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IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES

Value in health regional issues Pub Date : 2025-03-14 DOI:10.1016/j.vhri.2025.101100

Pablo Chaparro-Narváez MD, PhD , Diana Díaz-Jiménez BSHA, MSc , Nelson J. Alvis-Zakzuk BEcon, MSc , Carlos Castañeda-Orjuela MD, MSc, PhD

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摘要

目标准确估算生命损失年数（YLLs）对于评估糖尿病（DM）的管理和了解该疾病对社会造成的负担十分必要。我们的目的是通过估算 1979 年至 2017 年间哥伦比亚糖尿病患者的寿命损失年数，量化糖尿病对死亡率的影响。方法利用哥伦比亚国家统计局的死亡率数据开展了一项生态研究。使用连接点回归法估算了因 DM 导致的年死亡率以及按性别和年龄组分列的年死亡率趋势。结果1979年至2017年间，登记的死亡人数为200 650人，基本死因为糖尿病。在69岁以下的男性和女性中，可以观察到年龄越大，永利国际的比例越高。1979年至2000年至2001年期间，DM估计的调整后永利国际娱乐平台欢迎您！率呈上升趋势，随后女性永利国际娱乐平台欢迎您！率下降幅度更大，65岁及以上年龄组永利国际娱乐平台欢迎您！率下降幅度较大。据预测，2018 年至 2025 年哥伦比亚 DM 的 YLL 率将在 2024 年 4 月达到总序列中的最高值（13 514/1000 人）。结论在 1979 年至 2017 年期间，哥伦比亚男性和女性因 DM 导致的 YLL 和年龄调整后的 YLL 率均略有下降。

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Diabetes Mellitus in Colombia: Estimates of the Years of Life Lost

Objectives

Accurate estimates of years of life lost (YLLs) are necessary to assess the management of diabetes mellitus (DM) and to understand the burden of the disease on society. We aimed to quantify the impact of mortality because of DM by estimating the YLLs in Colombia between 1979 and 2017.

Methods

An ecological study was conducted using mortality data from the National Administrative Department of Statistics of Colombia. YLLs attributable to DM and trends in the rates of YLLs by sex and age group were estimated using Joinpoint Regression. Forecasts of YLLs because of DM were performed using autoregressive integrated moving average models.

Results

Between 1979 and 2017, 200 650 deaths were registered, whose basic cause of death was DM. Up to 69 years of age, it was observed for both sexes that the older the age group, the higher the proportion of YLLs. The trend of the adjusted rate of the YLLs estimated for DM increased between 1979 and 2000 to 2001 and later decreased more sharply among women, and the reduction was high for the 65 and over age groups. The 2018 to 2025 YLL rates for DM in Colombia are predicted to have the highest values in the total series in April 2024 (13 514/1000 population).