Sarfo-Kantanka Osei, Sarfo Fred Stephen, Ansah Eunice Oparebea, Kyei Ishmael
Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Komfo Anokye Teaching Hospital, Kumasi, Ghana; Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.
Int J Endocrinol. 2017;2017:5470731. doi: 10.1155/2017/5470731. Epub 2017 Feb 23.
Although an increasing burden of endocrine disorders is recorded worldwide, the greatest increase is occurring in developing countries. However, the spectrum of these disorders is not well described in most developing countries. The objective of this study was to profile the frequency of endocrine disorders and their basic demographic characteristics in an endocrine outpatient clinic in Kumasi, central Ghana. A retrospective review was conducted on endocrine disorders seen over a five-year period between January 2011 and December 2015 at the outpatient endocrine clinic of Komfo Anokye Teaching Hospital. All medical records of patients seen at the endocrine clinic were reviewed by endocrinologists and all endocrinological diagnoses were classified according to ICD-10. 3070 adults enrolled for care in the endocrine outpatient service between 2011 and 2015. This comprised 2056 females and 1014 males (female : male ratio of 2.0 : 1.0) with an overall median age of 54 (IQR, 41-64) years. The commonest primary endocrine disorders seen were diabetes, thyroid, and adrenal disorders at frequencies of 79.1%, 13.1%, and 2.2%, respectively. Type 2 diabetes and thyroid disorders represent by far the two commonest disorders seen at the endocrine clinic. The increased frequency and wide spectrum of endocrine disorders suggest the need for well-trained endocrinologists to improve the health of the population.
尽管全球范围内内分泌疾病的负担日益加重，但增长幅度最大的是发展中国家。然而，大多数发展中国家对这些疾病的种类描述并不充分。本研究的目的是分析加纳中部库马西一家内分泌门诊中内分泌疾病的发病频率及其基本人口统计学特征。对2011年1月至2015年12月这五年间在Komfo Anokye教学医院门诊内分泌科就诊的内分泌疾病进行了回顾性研究。内分泌科医生对在该内分泌科就诊患者的所有病历进行了审查，并根据国际疾病分类第十版（ICD - 10）对所有内分泌诊断进行了分类。2011年至2015年间，有3070名成年人在内分泌门诊登记接受治疗。其中包括2056名女性和1014名男性（女性∶男性比例为2.0∶1.0），总体中位年龄为54岁（四分位间距，41 - 64岁）。最常见的原发性内分泌疾病是糖尿病、甲状腺疾病和肾上腺疾病，发病率分别为79.1%、13.1%和2.2%。2型糖尿病和甲状腺疾病是内分泌门诊迄今为止最常见的两种疾病。内分泌疾病发病率的上升和种类的增多表明需要训练有素的内分泌科医生来改善人群健康状况。
