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Clinical burden of diabetes in Italy in 2018: A look at a systemic disease from the ARNO Diabetes Observatory
- Source :
- BMJ Open Diabetes Research & Care, Vol 8, Iss 1 (2020), BMJ Open Diabetes Research & Care
- Publication Year :
- 2020
- Publisher :
- BMJ Publishing Group, 2020.
-
Abstract
- IntroductionDiabetes is a highly prevalent disease worldwide and represents a challenge for patients and healthcare systems. This population-based study evaluated diabetes burden in Italy in 2018 by assessing all aspects of outpatient and hospital care.Research design and methodsWe investigated data of 11 300 750 residents in local health districts contributing to ARNO Diabetes Observatory (~20% of Italian inhabitants). All administrative healthcare claims were analyzed to gather information on access to medical resources. Subjects with diabetes, identified by antihyperglycemic drug prescriptions, disease-specific copayment exemption and hospital discharge codes, were compared with age, sex and residency-matched non-diabetic individuals.ResultsWe identified 697 208 subjects with ascertained diabetes, yielding a prevalence of 6.2% (6.5% in men vs 5.9% in women, p2-fold higher in subjects with diabetes, mainly driven by hospitalizations and outpatient care related to chronic complications rather than to glucose-lowering drugs, diabetes-specific devices, or metabolic monitoring.ConclusionsThe burden of diabetes in Italy is particularly heavy and, as a systemic disease, it includes all aspects of clinical medicine, with consequent high expenses in all areas of healthcare.
- Subjects :
- Research design
Male
medicine.medical_specialty
Endocrinology, Diabetes and Metabolism
Population
Disease
health care and epidemiology
Diseases of the endocrine glands. Clinical endocrinology
Ambulatory care
administrative data
Diabetes mellitus
Health care
medicine
Diabetes Mellitus
Humans
Hypoglycemic Agents
Medical prescription
Epidemiology/Health Services Research
education
Copayment
education.field_of_study
business.industry
Health Care Costs
hospitalization
resource use
medicine.disease
RC648-665
Italy
Family medicine
Female
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- BMJ Open Diabetes Research & Care, Vol 8, Iss 1 (2020), BMJ Open Diabetes Research & Care
- Accession number :
- edsair.doi.dedup.....184afd8b059f83d55f3714dac111ded6