Von Ferber L, Salzsieder E, Hauner H, Thoelke H, Köster I, Jutzi E, Michaelis D, Fischer U
Research Center for Primary Health Care of the Heinrich Heine University, Düsseldorf, Germany.
Diabete Metab. 1993;19(1 Pt 2):89-95.
At present in Germany, data on the prevalence of diabetes can only be obtained by modelling health insurance data. The National Diabetes Register of the former (East) German Democratic Republic which, between 1960 and 1990, monitored approximately 98% of all diabetic subjects, provides a tool for evaluating epidemiological estimates from other data sources. Therefore, the following data bases were compared for the year 1988: (1) a 5% random-sample (n = 6478) of all subjects insured at a local statutory health insurance company in the city of Dormund; (2) related data from the population-based diabetes register of former East-Berlin and (3) of the former German Democratic Republic. All data were standardized by sex and age according to the 1988 population statistics of the Federal Republic of (West) Germany thus resulting in the apparent diabetes prevalence of the Western part of Germany at that time.
total prevalence rates were (1) 4.8%, (2) 4.9%, and (3) 4.4% (p < 0.05). The percentages of insulin-treated patients were (1) 18%, (2) 19%, and (3) 16%, respectively. 54% (1), 37% (p < 0.05) (2), and 42% (p < 0.05) (3), of the patients received oral antidiabetic drugs. It is concluded that the three samples are comparable and that the diabetes prevalence rates as estimated from health insurance data and from the two population-based registers give corresponding conclusions. Sample-based health insurance data may provide a useful and reliable tool for epidemiological studies on diabetes mellitus.
目前在德国，糖尿病患病率的数据只能通过对健康保险数据进行建模来获取。前（东）德意志民主共和国的国家糖尿病登记处，在1960年至1990年期间监测了约98%的糖尿病患者，为评估其他数据源的流行病学估计提供了一个工具。因此，对1988年的以下数据库进行了比较：（1）多特蒙德市一家地方法定健康保险公司所有参保人员的5%随机样本（n = 6478）；（2）来自前东柏林基于人群的糖尿病登记处的相关数据；（3）前德意志民主共和国的相关数据。所有数据均根据（西）德联邦共和国1988年的人口统计数据按性别和年龄进行了标准化，从而得出当时德国西部明显的糖尿病患病率。
总体患病率分别为（1）4.8%、（2）4.9%和（3）4.4%（p < 0.05）。接受胰岛素治疗患者的百分比分别为（1）18%、（2）19%和（3）16%。接受口服降糖药治疗的患者比例分别为（1）54%、（2）37%（p < 0.05）和（3）42%（p < 0.05）。结论是这三个样本具有可比性，并且根据健康保险数据和两个基于人群的登记处估计的糖尿病患病率得出了相应的结论。基于样本的健康保险数据可能为糖尿病流行病学研究提供一个有用且可靠的工具。
