Epidemiology of type 1 diabetes in Polish children: A multicentre cohort study

Mieczysław Szalecki1,2, Marta Wysocka-Mincewicz1, Anna Ramotowska3

  • 1Department of Endocrinology and Diabetology, Children's Memorial Health Institute, Warsaw, Poland.

Insights

Childhood type 1 diabetes (T1D) incidence rose by 50% in eastern and central Poland between 2010-2014. Urban children had higher T1D rates than rural children, with the largest increase observed in 10-14 year olds.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Epidemiology

Background:

  • Childhood type 1 diabetes (T1D) incidence varies globally.
  • Accurate incidence data are crucial for healthcare resource planning.
  • This study focused on T1D incidence in Polish children.

Purpose of the Study:

  • To assess the incidence of type 1 diabetes (T1D) in the pediatric population of eastern and central Poland.
  • To identify trends and demographic variations in T1D incidence.
  • To provide data for public health and resource allocation.

Main Methods:

  • A cohort study design was employed.
  • Data were collected from January 2010 to December 2014.
  • Included children and adolescents under 18 with newly diagnosed T1D in eastern and central Poland (n=2174).

Main Results:

  • Overall annual T1D incidence increased from 12.84/100,000 in 2010 to 18.46/100,000 in 2014 (1.5-fold increase).
  • The incidence rate (IR) increased by 12.7% annually, with the lowest rise (7.1%) in 15-17 year olds.
  • Urban incidence rates were significantly higher than rural rates (P < .02).

Conclusions:

  • Childhood T1D incidence in eastern and central Poland increased 1.5-fold over five years.
  • The highest incidence rise was observed in 10-14 year olds.
  • Urban children exhibited significantly higher T1D rates compared to rural children.
Abstract

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