全民健保資料於健康照護品質評估研究之應用.pptVIP

* * 結果（PART II） * * * * 健保資料申請人之學科背景（2008） * * 謝謝聆聽 敬請指教 * * * * * * * * * * * * * * Common Consequences of Diabetes Diabetic retinopathy After 15 years of diabetes, approximately 2% of people become blind, and about 10% develop severe visual impairment. Diabetic neuropathy It affects up to 50% of people with diabetes. Kidney failure 10-20% of people with diabetes die of kidney failure. * Foot ulcers / Limb amputation Heart disease and stroke 50% of people with diabetes die of cardiovascular disease (primarily heart disease and stroke). Source: WHO (2009) * * Mortality Attributable to Diabetes Worldwide: 2,380,000 － 2,680,000 Source: Roglic et al. (2005) * Facts (WHO, 2005) More than 180 million people worldwide have diabetes. This number is likely to more than double by 2030 In 2005, an estimated 1.1 million people died from diabetes * Four Key Messages about DM from WHO DIABETES is a common condition and its frequency is dramatically rising all over the world DIABETES is a life-threatening condition A full and healthy life is possible with DIABETES (clinical efforts) In many cases, DIABETES can be prevented (public health viewpoints) * N=3,051,891 2007 Source: Death Statistics DOH Taiwan (2007) * 2007 N=445,207 Source: Death Statistics DOH Taiwan (2007) * Source: Death Statistics DOH Taiwan (2007) * Source: Death Statistics DOH Taiwan (2007) * Source: Death Statistics DOH Taiwan (2007) 糖尿病病人截肢、 周邊血管重建術、 及骨折住院之風險 * * * Study Objectives To estimate the cumulative incidence and relative hazards of non-traumatic LEA and PRP according to various age and sex stratifications. * Diabetes Cohort Diabetic ambulatory care (National Health Insurance Datasets) in 1997 n=763,138 Excluding 256,922 patients Not coming to clinic visits after their first appearance Whose first and last outpatient visits were equal to or less than 30 days apart N=500,868 * Non-DM Cohort Follow-up Age-sex-matched sample randomly selected from all beneficiaries in 1997 N