Diabetes in the Loddon Mallee Region

Transcription

1 20/08/ Diabetes in the Loddon Mallee Region Some of what we know from the available data Dougal Strachan Data and Information Analyst LMMML dstrachan@lmmml.org.au Kevin Masman Business Analyst, Data Analyst CHERC, Bendigo Health kmasman@bendigohealth.org.au

2 There were 356,807 people with diabetes who required insulin therapy registered on the NDSS. This is 31% of all people with diabetes & 1.6% of the overall population 20/08/ NDSS national registrants & insulin requirements Prevalence Nationwide: T1 Diabetes registrants 117,368 (10.8%) T1/(T1+T2) People With Diabetes Requiring Insulin by Diabetes Type T2 Diabetes registrants (89.2%) T2/(T1+T2) Total T1 & T2: 1,082,805 registrants ABS population clock: there were 23,545,655 Australian residents as of 28 July 2014 at 10:42:10 AM - one more person every 1 minute and 20 seconds People With Diabetes Requiring Insulin by Age Group

3 20/08/ NDSS registrants - National T1 & T2 age profiles & Gest Diab trend Nationally, median age of mothers increased , but now flat People with Type 1 Diabetes by Age Group People with Type 2 Diabetes by Age Group Women Newly Registered with Gestational Diabetes Year Ending 31/March, not an age profile 14% p.a. increase. Mini-baby boom? Overweight? Change of diagnostic threshold? All three? Further analysis required! As of 20/07/2014 A 2010 study showed that 43% of pregnant women are obese or overweight Athukorala C, Rumbold AR, Willson KJ, Crowther CA. BMC Pregnancy Childbirth 2010; 10: 56

4 20/08/ NDSS registrants, Loddon Mallee Relative % T1 & T2 LGA T1 T2 SUM T1% T2% Bendigo % 86.58% Loddon % 92.35% Nationally: T1 = 10.8% T2 = 89.2% Mt Alexander % 88.64% Central Goldfields % 91.98% Macedon Ranges % 88.51% Campaspe % 90.72% Gannawarra % 93.10% Buloke % 93.40% Swan Hill % 90.02% Mildura % 90.52% SUM % 89.37%

5 20/08/ NDSS registrants, Victoria & southern NSW, all types Relative prevalence, all diabetes registrants, Victoria, southern NSW By LGA Kerang (Ganawarra) and Maryborough (Central Goldfields) Very High in LMR Very High in LMR circled Mildura Swan Hill Kerang Maryborough Bendigo

6 20/08/ NDSS registrants, Victoria & southern NSW, T1 & T2 Type 1, relative prevalence Type 2, relative prevalence Relative prevalence: Type 1 Greater Bendigo is High in LMR circled Mildura Swan Hill Kerang Maryborough Bendigo Mildura Swan Hill Kerang Maryborough Bendigo Relative prevalence Type 2 Gannawarra & Buloke & Murray are Very High, Loddon, Campaspe, Central Goldfields are High in LMR circled

7 20/08/ A health profile summary of Gr Bendigo LGA - health conditions, some risk factors NDSS has a lower figure Data is available for all LGAs LGA Rank is out of 85 Boxed: Some rankings of risk factors for Greater Bendigo LGA

8 20/08/2014 A health profile summary of Gr Bendigo LGA - health conditions and health behaviours 8 LGA Rank is out of 85 Boxed: Some more rankings of risk factors for Greater Bendigo LGA

9 20/08/2014 Gannawarra, Central Goldfields risk factors - health conditions and health behaviours 9 Gannawarra (Kerang) LGA Central Goldfields (Maryborough) LGA Health factors LGA Rank is out of 85 Health factors LGA Rank is out of 85 Health behaviours LGA Rank is out of 85 Health behaviours LGA Rank is out of 85

10 20/08/ Diabetes coded inpatients in Bendigo Health Note: Patients deceased since 2000 are included Type 1 Inpatients Type 2 Inpatients Gestational Diabetes Inpatients/outpatients 1036 Pts (12%) T1/(T1 + T2) 7871 Pts (88%) T2/(T1 + T2) 784 Pts As of 15 July, 10,075 Diabetes Patients in total have been coded out of a total of 384,201 registered patients (2.6%). Patients record since 1976, coding record only after 1/1/1998. About 36% of all inpatients are people with diabetes (source: Diabetes Educator long term stats) About a third of these require insulin, ie 10% inpatients About 25% of inpatients require other diabetes awareness/obs/care/management

11 Nationally: 20/08/ Bendigo Health diabetes education HARP BH Community Health 1994 Pts T1: 401 Pts (28%) T2: 1021 Pts (72%) 739 Pts in common 1615 Pts T1: 279 Pts (34%) T2: 549 Pts (66%) T1, T2 & Gest

12 /08/ Type 1 diabetes episodes in Bendigo Health Time series: 2000 to June

13 /08/ Type 2 diabetes episodes in Bendigo Health Time series: June 2000 to June It is estimated that Aboriginal Australians are 3-4 times more likely to develop type 2 diabetes than the general population. ( 500 The change is very approximately 3% increase p.a. Population has increased by about 1.5% p.a. in BH catchment data artefact/anomaly? 100 0

14 /08/ Gestational diabetes episodes in Bendigo Health Time series: Incidence of gestational diabetes, 2000 to June The national trend is 16% increase p.a. This more granular data shows more complexity over time

15 (blank) 20/08/ Inpatient diabetes comorbidities in Bendigo Health Time series: Coded diagnoses positions 3, 4, 5, 6, 7 indicate diabetes comorbidities increasing by approx. 5.0% annually data artefact? data artefact/anomaly?

16 20/08/ DKA presentations in Bendigo Health ED Time series: Coded DKA diagnoses in ED, an example of inaccurate data Feb Mar Apr Jun Jul Aug Oct Nov Dec Feb Mar Apr Jun Jul Aug Oct Nov Dec Feb Mar Apr Jun Jul Aug Oct Nov Dec Feb Mar Apr Jun Jul

17 20/08/ LMMML GP Patient Data 16.0% Diabetes Patient Age Profile 14.0% Patients % of total Active Patients (n=85,195) Diabetes Related % Diabetes Type % Diabetes Type 2 3, % Diabetes Undefined 1, % Gestational Diabetes - 0.0% Total 6, % 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0%

18 20/08/ LMMML GP Patient Data % of Group Diagnosis Group With Diabetes Asthma 15.2% Bone & Joint Diseases 36.9% Cancer 7.4% Cardiovascular Diseases 27.2% Chronic Disease Risk Factor 21.3% Chronic Kidney Disease 6.2% COAD 6.7% Drug Abuse 0.4% Hyperlipidaemia 41.2% Hypertension 63.7% Mental Health 24.0% Sexual Health 0.2% Stroke 5.5%

19 20/08/2014 LMMML Victorian Admitted Episodes Dataset 19 (VAED) 2012/13 Ambulatory Care Sensitive Conditions VAED LMMML Region 2012/13 Diabetes Complications % Hypertension % Pyelonephritis % Dehydration & Gastroent % Chronic Obstruct Pulmonary % Congestive Heart Failure % Dental Conditions % Cellulitis % Angina % Iron Deficiency Anaemia % Ear Nose & Throat Infection % Asthma % Convulsion & Epilepsy % Nutrition Deficiencies % Pelvic Inflammatory Disease % Influenza % Perforated Bleeding Ulcer % Gangrene % Other Vaccine % 30% 25% 20% 15% 10% 5% 0% VAED - Diabetes Complications Age Profile

20 20/08/ Thank you Dougal