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Published in: International Journal of Diabetes in Developing Countries 2/2016

01-06-2016 | Original Article

Spatial analysis of hospitalization rate for diabetes mellitus and its complications in the Brazilian population, 2007–2011

Authors: Luciana Bertoldi Nucci, Ana Cláudia Lemos Gomes Sandrin

Published in: International Journal of Diabetes in Developing Countries | Issue 2/2016

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Abstract

This study aimed to describe the distribution of hospitalization rates for diabetes and its complications in the Brazilian population aged 30–59 years, in 2007 and 2011, correlating with geographical location and health issues related to diabetes. Hospitalization data were from the National Health System 2007 and 2011 and were plotted on geographical maps by micro-regions, comparing them to the targets set for 2011. The rate of hospitalization for stroke and the proportion of the population enrolled in the Family Health Strategy program were also assessed. There were 50,679 adult hospitalizations in 2007 and 45,694 in 2011. In 2007 and 2011, respectively, 70.6 and 68.3 % of the 558 Brazilian micro-regions did not achieve the expected target. In 2007, 25.8 % of the micro-regions were in critical condition and in 2011 26.2 %. The hospitalization rates for diabetes and its complications are above the targets proposed, indicating that more efforts should be made to control the disease in Brazil. In addition, the use of administrative database, considering the geographical location, is an effective tool in monitoring public policies that produces results quickly and at low cost.
Literature
1.
go back to reference Maitra A, Abbas AK. The endocrine system. In: Kumar V, Abbas AK, Fausto N, editors. Robbins and Cotran pathologic basis of disease. 7th ed. Philadelphia: Saunders Elsevier; 2004. p. 1207–82. Maitra A, Abbas AK. The endocrine system. In: Kumar V, Abbas AK, Fausto N, editors. Robbins and Cotran pathologic basis of disease. 7th ed. Philadelphia: Saunders Elsevier; 2004. p. 1207–82.
3.
go back to reference Corrêa PC. Smoking, hypertension and diabetes: reflections. Rev Bras Clín Ter. 2003;29(1):19–24. Corrêa PC. Smoking, hypertension and diabetes: reflections. Rev Bras Clín Ter. 2003;29(1):19–24.
4.
go back to reference Guariguata L, Whiting DR, Beagley J, Linnenkamp U, Hambleton I, Cho NH, et al. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137–49.CrossRefPubMed Guariguata L, Whiting DR, Beagley J, Linnenkamp U, Hambleton I, Cho NH, et al. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137–49.CrossRefPubMed
7.
go back to reference Narayan KM, Boyle JP, Geiss LS, et al. Impact of recent increase in incidence on future diabetes burden: U.S., 2005–2050. Diabetes Care. 2006. doi:10.2337/dc06-1136. Narayan KM, Boyle JP, Geiss LS, et al. Impact of recent increase in incidence on future diabetes burden: U.S., 2005–2050. Diabetes Care. 2006. doi:10.​2337/​dc06-1136.
8.
go back to reference Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002. doi:10.1056/NEJMoa012512.PubMed Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002. doi:10.​1056/​NEJMoa012512.PubMed
11.
13.
go back to reference Gajewska M, Gebska-Kuczerowska A, Gorynski P, et al. Analyses of hospitalization of diabetes mellitus patients in Poland by gender, age and place of residence. Ann Agric Environ Med. 2013;20(1):61–7.PubMed Gajewska M, Gebska-Kuczerowska A, Gorynski P, et al. Analyses of hospitalization of diabetes mellitus patients in Poland by gender, age and place of residence. Ann Agric Environ Med. 2013;20(1):61–7.PubMed
14.
go back to reference Wang W, McGreevey WP, Fu C, et al. Type 2 diabetes mellitus in China: a preventable economic burden. Am J Manag Care. 2009;15:593–601.PubMed Wang W, McGreevey WP, Fu C, et al. Type 2 diabetes mellitus in China: a preventable economic burden. Am J Manag Care. 2009;15:593–601.PubMed
16.
go back to reference Rosa RS, Schmidt MI, Duncan BB, et al. Hospitalization for diabetes mellitus as the first-listed diagnosis in the Brazilian National Health System (SUS), 1999–2001. Rev Bras Epidemiol. 2007. doi:10.1590/S1415-790X2007000400004. Rosa RS, Schmidt MI, Duncan BB, et al. Hospitalization for diabetes mellitus as the first-listed diagnosis in the Brazilian National Health System (SUS), 1999–2001. Rev Bras Epidemiol. 2007. doi:10.​1590/​S1415-790X200700040000​4.
18.
go back to reference Elgart JF, Asteazarán S, De La Fuente JL, Camillucci C, Brown JB, Gagliardino JJ. Direct and indirect costs associated to type 2 diabetes and its complications measured in a social security institution of Argentina. Int J Public Health. 2014. doi:10.1007/s00038-014-0604-4.PubMed Elgart JF, Asteazarán S, De La Fuente JL, Camillucci C, Brown JB, Gagliardino JJ. Direct and indirect costs associated to type 2 diabetes and its complications measured in a social security institution of Argentina. Int J Public Health. 2014. doi:10.​1007/​s00038-014-0604-4.PubMed
19.
go back to reference Ncube-Zulu T, Danckwerts MP. Comparative hospitalization cost and length of stay between patients with and without diabetes in a large tertiary hospital in Johannesburg, South Africa. Int J Diabetes Dev Ctries. 2014. doi:10.1007/s13410-013-0173-8. Ncube-Zulu T, Danckwerts MP. Comparative hospitalization cost and length of stay between patients with and without diabetes in a large tertiary hospital in Johannesburg, South Africa. Int J Diabetes Dev Ctries. 2014. doi:10.​1007/​s13410-013-0173-8.
20.
go back to reference Wang J, Imai K, Engelgau MM, et al. Secular trends in diabetes-related preventable hospitalizations in the United States, 1998–2006. Diabetes Care. 2009. doi:10.2337/dc08-2211. Wang J, Imai K, Engelgau MM, et al. Secular trends in diabetes-related preventable hospitalizations in the United States, 1998–2006. Diabetes Care. 2009. doi:10.​2337/​dc08-2211.
27.
go back to reference Assunção RM, Neves MC, Câmara G, et al. Efficient regionalization techniques for socioeconomic geographical units using minimum spanning trees. Int J Geogr Inf Sci. 2006. doi:10.1080/13658810600665111. Assunção RM, Neves MC, Câmara G, et al. Efficient regionalization techniques for socioeconomic geographical units using minimum spanning trees. Int J Geogr Inf Sci. 2006. doi:10.​1080/​1365881060066511​1.
28.
30.
go back to reference Poongothai S, Anjana RM, Pradeepa R, Ganesan A, Umapathy N, Mohan V. Prevalence of depression in relation to glucose intolerance in urban south Indians—the Chennai Urban Rural Epidemiology Study (CURES-76). Diabetes Technol Ther. 2010;12(12):989–94.CrossRefPubMed Poongothai S, Anjana RM, Pradeepa R, Ganesan A, Umapathy N, Mohan V. Prevalence of depression in relation to glucose intolerance in urban south Indians—the Chennai Urban Rural Epidemiology Study (CURES-76). Diabetes Technol Ther. 2010;12(12):989–94.CrossRefPubMed
31.
32.
go back to reference Wong MCS, Leung MCM, Tsang CSH, Lo SV, Griffiths SM. The rising tide of diabetes mellitus in a Chinese population: a population-based household survey on 121,895 persons. Int J Public Health. 2013. doi:10.1007/s00038-012-0364-y.PubMed Wong MCS, Leung MCM, Tsang CSH, Lo SV, Griffiths SM. The rising tide of diabetes mellitus in a Chinese population: a population-based household survey on 121,895 persons. Int J Public Health. 2013. doi:10.​1007/​s00038-012-0364-y.PubMed
33.
34.
go back to reference Schipf S, Werner A, Tamayo T, et al. Regional differences in the prevalence of known type 2 diabetes mellitus in 45–74 years old individuals: results from six population-based studies in Germany (DIAB-CORE Consortium). Diabet Med. 2012. doi:10.1111/j.1464-5491.2012.03578.x. Schipf S, Werner A, Tamayo T, et al. Regional differences in the prevalence of known type 2 diabetes mellitus in 45–74 years old individuals: results from six population-based studies in Germany (DIAB-CORE Consortium). Diabet Med. 2012. doi:10.​1111/​j.​1464-5491.​2012.​03578.​x.
37.
go back to reference Swami SS, Swami SC, Patil VW, Kanhere AM. Hypertension and diabetes in India: a review. Int J Clin Biochem Res. 2015;2(March):54–8. Swami SS, Swami SC, Patil VW, Kanhere AM. Hypertension and diabetes in India: a review. Int J Clin Biochem Res. 2015;2(March):54–8.
Metadata
Title
Spatial analysis of hospitalization rate for diabetes mellitus and its complications in the Brazilian population, 2007–2011
Authors
Luciana Bertoldi Nucci
Ana Cláudia Lemos Gomes Sandrin
Publication date
01-06-2016
Publisher
Springer India
Published in
International Journal of Diabetes in Developing Countries / Issue 2/2016
Print ISSN: 0973-3930
Electronic ISSN: 1998-3832
DOI
https://doi.org/10.1007/s13410-015-0421-1

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