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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir la situaci&#243;n de la diabetes mellitus &#40;DM&#41; en Espa&#241;a desde una perspectiva de salud p&#250;blica&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado una b&#250;squeda manual de libros y otros documentos sobre DM en Espa&#241;a&#44; adem&#225;s una b&#250;squeda espec&#237;fica de art&#237;culo usando los t&#233;rminos <span class="elsevierStyleItalic">MeSH diabetes mortality&#44; morbidity&#44; cost&#44; inequalities and Spain</span>&#44; realizada en Medline a trav&#233;s de PubMed&#46; Tambi&#233;n se han utilizado los &#250;ltimos datos disponibles de mortalidad y del Conjunto M&#237;nimo B&#225;sico de Datos Hospitalarios por Comunidad Aut&#243;noma&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La DM es una de las primeras causas de mortalidad&#44; en las mujeres ocupa el tercer lugar&#46; Por Comunidades Aut&#243;nomas&#44; Canarias junto con Andaluc&#237;a y las ciudades aut&#243;nomas de Ceuta y Melilla presentan la mayor mortalidad&#44; con una tendencia descendente&#46; Los diab&#233;ticos tienen una mayor mortalidad que los no diab&#233;ticos&#44; sus complicaciones son las principales causas de la mayor mortalidad&#44; sobre todo la enfermedad isqu&#233;mica del coraz&#243;n&#46; Las estimaciones de prevalencia de DM tipo 2 &#40;DM2&#41; en Espa&#241;a var&#237;an entre el 4&#44;8 y el 18&#44;7&#37;&#44; las de DM tipo 1 &#40;DM1&#41; entre el 0&#44;08 y el 0&#44;2&#37;&#46; Para la DM en el embarazo se han descrito prevalencias entre el 4&#44;5 y el 16&#44;1&#37;&#46; En cuanto a incidencia anual&#44; se estima entre 146 y 820 por 100&#46;000 personas para la DM2 y entre 10 y 17 nuevos casos anuales por 100&#46;000 personas para la DM1&#46; Los costes econ&#243;micos de la DM1 van de 1&#46;262 a 3&#46;311 &#8364;&#47;persona&#47; a&#241;o&#46; Los costes de la DM2 oscilan entre 381 y 2&#46;560 &#8364;&#47;paciente&#47; a&#241;o&#46; Los estudios que estiman costes totales los sit&#250;an entre 758 y 4&#46;348 &#8364;&#47;persona&#47;a&#241;o&#46; Se ha demostrado que a menor nivel socioecon&#243;mico peor es el control de la enfermedad y mayores su frecuencia y los otros factores de riesgo de DM2&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se puede afirmar que la DM es un importante problema de salud p&#250;blica que ir&#225; increment&#225;ndose en los pr&#243;ximos a&#241;os &#40;fundamentalmente la DM2&#41; si no se toman las medidas de prevenci&#243;n y control oportunas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Describing the situation of diabetes mellitus &#40;DM&#41; in Spain from a public health perspective&#46;</p> <span class="elsevierStyleSectionTitle">Matherial and method</span><p class="elsevierStyleSimplePara elsevierViewall">A manual review of books and other documents on diabetes mellitus in Spain was conduced&#46; In addition&#44; a specific research of articles published using MeSH terms diabetes mortality&#44; prevalence&#44; incidence&#44; cost&#44; inequalities and Spain was conduced in Medline through Internet&#40;PubMed&#41;&#46; Minimun Basic Data Set was utilized as source for complication description by Communities Autonomus&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">DM is one of the leading cause of mortality and the third one in women&#46; With regard to Autonomous Communities&#44; Canary Islands&#44; Ceuta y Melilla and Andalusia show the greatest mortality with a downward trend&#46; Diabetics present grater mortality than non diabetic patients&#44; being complications the main cause of the over-mortality&#44; especially ischemic heart disease&#46; Estimations of prevalence for DM2 range from 4&#46;8&#37; to 18&#46;7&#37; and for DM1&#44; from&#46;08&#37; to&#46;2&#37;&#46; In pregnancy&#44; it has been noted a prevalence ranging from 4&#46;5&#37; to 16&#46;1&#37;&#46; With respect to incidence per year&#44; it is estimated a range from 146 to 820 per 100 000 inhabitants for DM2 and a range from 10 to 17 mew cases annually per 100 000 inhabitants for DM1&#46; Costs for DM1 show very different results&#44; averaging between 1&#44;262 and 3&#44;311 e per people and year&#46; There are differences for DM2 costs as well&#44; averaging between 381 and 2&#44;560 e per patient and year&#46; Total costs estimated range from 758 to 4&#44;348 e per person and year&#46; Relationship between a low socioeconomic level &#40;LSL&#41; and DM2 risk has been proved&#46; Moreover&#44;it has been noted that the less LSL the worse is the disease control&#44; coupled with a greater frequency and more frequent factors of DM2 risk&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The knowledge about the situation of the DM as a Public Health problem in Spain is limited&#46; Mortality data available does not gather its real magnitude&#44; and prevalence&#44; incidence&#44; costs and inequalities research are very poor and hardly comparable&#46; In spite of this degree of incertitude&#44; we can state that DM is an important public health problem with a continuous increase&#44; especially DM2&#44; if the appropriate prevention and control measures are not taken&#46;</p>"
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Vol. 20. Núm. S1.
Informe SESPAS 2006: Los desajustes en la salud en el mundo desarrollado
Páginas 15-24 (marzo 2006)
Open Access
La diabetes mellitus en España: mortalidad, prevalencia, incidencia, costes económicos y desigualdades
Mellitus diabetes in Spain: death rates, prevalence, impact, costs and inequalities
Visitas
1474
Miguel Ruiz-Ramosa,
Autor para correspondencia
miguel.ruiz.ext@juntadeandalucia.es

Correspondencia: Miguel Ruiz-Ramos. Instituto de Estadística de Andalucía. Pabellón de Nueva Zelanda. Leonardo da Vinci, s/n. 41071 Isla de la Cartuja. Sevilla. España.
, Antonio Escolar-Pujolarb, Eduardo Mayoral-Sánchezc, Florentino Corral-San Laureanob, Isabel Fernández-Fernándezc
a Consejería de Salud de la Junta de Andalucía. Sevilla. España
b Hospital Universitario Puerta del Mar. Cádiz. España
c Plan Integral de Diabetes. Servicio Andaluz de Salud. Sevilla. España
Este artículo ha recibido

Under a Creative Commons license
Información del artículo
Resumen
Objetivo

Describir la situación de la diabetes mellitus (DM) en España desde una perspectiva de salud pública.

Material y método

Se ha realizado una búsqueda manual de libros y otros documentos sobre DM en España, además una búsqueda específica de artículo usando los términos MeSH diabetes mortality, morbidity, cost, inequalities and Spain, realizada en Medline a través de PubMed. También se han utilizado los últimos datos disponibles de mortalidad y del Conjunto Mínimo Básico de Datos Hospitalarios por Comunidad Autónoma.

Resultados

La DM es una de las primeras causas de mortalidad, en las mujeres ocupa el tercer lugar. Por Comunidades Autónomas, Canarias junto con Andalucía y las ciudades autónomas de Ceuta y Melilla presentan la mayor mortalidad, con una tendencia descendente. Los diabéticos tienen una mayor mortalidad que los no diabéticos, sus complicaciones son las principales causas de la mayor mortalidad, sobre todo la enfermedad isquémica del corazón. Las estimaciones de prevalencia de DM tipo 2 (DM2) en España varían entre el 4,8 y el 18,7%, las de DM tipo 1 (DM1) entre el 0,08 y el 0,2%. Para la DM en el embarazo se han descrito prevalencias entre el 4,5 y el 16,1%. En cuanto a incidencia anual, se estima entre 146 y 820 por 100.000 personas para la DM2 y entre 10 y 17 nuevos casos anuales por 100.000 personas para la DM1. Los costes económicos de la DM1 van de 1.262 a 3.311 €/persona/ año. Los costes de la DM2 oscilan entre 381 y 2.560 €/paciente/ año. Los estudios que estiman costes totales los sitúan entre 758 y 4.348 €/persona/año. Se ha demostrado que a menor nivel socioeconómico peor es el control de la enfermedad y mayores su frecuencia y los otros factores de riesgo de DM2.

Conclusiones

Se puede afirmar que la DM es un importante problema de salud pública que irá incrementándose en los próximos años (fundamentalmente la DM2) si no se toman las medidas de prevención y control oportunas.

Palabras clave:
Diabetes mellitus
Mortalidad
Prevalencia
Incidencia
Costes económicos
Desigualdades
Objective

Describing the situation of diabetes mellitus (DM) in Spain from a public health perspective.

Matherial and method

A manual review of books and other documents on diabetes mellitus in Spain was conduced. In addition, a specific research of articles published using MeSH terms diabetes mortality, prevalence, incidence, cost, inequalities and Spain was conduced in Medline through Internet(PubMed). Minimun Basic Data Set was utilized as source for complication description by Communities Autonomus.

Results

DM is one of the leading cause of mortality and the third one in women. With regard to Autonomous Communities, Canary Islands, Ceuta y Melilla and Andalusia show the greatest mortality with a downward trend. Diabetics present grater mortality than non diabetic patients, being complications the main cause of the over-mortality, especially ischemic heart disease. Estimations of prevalence for DM2 range from 4.8% to 18.7% and for DM1, from.08% to.2%. In pregnancy, it has been noted a prevalence ranging from 4.5% to 16.1%. With respect to incidence per year, it is estimated a range from 146 to 820 per 100 000 inhabitants for DM2 and a range from 10 to 17 mew cases annually per 100 000 inhabitants for DM1. Costs for DM1 show very different results, averaging between 1,262 and 3,311 e per people and year. There are differences for DM2 costs as well, averaging between 381 and 2,560 e per patient and year. Total costs estimated range from 758 to 4,348 e per person and year. Relationship between a low socioeconomic level (LSL) and DM2 risk has been proved. Moreover,it has been noted that the less LSL the worse is the disease control, coupled with a greater frequency and more frequent factors of DM2 risk.

Conclusions

The knowledge about the situation of the DM as a Public Health problem in Spain is limited. Mortality data available does not gather its real magnitude, and prevalence, incidence, costs and inequalities research are very poor and hardly comparable. In spite of this degree of incertitude, we can state that DM is an important public health problem with a continuous increase, especially DM2, if the appropriate prevention and control measures are not taken.

Key words:
Diabetes mellitus
Mortality
Prevalence
Incidence
Costs
Inequalities
El Texto completo está disponible en PDF
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