Estimating the prevalence of diabetes mellitus and thyroid disorders using medication data in Flanders, Belgium.
Background: Various methods exist to estimate disease prevalences. The aim of this study was to determine whether dispensed, self-reported and prescribed medication data could be used to estimate the prevalence of diabetes mellitus and thyroid disorders. Second, these pharmaco-epidemiological estima...
| Publicado en: | European Journal of Public Health Vol. 28; no. 1; pp. 193 - 199 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Feb2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127734060&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127734060 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Feb2018 vid: 28 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 127734060 127734060 127734060 10.1093/eurpub/ckx106 127734060 ppf: 193 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Estimating the prevalence of diabetes mellitus and thyroid disorders using medication data in Flanders, Belgium. aug: au: Vaes, Bert Ruelens, Catherine Saikali, Samuel Smets, Alexander Henrard, Séverine Renard, Francoise den Akker, Marjan van Van Pottelbergh, Gijs Goderis, Geert Van der Heyden, Johan affil: Department of Public Health and Primary Care, University of Leuven (KU Leuven), Leuven, Belgium sug: subj: Diabetes Mellitus Epidemiology Thyroid Diseases Epidemiology Self Report Prescriptions, Drug Statistics and Numerical Data Human Prevalence Belgium Surveys Patient Record Systems Diabetes Mellitus Diagnosis Thyroid Diseases Diagnosis Sensitivity and Specificity Descriptive Research Cross Sectional Studies Interviews ab: Background: Various methods exist to estimate disease prevalences. The aim of this study was to determine whether dispensed, self-reported and prescribed medication data could be used to estimate the prevalence of diabetes mellitus and thyroid disorders. Second, these pharmaco-epidemiological estimates were compared with prevalences based on self-reported diagnoses and doctor-registered diagnoses. Methods: Data on medication for diabetes and thyroid disorders were obtained from three different sources in Flanders (Belgium) for 2008: a purely administrative database containing data on dispensed medication, the Belgian National Health Interview Survey for self-reported medication and diagnoses, and a patient record database for prescribed medication and doctor- registered diagnoses. Prevalences were estimated based on medication data and compared with each other. Cross-tabulations of dispensed medication and self-reported diagnoses, and prescribed medication and doctor-registered diagnoses, were investigated. Results: Prevalences based on dispensed medication were the highest (4.39 and 2.98% for diabetes and thyroid disorders, respectively). The lowest prevalences were found using prescribed medication (2.39 and 1.72%, respectively). Cross-tabulating dispensed medication and self-reported diagnoses yielded a moderate to high sensitivity for diabetes (90.4%) and thyroid disorders (77.5%), while prescribed medication showed a low sensitivity for doctor-registered diagnoses (56.5 and 43.6%, respectively). The specificity remained above 99% in all cases. Conclusions: This study was the first to perform cross-tabulations for disease prevalence estimates between different databases and within (sub)populations. Purely administrative database was shown to be a reliable source to estimate disease prevalence based on dispensed medication. Prevalence estimates based on prescribed or self-reported medication were shown to have important limitations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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