Ophthalmic health care in diabetes mellitus: a cross-sectional study in northern Sweden

1999 ◽  
Vol 6 (4) ◽  
pp. 267-278 ◽  
Author(s):  
Carl-Olof Reuterving ◽  
Jens Kratholm ◽  
Lillemor Wachtmeister
Author(s):  
Sandhya Rani Javalkar

Background: Diabetes mellitus (DM) is a chronic metabolic disease that arises when the pancreas does not produce enough insulin or when the body cannot effectively use insulin. Diabetes is a costly disease because of its chronic nature, the severity of its complications and the means required to control them. The objective of the study was to estimate the expenditure on health care by patients suffering from diabetes mellitus.Methods: A community based cross sectional study was conducted among 189 diabetes mellitus patients in the urban area, Mangalore taluk over a period of 6 months. Data collected by personal interview method, questionnaire was developed to collect the appropriate information on socio demographic details, direct costs and indirect cost in health care for diabetes. Data entry was done in MS Excel and analyzed using SPSS v 16.0.Results: The mean duration of diabetes mellitus 3.93±2.0 years with majority of them had associated co-morbidities 54% and complications 28%. The total expenditure on diabetes is 912 INR per visit, the direct cost of healthcare for diabetic individuals was 553 INR, and indirect expenditure was 359 INR. The average time lost on each visit- 2.6 hours which included travel time, waiting period and consultation.Conclusions: This study shows that the economic burden of diabetes mellitus and its complications are very high and increasingly affecting the lives of urban poor.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2393-PUB
Author(s):  
KENICHIRO TAKAHASHI ◽  
MINORI SHINODA ◽  
RIKA SAKAMOTO ◽  
JUN SUZUKI ◽  
TADASHI YAMAKAWA ◽  
...  

2016 ◽  
Vol 3 (2) ◽  
pp. 1-4
Author(s):  
Arati Amin ◽  
Kumar Sai Sailesh ◽  
Archana R ◽  
Udaya Kumar Reddy ◽  
Mukkadan J K ◽  
...  

1970 ◽  
Vol 4 (4) ◽  
pp. 49-60
Author(s):  
Camila Dorilêo Negretti ◽  
Pablo Girardeli Mendonça Mesquita ◽  
Nilo César do Vale Baracho

Objetivo: Determinar o perfil epidemiológico dos pacientes com Doença Renal Crônica em tratamento conservador no ambulatório do Hospital Escola de Itajubá. Materiais e Métodos: Estudo descritivo, de corte transversal, de abordagem quantitativa. Realizado com 171 pacientes atendidos em tratamento conservador no ambulatório de nefrologia no período de janeiro de 2012 a dezembro de 2013. A coleta objetivou caracterizar idade, sexo, raça, estado civil e procedência. Também foram avaliados dados do primeiro atendimento como: valores de ureia e creatinina, o grau de DRC, a etiologia e o número de retorno. Resultados: Dos doentes renais crônicos avaliados, 50,3% eram do sexo masculino, 88% da raça branca, 54,4% casados e a maioria (70,8%) possuía faixa etária prevalente >60 anos. A maioria dos atendidos, 98,5% pertence a microrregião de referência. Quanto a dados de primeira consulta, o diabetes mellitus foi a principal etiologia (38%). Os valores de ureia e creatinina acima da referência preconizada foi observado na maioria dos pacientes e o grau III de DRC em 31% dos casos. O número médio de retornos após a primeira consulta foi de três retornos em 25,13% dos pacientes. Conclusão: A pesquisa permitiu o conhecimento do perfil epidemiológico dos portadores de DRC em tratamento conservador. Os achados reforçam a necessidade de implementação de políticas voltadas para promoção e prevenção à saúde com divulgação de mais programas de controle para minimizar o surgimento de novos casos da DRC. Palavras-chave: Epidemiologia. Doença Renal Crônica. Tratamento. ABSTRACT.Objective: Determine the epidemiological profile of patients with Chronic Kidney Disease (CKD) on conservative treatment at the Hospital Escola de Itajubá. Materials and Methods: A retrospective, descriptive, cross-sectional study of quantitative approach. It was conducted with 171 patients who were treated in conservative treatment at the nephrology clinic from January 2012 to December 2013. The collection aimed to characterize age, sex, race, marital status and origin. We also evaluated data from the first service as: urea and creatinine values, the degree of CKD the etiology and the number of return. Results: Among the chronic renal patients evaluated, 50.3% were male, 88% Caucasian, 54.4% were married and the majority (70.8%) was the most prevalent age group> 60 years. Most of the patients 98.5% belong to micro region of reference. As the first appointment data, diabetes mellitus was the major cause (38%). The urea and creatinine values above the recommended reference was observed in the majority of patients and the DRC grade III in 31% of cases. The average number of returns after the fisrt visit was three return in 25.13% of patients. Conclusion: The research gave us the knowledge of the epidemiological profile of patients with CKD on dialysis. The findings reinforce the need to implement policies for health promotion and prevention with more disclosure of control programs to minimize the appearance of new cases of CKD. Keywords: Epidemiology. Chronic Kidney Disease.Treatment.


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