.69% (95% CI 2.18-4.20). More Greenlanders than non-Greenlanders had glycosylated haemoglobin below 7.0% (53mmol/mol), blood pressure below 140/90mmHg and their blood pressure measured within the last year. No other differences in quality of diabetes care were observed between the groups.
A higher prevalence of diagnosed diabetes was observed among non-Greenlanders compared to Greenlanders, while no major differences were observed in quality of care between the two groups. The overall prevalence of diagnosed diabetes has increased compared to earlier studies. Continued monitoring of prevalence and quality of care is recommended.
估算截至2014年格陵兰岛确诊糖尿病的实际患病率，并在一项全国性糖尿病项目启动六年后，评估格陵兰岛格陵兰人和非格陵兰人的糖尿病护理质量。
本研究设计为一项观察性横断面研究，基于对从格陵兰岛电子病历（EMR）获取的数据进行回顾。纳入了所有在2014年10月时在EMR中登记有糖尿病诊断的格陵兰岛永久居民（n = 1071）。患病率以2014年6月1日格陵兰岛的人口作为背景人口来计算。糖尿病护理质量使用经济合作与发展组织提出的指标来确定。
20 - 79岁格陵兰人的患病率为2.36%（95%置信区间2.19 - 2.52），显著低于同一年龄组非格陵兰人的患病率，后者为3.69%（95%置信区间2.18 - 4.20）。糖化血红蛋白低于7.0%（53mmol/mol）、血压低于140/90mmHg且在过去一年中测量过血压的格陵兰人比非格陵兰人更多。两组之间在糖尿病护理质量方面未观察到其他差异。
与格陵兰人相比，非格陵兰人确诊糖尿病的患病率更高，而两组在护理质量方面未观察到重大差异。与早期研究相比，确诊糖尿病的总体患病率有所上升。建议持续监测患病率和护理质量。
