Estimating the prevalence and incidence of type 2 diabetes using population level pharmacy claims data: a cross-sectional study

dc.contributor.authorSinnott, Sarah-Jo
dc.contributor.authorMcHugh, Sheena M.
dc.contributor.authorWhelton, Helen
dc.contributor.authorLayte, Richard
dc.contributor.authorBarron, Steve J.
dc.contributor.authorKearney, Patricia M.
dc.contributor.funderHealth Research Boarden
dc.contributor.funderCentre for Ageing Research and Development in Irelanden
dc.date.accessioned2017-01-18T09:44:13Z
dc.date.available2017-01-18T09:44:13Z
dc.date.issued2017-01-01
dc.date.updated2017-01-18T09:27:21Z
dc.description.abstractObjective: To estimate the prevalence and incidence of type 2 diabetes using a national pharmacy claims database. Research design and methods We used data from the Health Service Executive-Primary Care Reimbursement Service database in Ireland for this cross-sectional study. Prevalent cases of type 2 diabetes were individuals using an oral hypoglycemic agent, irrespective of insulin use, in 2012. Incident cases were individuals using an oral hypoglycemic agent in 2012 who had not used one in the past. Population level estimates were calculated and stratified by age and sex. Results: In 2012, there were 114 957 prevalent cases of type 2 diabetes giving a population prevalence of 2.51% (95% CI 2.49% to 2.52%). Among adults (≥15yrs), this was 3.16% (95% CI 3.15% to 3.18%). The highest prevalence was in those aged 70+ years (12.1%). 21 574 people developed type 2 diabetes in 2012 giving an overall incidence of 0.48% (95% CI 0.48% to 0.49%). In adults, this was 0.60% (95% CI 0.60% to 0.61%). Incidence rose with age to a maximum of 2.08% (95% CI 2.02% to 2.15%) in people aged 65–69 years. Men had a higher prevalence (2.96% vs 2.04%) and incidence (0.54% vs 0.41%) of type 2 diabetes than women. Conclusions: Pharmacy claims data allow estimates of objectively defined type 2 diabetes at the population level using up-to-date data. These estimates can be generated quickly to inform health service planning or to evaluate the impact of population level interventions.en
dc.description.sponsorshipHealth Research Board, Ireland ((HRB grant no. PHD/2007/16), (Health Research Board Leadership Award in Diabetes (RL/2013/7)); Centre for Ageing and Development Research in Ireland (CARDI Leadership Fellowship)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationSinnott, S.-J., McHugh, S., Whelton, H., Layte, R., Barron, S. and Kearney, P. M. (2017) 'Estimating the prevalence and incidence of type 2 diabetes using population level pharmacy claims data: a cross-sectional study', BMJ Open Diabetes Research & Care, 5(1). doi:10.1136/bmjdrc-2016-000288en
dc.identifier.doi10.1136/bmjdrc-2016-000288
dc.identifier.endpagee000288-5en
dc.identifier.issn2052-4897
dc.identifier.issued1en
dc.identifier.journaltitleBmj Open Diabetes Research & Careen
dc.identifier.startpagee000288-1en
dc.identifier.urihttps://hdl.handle.net/10468/3476
dc.identifier.volume5en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.rights© 2017 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectType 2 diabetesen
dc.subjectHealth service planningen
dc.subjectPopulation level interventionsen
dc.subjectPublic Healthen
dc.subjectIrelanden
dc.subjectDiabetesen
dc.titleEstimating the prevalence and incidence of type 2 diabetes using population level pharmacy claims data: a cross-sectional studyen
dc.typeArticle (peer-reviewed)en
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