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[Pharmacoepidemiology of diabetes: contribution of a survey of health insurance cases].

Authors: F, Vauzellé-Kervroedan; A, Forhan; F, Javoy; P, Fender; E, Eschwege;

[Pharmacoepidemiology of diabetes: contribution of a survey of health insurance cases].

Abstract

To determine the pattern of treatment of diabetes and its complications, data from a specific study performed by the French healthcare system were used. Between the 10th and 15th of May 1993, all the prescriptions for which a reimbursement was asked were registered with the age and sex of the subject for whom the prescription was written. Patients with a prescription of antidiabetic (AD) drugs were classified as diabetic. Among the 125,883 prescriptions at least one antidiabetic drug is present on 3339 (2.7%). The mean number of AD drugs prescribed is 1.3 and varies from 1 to 4. Eighty five per cent of the patients are treated with oral anti diabetic drugs alone (OAD) and 15% with insulin, alone (89%) or in association with OAD (11%). The total number of drugs (antidiabetic drugs included) prescribed for one patient varied from 1 to 18 (mean: 5.7) and is higher in women than in men. Drugs which are indicated in cardiovascular diseases (lipids lowering, blood pressure lowering drugs) are more frequent on "diabetic" prescriptions than on non diabetic ones. Most (66%) of the prescriptions are written on special forms (100% reimbursement). These forms are more often used for insulin treated patients (87%) than for non insulin treated patients (62%). Most (91%) of the prescriptions are written by a general practitioner. Taking into account the antidiabetic drugs specificity and the data base used, these results can be extrapolated to the all french diabetic population.

Keywords

Adult, Male, Insurance, Health, Pharmacoepidemiology, Middle Aged, Combined Modality Therapy, Health Care Surveys, Costs and Cost Analysis, Diabetes Mellitus, Humans, Female, France, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
10
Average
Top 10%
Top 10%
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