Although the SARs of T2DM were generally higher in Bangkok and central regions in 2009, except that with CKD and foot amputation which had higher trends in northeastern regions, the geographical inequalities were fairly reduced by 2016.Īdmission rates of T2DM and its major complications increased in Thailand from 2009 to 2016. In 2016, an increase in the T2DM admission rates was observed among the older ages relative to that in 2009. Female admission rates were persistently higher than that of males. A linearly increased trend was found in T2DM admission rates from 2009 to 2016.
The standardized admission rates (SARs)were further estimated in contrast to the expected number of admissions considering age and sex composition of the UCS population in each region. The T2DM admission rates in 2009-2016 were the number of admissions divided by the number of the UCS population. The admitted cases of T2DM were extracted from the database using disease codes of principal and secondary diagnoses defined by the International Classification of Diseases 9th and 10th Revisions. The database of T2DM patients aged 15-100 years who were admitted between 20 under the UCS and that of the UCS population were retrieved for the analyses.
The analyses described the time and geographical trends of nationwide admission rates of type 2 diabetes mellitus (T2DM) and its complications, including chronic kidney disease (CKD), myocardial infarction, cerebrovascular diseases, retinopathy, cataract, and diabetic foot amputation. Descriptive analyses of 2009-2016 were performed using the data of the Universal Coverage Scheme (UCS) which covers nearly 70 percent of the Thai population.
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