Estimación de la incidencia y prevalencia de la diabetes mellitus tipo 1 en menores de 15 años en España

4区 医学 Q3 Nursing
Santiago Conde Barreiro , Beatriz González Pelegrín , Bárbara Quevedo Beneyto , Cristina Feja Solana , Carmen Malo Aznar , Gemma Rojo-Martínez , Edelmiro Menéndez Torre , Fernando Gómez Peralta
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Abstract

Introduction

Epidemiological studies on type 1 diabetes mellitus (DM1) have been developed in almost all the Spanish geography, but no registry currently provides national incidence and prevalence figures. This study aims to estimate the incidence of DM1 in children under 15 years of age in Spain based on the available studies, and to know the prevalence of diabetes in children under 15 years of age based from the data collected in the Primary Care Clinical Database (BDCAP).

Material and methods

Bibliographic review of publications and communications that provided data up to December 2020. Estimation of the average incidence in Spain, based on data from each autonomous community. Estimation of the prevalence of DM1 in children under 15 years of age according to BDCAP.

Results

The reported incidences varied from 7.9 cases/100,000 population per year (c/105ppy) in the Balearic Islands to 30.48 c/105ppy in Gran Canaria. Diagnosis in diabetic ketoacidosis (DKA) is found in approximately one third of cases (21-43.7%). The average incidence of DM1 in children under 15 years of age in Spain would be 20.54 c/105ppy, with about 1,398 new cases per year. BDCAP records 12,346 cases of diabetes in children under 15 years of age, with a prevalence of 1.96 cases/1,000 population.

Conclusions

There are studies of DM1 incidence in almost all Spanish communities. The incidence of DM1 in children under 15 years of age in Spain is very high according to the WHO classification (> 20 c/105ppy). The proportion of cases diagnosed with CAD is high, suggesting that programs to improve the early diagnosis of DM1 are still needed.
西班牙15岁以下1型糖尿病的发病率和患病率估计
西班牙几乎所有地区都开展了1型糖尿病(DM1)的流行病学研究,但目前没有提供全国发病率和流行率数据的登记处。本研究旨在根据现有研究估计西班牙15岁以下儿童DM1的发病率,并根据初级保健临床数据库(BDCAP)收集的数据了解15岁以下儿童糖尿病的患病率。材料和方法对截至2020年12月提供数据的出版物和通讯进行书目审查。根据每个自治区的数据估计西班牙的平均发病率。根据BDCAP估计15岁以下儿童DM1患病率。结果报告的发病率从巴利阿里群岛的7.9例/10万人/年(c/105ppy)到大加那利岛的30.48例/105ppy不等。糖尿病酮症酸中毒(DKA)的诊断在大约三分之一的病例中发现(21-43.7%)。西班牙15岁以下儿童DM1的平均发病率为20.54 c/105,每年约有1398例新病例。BDCAP记录了15岁以下儿童糖尿病病例12,346例,患病率为1.96例/1,000人。结论在几乎所有西班牙社区都有DM1发病率的研究。根据世卫组织的分类,西班牙15岁以下儿童DM1的发病率非常高(>;20 c / 105 ppy)。诊断为CAD的病例比例很高,这表明仍然需要提高DM1的早期诊断。
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来源期刊
Endocrinologia, Diabetes y Nutricion
Endocrinologia, Diabetes y Nutricion Nursing-Nutrition and Dietetics
CiteScore
2.10
自引率
0.00%
发文量
169
审稿时长
35 days
期刊介绍: Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.
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