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Epidemiological Definition of the Cohort of Diseases Associated with Diabetes in Southwestern American Indians

 

作者: Karl Reinhard,   Naomi Greenwalt,  

 

期刊: Medical Care  (OVID Available online 1975)
卷期: Volume 13, issue 2  

页码: 160-173

 

ISSN:0025-7079

 

年代: 1975

 

出版商: OVID

 

数据来源: OVID

 

摘要:

A computerized health records system has facilitated an analysis of the correlated illness of a segment of population afflicted with a chronic disease. Taking the existence of clinical diabetes as a starting point, the total illness experience of 635 diabetics, as shown by clinic utilization data, has been compared with an age-sex-geographically matched control population.The comparisons show that, overall, diabetics cause a caseload rate more than double that of nondiabetics. In 17 out of 22 broad health problem areas, the diagnosis caseload rates for diabetics varied from 1.3 to 3.7 times greater than the rate for matched, non-diabetic controls. Workload (physician visit and hospital days) comparisons showed even greater disparity.Some of the comparisons confirm statistically the clinical impressions of diabetologists over the past years. Some of the findings are not reflections of orthodox clinical opinion. The results contribute to further elucidation of the natural history of this disease. They also indicate the need for the development of comprehensive clinical management programs for groups of interrelated conditions found in persons with chronic disease such as diabetes.

 

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