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2023-06-14Zeitschriftenartikel
Incidence, prevalence and care of type 1 diabetes in children and adolescents in Germany: Time trends and regional socioeconomic situation
dc.contributor.authorBuchmann, Maike
dc.contributor.authorTuncer, Oktay
dc.contributor.authorAuzanneau, Marie
dc.contributor.authorEckert, Alexander J.
dc.contributor.authorRosenbauer, Joachim
dc.contributor.authorReitzle, Lukas
dc.contributor.authorHeidemann, Christin
dc.contributor.authorHoll, Reinhard W.
dc.contributor.authorThamm, Roma
dc.date.accessioned2023-06-14T14:01:30Z
dc.date.available2023-06-14T14:01:30Z
dc.date.issued2023-06-14none
dc.identifier.urihttp://edoc.rki.de/176904/11133
dc.description.abstractBackground: Trends over time and possible socio-spatial inequalities in the incidence and care of type 1 diabetes mellitus (T1D) in children and adolescents are important parameters for the planning of target-specific treatment structures. Methodology: The incidence and prevalence of type 1 diabetes, diabetic ketoacidosis and severe hypoglycaemia as well as the HbA1c value are presented for under 18-year-olds based on data from the nationwide Diabetes Prospective Follow-up Registry (DPV) and the diabetes registry of North Rhine-Westphalia. Indicators were mapped by sex over time between 2014 and 2020, and stratified by sex, age and regional socioeconomic deprivation for 2020. Results: In 2020, the incidence was 29.2 per 100,000 person-years and the prevalence was 235.5 per 100,000 persons, with the figures being higher in boys than in girls in either case. The median HbA1c value was 7.5%. Ketoacidosis manifested in 3.4% of treated children and adolescents, significantly more often in regions with very high (4.5%) deprivation than in regions with very low deprivation (2.4%). The proportion of severe hypoglycaemia cases was 3.0%. Between 2014 and 2020, the incidence, prevalence and HbA1c levels changed little, while the proportions of ketoacidosis and severe hypoglycaemia decreased. Conclusions: The decrease in acute complications indicates that type 1 diabetes care has improved. Similar to previous studies, the results suggest an inequality in care by regional socioeconomic situation.ger
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectType-1-Diabeteseng
dc.subjectCareeng
dc.subjectComplicationseng
dc.subjectDiabetes Surveillanceeng
dc.subjectHealth Monitoringeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleIncidence, prevalence and care of type 1 diabetes in children and adolescents in Germany: Time trends and regional socioeconomic situationnone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/11133-2
local.edoc.container-titleJournal of Health Monitoringnone
local.edoc.pages22none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-issue2none
local.edoc.container-firstpage57none
local.edoc.container-lastpage78none

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