Change in life expectancy with type 2 diabetes: a study using claims data from lower Saxony, Germany
نویسندگان
چکیده
BACKGROUND This study estimates life expectancy with and without type 2 diabetes for individuals in Lower Saxony, Germany in order to detect a trend in population health. METHODS Morbidity and mortality data derived from German administrative claims data (statutory health insurance, AOK Niedersachsen, N = 2,900,065) were used covering 10 years from 2005 to 2014. Life table analysis was applied for calculating life expectancy, life expectancy free of type 2 diabetes, life expectancy with type 2 diabetes, and the proportion of life expectancy free of diabetes to total life expectancy using the Sullivan method. RESULTS The total life expectancy increase is stronger in men than in women: At the age of 20, total life expectancy was 55.0 years in 2005 and 56.3 years in 2014 for men, whereas it was 61.7 years in 2005 and 62.5 years in 2014 for women. Decreases in life expectancy without type 2 diabetes were more pronounced in women than in men. Accordingly, life expectancy with type 2 diabetes increased in both women and in men. The proportion of life expectancy without diabetes to total life expectancy decreased, indicating a similar development in both. For example, at the age of 60, the proportion of life expectancy without diabetes to total life expectancy decreased from 0.75 in 2005 to 0.66 in 2014 for men, while it decreased from 0.77 in 2005 to 0.70 in 2014 for women. CONCLUSIONS Against the background of increasing total life expectancy, the time spent in morbidity increased for the case of type 2 diabetes in Lower Saxony, Germany.
منابع مشابه
Exploring Health System Responsiveness in Ambulatory Care and Disease Management and its Relation to Other Dimensions of Health System Performance (RAC) – Study Design and Methodology
Background The responsiveness of a health system is considered to be an intrinsic goal of health systems and an essential aspect in performance assessment. Numerous studies have analysed health system responsiveness and related concepts, especially across different countries and health systems. However, fewer studies have applied the concept for the evaluation of specific healthcare delivery s...
متن کاملPredicting of Life Expectancy in Diabetic Patients Based on Self-efficacy, Self-esteem and Perceived Social Support
Aims: Diabetes is considered as a chronic and complex disease that, if not addressed, will turn into a serious problem for countries. On the other hand, life expectancy as a multidimensional, dynamic and powerful healing factor plays an important role in adapting to the disease. The present study aimed at predicting life expectancy among the diabetic patients based on self-efficacy, self-esteem...
متن کاملEffectiveness of Mindfulness-Based Cognitive Therapy on Life Expectancy, Fear of Death and Glycemic Control in Diabetic Patients with Depression
Background and purpose: Depression is one of the most common psychiatric disorders in diabetic patients that could change the disease prognosis in addition to affecting the treatment path. The aim of this study was to evaluate the effectiveness of mindfulness-based cognitive therapy (MBCT) on life expectancy, fear of death, and glycemic control in diabetic patients suffering from depression. M...
متن کاملThe Effectiveness of Existential Therapy on Life Expectancy and Self-Care Behaviors in Women with Type II Diabetes
Background: Type 2 diabetes is a chronic and debilitating disease that affects the life expectancy and self-care behaviors of women with this disease. Therefore, the present study aimed to investigate the effectiveness of existential therapy on life expectancy and self-care behaviors of women with type 2 diabetes. Methods: The research method was applied and quasi-experimental with pre-test an...
متن کاملComparison of the Effectiveness of Self-Compassion Therapy and Positivist Group Therapy on the Meaning of Life, Life expectancy, and Self-Care Behaviors in Patients with Type Two Diabetes
Background & Aims: Chronic diseases such as diabetes have a complex origin, slow onset, and unpredictable deterioration and recovery that requires self-care due to the long process. Diabetes, especially type 2 diabetes, is one of the major threats to human health in the 21st century. This disease is one of the global problems and the main cause of death and disability. Uncontrolled diabetes oft...
متن کامل