Abstract | BACKGROUND: METHODS AND FINDINGS: The database of T2DM patients aged 15-100 years who were admitted between 2009 and 2016 under the UCS and that of the UCS population were retrieved for the analyses. The admitted cases of T2DM were extracted from the database using disease codes of principal and secondary diagnoses defined by the International Classification of Diseases 9th and 10th Revisions. The T2DM admission rates in 2009-2016 were the number of admissions divided by the number of the UCS population. The standardized admission rates (SARs)were further estimated in contrast to the expected number of admissions considering age and sex composition of the UCS population in each region. A linearly increased trend was found in T2DM admission rates from 2009 to 2016. Female admission rates were persistently higher than that of males. In 2016, an increase in the T2DM admission rates was observed among the older ages relative to that in 2009. Although the SARs of T2DM were generally higher in Bangkok and central regions in 2009, except that with CKD and foot amputation which had higher trends in northeastern regions, the geographical inequalities were fairly reduced by 2016. CONCLUSION: Admission rates of T2DM and its major complications increased in Thailand from 2009 to 2016. Although the overall geographical inequalities in the SARs of T2DM were reduced in the country, further efforts are required to improve the health system and policies focusing on risk factors and regions to manage the increasing T2DM.
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Authors | Tanapat Laowahutanon, Haruyo Nakamura, Hisateru Tachimori, Shuhei Nomura, Tippawan Liabsuetrakul, Apiradee Lim, Petch Rawdaree, Netnapis Suchonwanich, Hiroyuki Yamamoto, Aya Ishizuka, Kenji Shibuya, Hiroaki Miyata, Virasakdi Chongsuvivatwong |
Journal | PloS one
(PLoS One)
Vol. 16
Issue 7
Pg. e0253434
( 2021)
ISSN: 1932-6203 [Electronic] United States |
PMID | 34197492
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Cataract
(complications, therapy)
- Diabetes Complications
(therapy)
- Diabetes Mellitus, Type 2
(etiology, therapy)
- Diabetic Foot
(complications, surgery)
- Diabetic Retinopathy
(complications, therapy)
- Female
- Humans
- Male
- Middle Aged
- Myocardial Infarction
(complications, therapy)
- Patient Admission
(statistics & numerical data, trends)
- Renal Insufficiency, Chronic
(complications, therapy)
- Thailand
- Universal Health Insurance
(statistics & numerical data)
- Young Adult
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