[Analysis of type 2 diabetes-induced late effects based on administrative data of social insurance in Austria and implications for the evaluation of the DMP diabetes mellitus]

Wien Med Wochenschr. 2014 Aug;164(15-16):313-9. doi: 10.1007/s10354-014-0291-z. Epub 2014 Jul 29.
[Article in German]

Abstract

The present study analyses administrative data of medical services related to the distribution of diabetes mellitus type 2-induced late effects. Pseudonymous statutory health insurance data of all Austrian social security institutions for the years 2006/2007 in outpatient and inpatient (performance and diagnostic data) setting were used. Type 2 diabetics have been identified by prescribed medication. The specific late effects were defined as endpoints and the respective diagnoses and health performances were extracted. The study population included 7,945,774 insured. The percentage of the defined late effects was significantly higher in diabetics than in persons from the general population, with exception for kidney transplantation. The risk of a late effect was greatest among diabetics for an amputation. The results of this study can be used as a baseline for the evaluation of DMP diabetes. The administrative data used are limited for answering the defined research questions. Anyway, the data quality must be improved and unified in Austria.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Amputation, Surgical
  • Austria
  • Cross-Sectional Studies
  • Diabetes Complications / diagnosis
  • Diabetes Complications / epidemiology*
  • Diabetes Complications / therapy
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / therapy
  • Disease Management*
  • Female
  • Humans
  • Kidney Transplantation
  • Male
  • Middle Aged
  • Myocardial Infarction / epidemiology
  • National Health Programs*
  • Renal Dialysis
  • Stroke / epidemiology