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在美国退伍军人中糖尿病病的流行病学

Kibum Kim^1,2,3, Jacob Crook^3,4, Chao-Chin Lu³

¹Department of Pharmacy Systems, Outcomes and Policy, University of Illinois Chicago, Chicago, IL, USA.

Diabetes, metabolic syndrome and obesity : targets and therapy

|April 15, 2024

概括

糖尿病病 (DKD) 影响超过50万美国退伍军人,超过50%的退伍军人在五年内经历疾病进展或死亡. 这凸显了迫切需要改进在这一群体中的DKD识别和管理策略.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
内分泌学在内分泌学.
公共卫生公共卫生

背景情况:

糖尿病病 (DKD) 在美国是一个重大的健康负担,其特点是患者数量和死亡率高.
尽管糖尿病是慢性病的主要原因,但在美国退伍军人人口中,DKD的流行病学仍然基本上没有特征.

研究的目的:

为了估计美国退伍军人的DKD进展率.
确定美国退伍军人人口中DKD的一般流行病学.

主要方法:

使用退伍军人卫生管理局 (2016-2022) 电子健康记录和行政数据库进行的回顾性观察研究.
基于符合病:改善全球结果 (KDIGO) 准则的实验室数据进行DKD患者鉴定.
分析包括五年累计发病率的高级DKD或所有原因的死亡和在不同时间点的流行率.

主要成果:

该队列包括685,288名退伍军人 (96%是男性,平均年龄62岁).
五年累计发病率的高级DKD或死亡范围从47.4%到60.9%在不同的DKD阶段.
2021年,594,082名患者被归类为中度或高风险,G3a和G3b阶段分别占病例的51.2%和25.3%.

结论:

超过一半的DKD患者在五年内经历了疾病进展或死亡.
显著数量的早期DKD患者可能未被诊断或未得到充分治疗.
研究结果表明,需要对美国退伍军人的DKD患者识别和管理协议进行修订.

关键词:

美国退伍军人退伍军人.糖尿病病糖尿病病患病率的流行情况.

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