用II型糖尿病发病率和死亡率用于保险的应用
Jack C Yue1, Hsin-Chung Wang2, Ting-Chung Chang3
1Department of Statistics, National Chengchi University, Taipei, Taiwan, Republic of China.
PloS one
|September 25, 2024
概括
糖尿病是一个日益关注的问题,影响全球的死亡率和医疗保健成本. 这项研究发现,持续使用糖尿病药物显著降低了糖尿病患者的死亡风险.
科学领域:
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
- 流行病学 流行病学
背景情况:
- 人口老龄化推动了对糖尿病等慢性疾病的医疗支出增加.
- 糖尿病是一种普遍的并发症,导致死亡率上升和经济负担显著.
- 很大一部分成年人仍未被诊断出来,这凸显了公共卫生意识的差距.
研究的目的:
- 分析糖尿病趋势及其对台湾死亡率的影响.
- 应用先进的死亡模型来预测糖尿病发病率和死亡率.
- 为设计与糖尿病相关的保险产品和风险管理策略提供信息.
主要方法:
- 利用台湾国家保险数据进行全面分析.
- 采用了李-卡特和年龄周期队列死亡率模型.
- 研究了药物坚持和诊断标准对结果的影响.
主要成果:
- 李-卡特模型在估计糖尿病死亡率方面表现出令人满意的准确性.
- 糖尿病患者持续使用药物显示死亡率降低.
- 分析考虑了不同的诊断标准和保险设计中的潜在道德风险.
结论:
- 糖尿病管理,特别是药物坚持,对于减轻死亡率至关重要.
- 死亡率建模为公共卫生政策和保险产品开发提供了宝贵的见解.
- 解决诊断模两可和道德风险对于有效的糖尿病保险策略至关重要.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.2K
Diabetes Mellitus: Overview and Type I Subtype
2.5K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.5K
Diabetes: Symptoms, Diagnosis, and Complications
516
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
516
Insulin: Dosing Regimen and Adverse Effects
156
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
156
Carbohydrate Metabolism
10.9K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.9K
Pathophysiology of Diabetes
900
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
900


