Schmidt Christian, Reitzle Lukas, Paprott Rebecca, Bätzing Jörg, Holstiege Jakob
Robert Koch Institute, Berlin, Department of Epidemiology and Health Monitoring.
Central Research Institute of Ambulatory Health Care in Germany (Zi).
J Health Monit. 2021 Jun 16;6(2):19-35. doi: 10.25646/8327. eCollection 2021 Jun.
As a condition, diabetes mellitus is associated with risk factors and diseases such as obesity. At the same time, cardiovascular diseases are a frequent consequence of diabetes. There have yet to be any findings on the Germany-wide prevalence of diabetes and diabetes comorbidities based on statutory health insurance data. This study estimates the documented prevalence of diabetes in 2019 on the basis of all ambulatory physicians' claims data of German statutory health insurance. In addition, the prevalence of obesity, high blood pressure, coronary heart disease, heart failure, stroke and depression is calculated for diabetes and non-diabetes patients, and the prevalence ratio (PR) is determined as a quotient. The approach used was a case-control design, which assigns a control person without diabetes to each diabetes patient who is similar in terms of age, region and sex. In diabetes patients, a PR greater than 1 was observed for all examined diseases across all age groups, thus demonstrating a higher prevalence compared to persons without diabetes. The highest PR across all age groups for women (3.8) and men (3.7) was found for obesity. In a comparison over time, documented prevalence figures of diabetes in Germany stagnate. With the exception of depression, the documented prevalences of comorbidities correspond well with the prevalences found in population-wide examination surveys.
作为一种病症，糖尿病与肥胖等风险因素和疾病相关。同时，心血管疾病是糖尿病常见的后果。基于法定医疗保险数据，目前尚未有关于德国全国糖尿病及糖尿病合并症患病率的研究结果。本研究基于德国法定医疗保险所有门诊医生的理赔数据，估算了2019年有记录的糖尿病患病率。此外，还计算了糖尿病患者和非糖尿病患者中肥胖、高血压、冠心病、心力衰竭、中风和抑郁症的患病率，并将患病率比值（PR）确定为一个商数。所采用的方法是病例对照设计，即针对每一位糖尿病患者，分配一名年龄、地区和性别与之相似的非糖尿病对照者。在糖尿病患者中，所有年龄组的所有检查疾病的PR均大于1，这表明与非糖尿病患者相比患病率更高。所有年龄组中，女性（3.8）和男性（3.7）肥胖的PR最高。在一项时间对比中，德国有记录的糖尿病患病率停滞不前。除抑郁症外，合并症的记录患病率与全人群检查调查中发现的患病率相当吻合。
