Patterns in the prevalence of diabetes and incidence of diabetic complications in people with and without an intellectual disability in Dutch primary care: Insights from a population-based data-linkage study
| Autor: | Geraline L Leusink, Mathilde Mastebroek, Katrien P.M. Pouls, Esther J Bakker-van Gijssel, Jenneken Naaldenberg, Maarten Cuypers, Martijn Leijssen |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Younger age Endocrinology Diabetes and Metabolism Population 030209 endocrinology & metabolism Primary care Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Diabetes Complications 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine Diabetes mellitus Intellectual Disability Epidemiology Intellectual disability Internal Medicine medicine Diabetes Mellitus Prevalence Humans 030212 general & internal medicine Registries education education.field_of_study Nutrition and Dietetics Primary Health Care business.industry Incidence (epidemiology) Incidence medicine.disease Population based data Female Family Practice business |
| Zdroj: | Primary Care Diabetes, 15, 372-377 Primary Care Diabetes, 15, 2, pp. 372-377 |
| ISSN: | 1878-0210 1751-9918 |
| Popis: | Aims To conduct an epidemiological analysis of patterns observed in diabetes care provided to individuals with and without intellectual disabilities (ID) in primary care settings. Methods An ID-cohort (N = 21,203) was compared with a control group of similar age and sex from the general Dutch population (N = 267,628). Distinctive data for diabetes (both type 1 and type 2) and related complications were retrieved from national databases. Results The prevalence of diabetes was higher in people with ID than in the general population (9.9% versus 6.6%). Largest differences were seen in younger age groups. Women with ID had diabetes more often than men with ID. Complications were less common in people with ID than in the general population (IR 58.6 vs. 70.4). In particular, cardiological complications were noted less, while surgical interventions and hospitalization occurred more often. Conclusions Although diabetes was 1.5 times more prevalent in people with ID than in other people, related complications were less common, followed different patterns and were more severe than in the general population. Future research is needed to understand of the underlying causal mechanisms and to lower the risk of severe diabetic complications among people with ID. |
| Databáze: | OpenAIRE |
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