Ministry of Health, Ankara, Turkey; Department of Biostatistics and Medical Informatics, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
Department of Biostatistics and Medical Informatics, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
Turk J Med Sci. 2023 Feb;53(1):316-322. doi: 10.55730/1300-0144.5587. Epub 2023 Feb 22.
It was estimated that there were 537 million people with diabetes mellitus in 2021, representing 10.5% of the global adult population. Diabetes prevalence in Turkey is 13.5%, according to a meta-analysis and 17.3% according to a recent study. Although the primary purpose of Electronic Health Records (EHRs) is clinical, researchers can use them to conduct epidemiologic investigations. This study aims to document the prevalence of diabetes and to evaluate the healthcare utilization of people with diabetes compared to the people without diabetes, based on national EHR.
Only people over 14 years old were included in the analysis. Our criteria for being diabetic were 1) having an HbA1c over 6.5% (48 mmol/mol), 2) having a prescription with DM diagnosis, ICD-10 codes E10-E14, or 3) having at least two fasting blood glucose measurements over 126 mg/dl.
At the end of 2020, there were 7,178,674 individuals with diabetes, with 11.12% prevalence, 13.10% in women while 9.12% in men. Age-adjusted healthcare facility admission per capita was 15.5 for people with diabetes, 9.5 for people without diabetes, while the number of prescriptions was 7.9 for people with diabetes while 4.5 for people without diabetes in 2019. The mean number of prescriptions containing antidiabetics was 2.88 per person with diabetes in 2019.
Approximately 11% of Turkish people have diagnosed with diabetes. We estimate that about one-third of people with diabetes are undiagnosed and the majority of these people are men. The results show that such large databases have the capability of supplying a vast amount of information to the scientific community.
据估计，2021 年全球有 5.37 亿糖尿病患者，占全球成年人口的 10.5%。一项荟萃分析显示，土耳其的糖尿病患病率为 13.5%，而最近的一项研究则为 17.3%。尽管电子健康记录（EHR）的主要目的是临床，但研究人员可以使用它们来进行流行病学调查。本研究旨在根据国家 EHR 记录糖尿病的患病率，并评估糖尿病患者与非糖尿病患者的医疗保健利用情况。
仅纳入年龄大于 14 岁的人群进行分析。我们将糖尿病的诊断标准定义为 1）HbA1c 大于 6.5%（48mmol/mol），2）有糖尿病诊断的处方、ICD-10 编码 E10-E14，或 3）至少有两次空腹血糖测量值大于 126mg/dl。
截至 2020 年底，有 7178674 人患有糖尿病，患病率为 11.12%，女性为 13.10%，男性为 9.12%。糖尿病患者人均医疗卫生机构入院次数为 15.5，非糖尿病患者为 9.5，2019 年糖尿病患者的处方数为 7.9，而非糖尿病患者为 4.5。2019 年，每位糖尿病患者平均使用的降血糖药物处方数为 2.88。
大约 11%的土耳其人患有糖尿病。我们估计，大约三分之一的糖尿病患者未被诊断，而且大多数未被诊断的患者为男性。结果表明，此类大型数据库有能力为科学界提供大量信息。
