Towards a subsiding diabetes epidemic: trends from a large population-based study in Israel

This study analyzed trends in mortality and screening that contribute to diabetes prevalence and incidence, distinguishing between new incident cases and newly detected cases. Methods: In an integrated provider-and-payer-system covering 53% of Israel?s population, a composite diabetes case-finding algorithm was built using diagnoses, lab tests, and antidiabetic medication purchases from the organization?s electronic medical record database. Data were extracted on adult members aged 26+ each year from January 1, 2004 through December 31, 2012. Rates of diabetes prevalence, incidence, screening, and mortality were reported, with incidence rates evaluated among the total, ?previously-screened,? and ?previously-unscreened? at-risk populations. Results: There were 343,554 diabetes cases in 2012 (14.4%) out of 2,379,712 members aged 26+. A consistent but decelerating upward trend in diabetes prevalence was observed from 2004?2012. Annual mortality rates among diabetics decreased from 13.8/1000 to 10.7/1000 (p?=?0.0002). Total population incidence rates declined from 13.3/1000 in 2006 to 10.8/1000 in 2012 (p?
Source: Population Health Metrics - Category: Epidemiology Authors: Source Type: research