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Prevalence of Chronic Diabetic Complications in Patients with Type 2 Diabetes Mellitus: A Retrospective Study Based on the National Health Insurance Service-National Health Screening Cohort in Korea, 2002~2015
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제2형 당뇨병 환자의 당뇨병성 만성합병증 유병률과 발생 추이: 2002~2015년 국민건강보험공단 건강검진 자료를 이용한 후향적 코호트 연구

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Type
Academic journal
Author
Lee, Haejung (부산대학교) Lee, Misoon (영산대학교) Park, Gaeun (부산대학교) Khang, Ah Reum (양산부산대학교병원)
Journal
Korean Society of Adult Nursing Korean Journal of Adult Nursing Vol.34 No.1 KCI Candidated Journals SCOPUS
Published
2022.2
Pages
39 - 50 (12page)

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Prevalence of Chronic Diabetic Complications in Patients with Type 2 Diabetes Mellitus: A Retrospective Study Based on the National Health Insurance Service-National Health Screening Cohort in Korea, 2002~2015
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Purpose: This study aimed to identify the prevalence of chronic diabetic complications in patients with type 2 diabetes mellitus. Methods: Data for adults aged over 30 years, who were diagnosed with type 2 diabetes mellitus and who had at least one claim for the prescription of antidiabetic medication were extracted from the National Health Insurance Service-National Health Screening Cohort in Korea from 2002 to 2015. Statistical analyses were performed using R version 3.5.1. Results: In total, 1,407 patients with type 2 diabetes mellitus without complications were extracted from the database. Patients were observed for an average of 10.43 years. The prevalence of chronic diabetic complications was 84.7% and was significantly higher for patients who were older women, who lived in the capital, and had diabetes mellitus for a longer time. The prevalence of eye disease was the highest at 42.4%, and cerebrovascular disease was the lowest at 15.1%. Cardiovascular disease, peripheral vascular disease, neuropathy, and foot ulcers often occurred between two and four years, and eye disease and nephropathy often occurred over eight years after the diagnosis of diabetes. Prior to the occurrence of nephropathy, microvascular complications such as neuropathy, peripheral vascular disease, and eye disease occurred. Conclusion: These findings provide compelling evidence of the prevalence of chronic diabetic complications based on a national database. Since a high incidence of diabetic complications occurs within a short period of time after the diagnosis of diabetes, aggressive interventions are required to prevent diabetic complications in the early stages after diagnosis.
#Incidence #Prevalence #Diabetes complications #Diabetes mellitus, Type 2 #Retrospective studies #발생건수 #유병률 #당뇨 합병증 #제2형 당뇨 #후향연구

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REFERENCES

References (28)

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International Diabetes Federation / Advocacy guide to the IDF diabetes Atlas ninth edition 2019 google schola Korean Diabetes Association / Diabetes fact sheet in Korea 2020 google schola Haruhisa Fukuda / 2017 / Impact of nonadherence on complication risks and healthcare costs in patients newly-diagnosed with diabetes / Diabetes Research and Clinical Practice 123:55~62 Crossref Rula Ghandour / 2018 / Complications of type 2 diabetes mellitus in Ramallah and al-Bireh: The Palestinian Diabetes Complications and Control Study (PDCCS) / Primary Care Diabetes 12(6):547~557 Crossref World Health Organization / Global report on diabetes google schola

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