医療体制が小児ＩＤＤＭの予後に及ぼす影響

• 西村 理明

  東京慈恵会医科大学内科第三

• 縣 俊彦

  東京慈恵会医科大学環境保健医学

• 清水 英佑

  東京慈恵会医科大学環境保健医学

• 松島 雅人

  東京慈恵会医科大学内科第三

• 田嶼 尚子

  東京慈恵会医科大学内科第三

書誌事項

タイトル別名

• The Relationship between Medical Infrastructure and IDDM Mortality Rate in Japan.

抄録

IDDM mortality in Japan is extremely high compared with that in Western countries. Despite recent improvement in the prognosis of IDDM in Japan, it is still quite poor compared with that in Western countries. We hypothesized that uneven supply of advanced diabetes therapy might contribute to the high IDDM mortality in Japan.<BR>As the part of DERI mortality study, 1, 428 youth-onset IDDM cases diagnosed between 1965-79 were followed unitil 1-1-1990. Based on this hypothesis, we examined the relationship between mortality rates and the per capita number of medical infrastructures (doctors, nurses, hospitals, emergency hospitals, centers for dialysis, pediatricians, diabetologists and dietitians) by prefecture. There were highly significant ecologic correlations between overall, renal disease and acute complication (DKA, hypoglycemia) mortality rates and the availability of diabetologists (p<0.05). There was also a significant correlation between the renal disease mortality rate and the availability of dietitians (p<0.05).<BR>The results indicate a possible contribution of supervision by specialists to the prognosis of individuals with IDDM in Japan.

収録刊行物

• 糖尿病

  糖尿病 38 (9), 689-696, 1995

  一般社団法人 日本糖尿病学会

キーワード

• 小児期発症IDDM
• 死亡率
• 医療体制
• 地域差
• 糖尿病認定医

詳細情報

• CRID: 1390001204904262656
• NII論文ID: 130004338226
• NII論文ID: 10004923860
• NII書誌ID: AN00166576
• DOI: 10.11213/tonyobyo1958.38.689
• ISSN: 1881588X
• ISSN: 0021437X
• Web Site: https://search.jamas.or.jp/link/ui/1996116970
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可