中国糖尿病领域新挑战（英文）PPT.ppt

Total Direct Medical Cost of treating Type 2 DM in urban China Billion RMB 4.38% Chen Xingbao.Chinese health economics,2003* Tang Ling. China Diabetic Journal.2003* Direct Medical Cost for patients with Diabetes in China Billion RMB 18.9% 81.1% 0.00% 50.00% 100.00% Direct Medical Cost Direct Medical Cost for patients with complication) (Direct Medical Cost for patients without complications) Chen Xingbao.Chinese health economics,2003* Tang Ling. China Diabetic Journal.2003* Effect of complications on costs Increase in costs vs. no complications ?218% ?313% ?935% Chen Xingbao.Chinese health economics,2003* Tang Ling. China Diabetic Journal.2003* Total Direct Medical Cost of treating Type 2 DM in urban China RMB CHD deaths than expected from baseline mortality rates Data from England and Wales between 1981 and 2000 in men and women aged 35–84 years There were 68,230 fewer CHD deaths than expected from baseline mortality rates in 1981 -100,000 -80,000 -60,000 -40,000 -20,000 0 20,000 Deaths prevented or postponed in 2000 Factors ? CHD deaths include ? smoking, cholesterol, and BP and changes in treatments Factors ? CHD deaths include diabetes and obesity Unal B, et al. Circulation 2004; 109:1101–1107. 延迟或预防死亡 ? 68,230 (? 2,000–3,000) Diabetes mortality continues  its steady escalation Freid VM, et al. National Center for Health Statistics, 2003. Year Age-adjusted death raterelative to 1980 cerebrovascular disease 40 60 80 100 120 140 1980 1990 2000 Heart disease Cancer Diabetes Cause of death in China Data from National Disease Surveillance System of China (1991-2000) Top 3 fatal diseases in 2000 1,412,999 2,488,266 1,530,423 Cause of death in China Motality of Diabetes in Urban Chinese Sources: Ministry of Health of China: Annual Statistical Reports of Death, injuries and Cause of Death 2001 WPDD 2002. /downloads/Diabetes_Book.pdf. Early Diagnosis of Prediabetes is essential Western Pacific Diabetes Declaration (WPDD) Guidelines: