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Incidence Rate of Prediabetes: An Analysis of New Zealand Primary Care Data

机译:预先抛售的发病率:新西兰初级保健数据分析

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Introduction: Diabetes is a common disease affecting 9% of the adult population worldwide. People with impaired glucose tolerance ('prediabetes') are at high risk of progressing to type 2 diabetes. Methods: To understand prediabetes incidence rate, we analysed the electronic medical records (EMR) from 14 New Zealand general practices regarding patients aged >20 years and enrolled with the practices between 2009 and 2012. Prediabetes incidence rate was calculated by the number of patients with an initial HbA1c of 41-49 mmol/mol in 2011 among those who had not been diagnosed or treated for diabetes. Results: 28,192 adults were included in the analysis, 11% of this cohort had diabetes before 2011. 1,276 new cases of prediabetes were identified in 2011, giving a 5.0% incidence rate. The relative risk (RR) for prediabetes was increased for the Maori and Pacific groups versus non-Maori/non-Pacific people, with RR of 1.97 in the younger age groups (<50 years) and RR of 1.42 in the 50+ group. The RR for having uncontrolled HbAlc (highest HbAlc in 2011 >65 mmol/mol) among the whole adult population was also increased for the Maori and Pacific groups versus non-Maori/non-Pacific people (RR = 3.35 among those <50 years, RR = 4.35 in the 50+ group). Discussion and Conclusion: EMR analysis identified an alarming incidence rate of prediabetes, especially among Maori and Pacific groups, highlighting the need to better prevent and manage the condition.
机译:介绍:糖尿病是一种常见的疾病,影响全世界9%的成年人口。葡萄糖耐量受损的人('Pregiabetes')患2型糖尿病的风险很高。方法:要了解Prediapetes发病率,我们分析了从14名新西兰的电子医疗记录(EMR)关于20年的患者,2009年和2012年期间的练习。Prediapetes发病率由患者的数量计算2011年初始HBA1C为41-49 mmol / mol,患有糖尿病或治疗的人。结果:28,192名成人纳入分析中,11%的队列在2011年之前患有糖尿病。2011年1,276件新的预先征用患者,发病率为5.0%。毛利人和太平洋集团与非毛利人/非太平洋人民的相对风险(RR)增加了毛利人和非太平洋人群,在年龄较小的年龄段(<50年)和50岁集团中为1.42的RR,RR为1.97。对于在毛利和太平洋集团与非毛利/非太平洋人群(RR = 3.35中)而言,在整个成年人口中具有不受控制的HBALC(2011年的最高HBALC / MMOL / Mol)的RR也增加了整个成年人口中,而不是那些<50年来的RR = 3.35, RR = 4.35在50多个组中)。讨论和结论:EMR分析确定了预先抛售的令人惊叹的发泄率,特别是毛利和太平洋集团,突出了更好地预防和管理条件的需要。

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