Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow.
National Institute of Public Health - National Institute of Hygiene, Warsaw.
Diabet Med. 2019 Oct;36(10):1209-1216. doi: 10.1111/dme.13949. Epub 2019 Apr 24.
To assess the number of people with diabetes in Poland using combined national sources and to evaluate the usefulness of data from an insurance system for epidemiological purposes.
The data were collected from four sources: 1) 2013 all-billing records of the national insurance system comprising people of all age groups undergoing procedures or receiving services in primary healthcare, specialist practices and hospitals and also those receiving drugs; 2) an epidemiological study, NATPOL, that involved the assessment of people with undiagnosed diabetes; 3) the RECEPTOmetr Sequence study on prescriptions; and 4) regional child diabetes registries.
In 2013, 1.76 million people (0.98 million women and 0.79 million men) had medical consultations (coded E10-E14) and 2.13 million people (1.19 million women and 0.94 million men) purchased drugs or strip tests for diabetes. A total of 0.04 million people who used medical services did not buy drugs. In total, the number of people with diabetes in the insurance system was 2.16 million (1.21 million women and 0.95 million men), which corresponds to 6.1% (95% CI 6.11-6.14) of women and 5.1% (95% CI 5.12-5.14) of men. Including undiagnosed cases, the total number of people with diabetes in Poland was 2.68 million in 2013.
The estimated prevalence of diabetes (diagnosed and undiagnosed cases) in Poland is 6.97%. Data from the national insurance system with full coverage of the population can be treated as a reliable source of information on diseases with well-defined diagnosis and treatment methods, combined with an assessment of the number of undiagnosed individuals.
利用国家综合资源评估波兰的糖尿病患者人数，并评估医疗保险系统数据在流行病学中的应用价值。
从以下四个来源收集数据：1）2013 年国家保险系统的所有计费记录，包括在初级保健、专科诊所和医院接受治疗或服务的所有年龄段人群，以及接受药物治疗的人群；2）一项涉及未确诊糖尿病患者评估的流行病学研究 NATPOL；3）处方的 RECEPTOmetr Sequence 研究；4）区域儿童糖尿病登记处。
2013 年，有 176 万人（98 万女性和 79 万男性）进行了医疗咨询（编码 E10-E14），213 万人（119 万女性和 94 万男性）购买了治疗糖尿病的药物或测试条。共有 4 万人（0.04%）虽使用了医疗服务但未购买药物。在医疗保险系统中，共有 216 万人（121 万女性和 95 万男性）被诊断患有糖尿病，这相当于女性的 6.1%（95%CI 6.11-6.14）和男性的 5.1%（95%CI 5.12-5.14）。包括未确诊病例在内，2013 年波兰的糖尿病患者总数为 268 万人。
波兰糖尿病（确诊和未确诊病例）的估计患病率为 6.97%。具有全民覆盖的国家医疗保险系统数据，结合对未确诊个体数量的评估，可以作为具有明确诊断和治疗方法的疾病的可靠信息来源。
