Diabetes-related kidney, eye, and foot disease in Taiwan: An analysis of the nationwide data for 2000-2009
Journal
Journal of the Formosan Medical Association
Journal Volume
111
Journal Issue
11
Pages
637-644
Date Issued
2012
Author(s)
Huang Y.-Y.
Lin K.-D.
Chung C.-H.
Ho L.-T.
Shin S.-J.
Abstract
Background/Purpose: Diabetes is one of the leading causes of dialysis, blindness, and amputation worldwide. However, the prevalence of diabetes-related kidney, eye, and foot diseases has not been investigated in national surveys. Methods: In this study, we reviewed data sets of the National Health Insurance claims for the years 2000-2009. In 2009, the total population of Taiwan was 23 million. We de-identified the data and then analyzed them on inpatients and outpatients with diabetes mellitus, kidney diseases, eye diseases, peripheral vascular diseases (PVDs), and diabetic foot according to the International Classification of Diseases, 9th Revision with Clinical Modification diagnosis codes. Results: The prevalence of diabetic nephropathy increased from 13.32% in 2000 to 15.42% in 2009. The corresponding diabetes dialysis rate increased from 1.5% to 2.46% during the same period (p < 0.001). The prevalence rates of retinopathy and PVD also increased (from 6.17% to 8.91%; p = 0.002 and from 1.87 to 2.47; p < 0.001, respectively). More than 94% of the patients treated for diabetic foot in the hospital had an associated foot infection. The prevalence of in-hospital diabetic foot decreased from 1.68% to 1.02% during the years 2000-2009 (p < 0.001), while the rates of lower extremity amputation as the treatment outcome did not show improvement (mean amputation rate: 28.35%). Conclusion: During the years 2000-2009, patients with diabetes in Taiwan had an increased risk for kidney, eye, and PVDs. Multidisciplinary teams need to be set up for the treatment of complications related to diabetic foot, and preventions programs that are specifically designed to target these complications should now be made mandatory. ? 2012.
SDGs
Other Subjects
age distribution; article; blindness; chronic kidney failure; diabetes mellitus; diabetic foot; diabetic nephropathy; diabetic retinopathy; dialysis; disease association; disease predisposition; foot amputation; gangrene; health insurance; hospital patient; human; kidney failure; leg amputation; outcome assessment; outpatient; peripheral vascular disease; prevalence; risk assessment; sex ratio; Taiwan; visual impairment; Adult; Aged; Diabetic Foot; Diabetic Nephropathies; Diabetic Retinopathy; Female; Humans; Male; Middle Aged; Prevalence; Registries; Retrospective Studies; Risk Factors; Taiwan
Type
journal article