Documentary analysis of aspects related to the prevalence, prevention, care and complications of diabetes in adults from Brazilian federative units
DOI:
https://doi.org/10.33448/rsd-v10i5.14776Keywords:
Diabetes Mellitus; Public Health; Delivery of Health Care; Disease prevention.Abstract
Diabetes is a chronic disease that represents a severe public health problem. The objective was to evaluate aspects related to the prevalence, prevention, care and complications of diabetes in adults in Brazilian federative units(FU). This is an ecological, documentary study, performed with data from the National Health Survey-2013 and 2019, collected from website of the Brazilian Institute of Geography and Statistics. Data analysis was performed to verify the difference in proportions, according to the investigated variables, between 2013 and 2019. There was an increase in the prevalence of diabetes in 26 FU(96.30%), varying 3.3(9.3%); and reduction, in all FU, in the proportion that never evaluated glycemia, varying 3.6(25.9%). The proportion of people who used drugs to control the disease in all FU increased, varying 48.1(93.7%), however, only 5 FU(18.52%) showed an increase in the proportion who obtained medication at "Farmácia Popular" program. The proportion of people who received medical assistance in the last year increased by 22 FU(81.48%), varying 53.2(87.3%), however, in the majority of FU the proportion that performed all complementary exams decreased(n=17) and all consultations with a specialist doctor(n=18). In 14 FU(51.85%) the proportion of hospitalizations increased, varying 4.7(31.4%), while the proportion of people with limitations in usual activities decreased by 18 FU (66.67%) , varying 2.4(20.5%). The prevalence of the disease has increased in the vast majority of FU, highlighting the need for prevention strategies, medical and pharmaceutical assistance, aiming to reduce the problems caused by the disease.
References
Al-Lawati, J. A. (2017). Diabetes mellitus: A local and global public health emergency! Oman Medical Journal, 32(3), 177-179. https://doi.org/10.5001/omj.2017.34.
Almeida, A. T. C., Sá, E. B., Vieira, F. S., & Benevides, R. P. (2019). Impacto do Programa Farmácia Popular do Brasil sobre a saúde de pacientes crônicos. Revista de Saúde Pública, 53, 20. http://dx.doi.org/10.11606/s1518-8787.2019053000733
American Diabetes Association. (2018). Economic costs of diabetes in the U.S. in 2017. Diabetes Care, 41(5), 917–928. https://doi.org/10.2337/dci18-0007
Amoah, V. M. K., Anokye, R., Acheampong, E., Dadson, H. R., Osei, M., & Nadutey, A. (2018). The experiences of people with diabetes-related lower limb amputation at the Komfo Anokye Teaching Hospital (KATH) in Ghana. BMC Research Notes, 11(1), 66. https://doi.org/10.1186/s13104-018-3176-1
Bommer, C., Heesemann, E., Sagalova, V., Manne-Goehler, J., Atun, R., Bärnighausen, T., & Vollmer, S. (2017). The global economic burden of diabetes in adults aged 20-79 years: a cost-of-illness study. The Lancet. Diabetes & Endocrinology, 5(6), 423–430. https://doi.org/10.1016/S2213-8587(17)30097-9
Brasil. Ministério da Saúde. Estratégias para o cuidado da pessoa com doença crônica: diabetes mellitus. Brasília: Ministério da Saúde, 2013.
Brasil. Ministério da Saúde. Plano de reorganização da atenção à hipertensão arterial e ao diabetes mellitus: hipertensão arterial e diabetes mellitus. Brasília: Ministério da Saúde, 2001.
Brasil. Pesquisa nacional de saúde 2013: percepção do estado de saúde, estilos de vida e doenças crônicas: Brasil, grandes regiões e unidades da federação. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística, 2014.
Brasil. Pesquisa nacional de saúde 2019: percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal: Brasil e grandes regiões. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística, 2020.
Cavan, D., Makaroff, L., Fernandes, J. R., Sylvanowicz, M., Ackland, P., Conlon, J., Chaney, D., Malhi, A., & Barratt, J. (2017). The diabetic retinopathy barometer study: Global perspectives on access to and experiences of diabetic retinopathy screening and treatment. Diabetes Research and Clinical Practice, 129, 16–24. https://doi.org/10.1016/j.diabres.2017.03.023
Castro, I. B., Câmara, G. B., Pontes, J. F., Viana, D. L., Souza, R. P., Nobrega, E. D. S., Lira, R. B. B., & Barbosa, L. S. L. T. (2020). Estratégias nutricionais no tratamento do diabetes mellitus: revisão bibliográfica. Research, Society and Development, 9, e133922193. 2020. DOI: http://dx.doi.org/10.33448/rsd-v9i2.2193
Corgozinho, M. L. M. V., Lovato, A. C., Martins, I. C. F., Mota, A. P. L., & Mendes, A. C. R. (2020). Educação em diabetes e mudanças nos hábitos de vida. Research, Society and Development, 9, e175932566. https://doi.org/10.33448/rsd-v9i3.2566
Corrêa, K., Gouvêa, G. R., Silva, M. A. V., Possobon, R. F., Barbosa, L. F. L. N., Pereira, A. C., Miranda, L. G., & Cortellazzi, K. L. (2017). Qualidade de vida e características dos pacientes diabéticos. Ciência & Saúde Coletiva, 22(3), 921-930. https://doi.org/10.1590/1413-81232017223.24452015
Costa, K. S., Tavares, N. U. L., Mengue, S. S., Pereira, M. A., Malta, D. C., & Silva Júnior, J. B. (2016). Obtenção de medicamentos para hipertensão e diabetes no Programa Farmácia Popular do Brasil: resultados da Pesquisa Nacional de Saúde, 2013. Epidemiologia e Serviços de Saúde, 25(1), 33-44. https://doi.org/10.5123/s1679-49742016000100004
Cowie, C. C. (2019). Diabetes diagnosis and control: Missed opportunities to improve health: The 2018 Kelly West Award Lecture. Diabetes Care, 42(6), 994-1004. https://doi.org/10.2337/dci18-0047
Cunha, C. L. F., Moreira, J. P. L., Oliveira, B. L. C. A., Bahia, L., & Luiz, R. R. (2019). Planos privados de saúde e a saúde dos trabalhadores do Brasil. Ciência & Saúde Coletiva, 24(5), 1959-1970. http://dx.doi.org/10.1590/1413-81232018245.20142017
DiMeglio, L. A., Evans-Molina, C., & Oram, R. A. (2018). Type 1 diabetes. Lancet, 391(10138), 2449-2462. https://doi.org/10.1016/S0140-6736(18)31320-5
Eqbal, K., Alam, M. A., Quamri, M. A., Sofi, G., & Bhat, M. D. A. (2020). Efficacy of Qurs-e-Gulnar in Ziabetus (type 2 Diabetes Mellitus): a single blind randomized controlled trial. Journal of Complementary & Integrative Medicine, 18(1), 147-153. https://doi.org/10.1515/jcim-2020-0072
International Diabetes Federation. IDF Diabetes Atlas. 9th Edition. Brussels: International Diabetes Federation, 2019.
Jing, X., Chen, J., Dong, Y., Han, D., Zhao, H., Wang, X., Gao, F., Li, C., Cui, Z., Liu, Y., & Ma, J. (2018). Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health and Quality of Life Outcomes, 16(1), 189. https://doi.org/10.1186/s12955-018-1021-9
Kao, K. T., & Sabin, M. A. Type 2 diabetes mellitus in children and adolescents. Australian Family Physician, 45(6), 401-406.
Leal, T. C., Budó, M. L. D., Schimith, M. D., & Simon, B. S. (2020). Saberes e as práticas de pessoas com diabetes mellitus tipo 2 acerca do pé diabético. Research, Society and Development, 9, e618974511, 2020. http://dx.doi.org/10.33448/rsd-v9i7.4511
Leitner, D. R., Frühbeck, G., Yumuk, V., Schindler, K., Micic, D., Woodward, E., & Toplak, H. (2017). Obesity and type 2 diabetes: Two diseases with a need for combined treatment strategies - EASO can lead the way. Obesity Facts, 10(5), 483-492. https://doi.org/10.1159/000480525
Leslie, R. D., Palmer, J., Schloot, N. C., & Lernmark, A. (2016). Diabetes at the crossroads: relevance of disease classification to pathophysiology and treatment. Diabetologia, 59, 13–20. https://doi.org/10.1007/s00125-015-3789-z
Marcellusi, A., Viti, R., Sciattella, P., Aimaretti, G., Cosmo, S., Provenzano, V., Tonolo, G., & Mennini, F. S. (2016). Economic aspects in the management of diabetes in Italy. BMJ Open Diabetes Research & Care, 4(1), e000197. http://dx.doi.org/10.1136/bmjdrc-2016-000197
Marinho, N. B. P., Freitas, R. W. J. F., Lisboa, K. W. S. C., Alencar, A. M. P. G., Rebouças, V. C. F., & Damasceno, M. M. C. (2018). Avaliação da satisfação de usuários de um serviço especializado em diabetes mellitus. Revista Brasileira de Enfermagem, 71(Suppl 1), 599-606. https://doi.org/10.1590/0034-7167-2017-0554.
Marín-Peñalver, J. J., Martín-Timón, I., Sevillano-Collantes, C., & Del Cañizo-Gómez, F. J. (2016). Update on the treatment of type 2 diabetes mellitus. World Journal of Diabetes, 7(17), 354-395. https://dx.doi.org/10.4239/WJD.V7.I17.354
Mishra, S. C., Chhatbar, K. C., Kashikar, A., & Mehndiratta, A. (2017). Diabetic foot. BMJ: British Medical Journal, 359, j5064. https://doi.org/10.1136/bmj.j5064
Moreschi, C., Rempel, C., Siqueira, D. F., Pissaia, L. F., Almeida, G., & Bedin, B. B. (2020). Consequências do diabetes na qualidade de vida de usuários na ótica de profissionais de saúde. Research, Society and Development, 9, e801974818. http://dx.doi.org/10.33448/rsd-v9i7.4818
Papatheodorou, K., Banach, M., Bekiari, E., Rizzo, M., & Edmonds, M. (2018). Complications of Diabetes 2017. Journal of Diabetes Research, 2018, 3086167. https://doi.org/10.1155/2018/3086167
Park, J. J. (2021). Epidemiology, pathophysiology, diagnosis and treatment of heart failure in diabetes. Diabetes & Metabolism Journal, 45(2), 146-157. https://doi.org/10.4093/dmj.2020.0282
Pezzullo, L., Streatfeild, J., Simkiss, P., & Shickle, D. (2018). The economic impact of sight loss and blindness in the UK adult population. BMC Health Services Research, 18(1), 63. https://doi.org/10.1186/s12913-018-2836-0
Sami, W., Ansari, T., Butt, N. S., & Hamid, M. R. A. (2017). Effect of diet on type 2 diabetes mellitus: A review. International Journal of Health Sciences, 11(2), 65-71.
Skyler, J. S., Bakris, G. L., Bonifacio, E., Darsow, T., Eckel, R. H., Groop, L., Groop, P. H., Handelsman, Y., Insel, R. A., Mathieu, C., McElvaine, A. T., Palmer, J. P., Pugliese, A., Schatz, D. A., Sosenko, J. M., Wilding, J. P., & Ratner, R. E. (2017). Differentiation of diabetes by pathophysiology, natural history, and prognosis. Diabetes, 66(2), 241-255. https://doi.org/10.2337/db16-0806
Sobhani, S., Asayesh, H., Sharifi, F., Djalalinia, S., Baradaran, H. R., Arzaghi, S. M., Mansourian, M., Rezapoor, A., Ansari, H., Masoud, M. P., & Qorbani, M. (2014). Prevalence of diabetic peripheral neuropathy in Iran: a systematic review and metaanalysis. Journal of Diabetes and Metabolic Disorders, 13(1), 97. https://doi.org/10.1186/s40200-014-0097-y
Suwannaphant, K., Laohasiriwong, W., Puttanapong, N., Saengsuwan, J., & Phajan, T. (2017). Association between socioeconomic status and diabetes mellitus: The national socioeconomics survey, 2010 and 2012. Journal of Clinical and Diagnostic Research: JCDR, 11(7), LC18-LC22. https://doi.org/10.7860/JCDR/2017/28221.10286
Tsukamoto, K., Cnop, M., Mori, D., Kume, S., Anazawa, T., Doi, M., Chikazawa, K., & Matsumaru, N. (2019). Future perspectives for the treatment of diabetes: Importance of a regulatory framework. Therapeutic Innovation & Regulatory Science, 53(4), 535-541. https://doi.org/10.1177/2168479018795854
World Health Organization. Classification of diabetes mellitus. Geneva: World Health Organization, 2019.
Yau, J. W., Rogers, S. L., Kawasaki, R., Lamoureux, E. L., Kowalski, J. W., Bek, T., Chen, S. J., Dekker, J. M., Fletcher, A., Grauslund, J., Haffner, S., Hamman, R. F., Ikram, M. K., Kayama, T., Klein, B. E., Klein, R., Krishnaiah, S., Mayurasakorn, K., O'Hare, J. P., Orchard, T. J., Porta, M., Rema, M., Roy, M. S., Sharma, T., Shaw, J., Taylor, H., Tielsch, J. M., Varma, R., Wang, J. J., Wang, N., West, S., Xu, L., Yasuda, M., Zhang, X., Mitchell, P., Wong, T. Y., & Meta-Analysis for Eye Disease (META-EYE) Study Group. (2012). Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care, 35(3), 556-564. https://doi.org/10.2337/dc11-1909
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Copyright (c) 2021 Renan Akira Fujii de Oliveira; Suzely Adas Saliba Moimaz; Cléa Adas Saliba Garbin; Artênio José Ísper Garbin; Fernando Yamamoto Chiba
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