Change in life expectancy with type 2 diabetes: a study using claims data from lower Saxony, Germany

Population Health Metrics

Research

Sveja Eberhard¹  Karin Lange²  Siegfried Geyer³  Juliane Tetzlaff³  Jelena Epping³  Denise Muschik³ 

[1] AOK Niedersachsen – Statutory Health Insurance of Lower Saxony, Hannover, Germany;Medical Psychology Unit, Hannover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany;Medical Sociology Unit, Hannover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany;

关键词: Type 2 diabetes;    Life expectancy;    Expansion of morbidity;    Dynamic equilibrium;    Compression of morbidity;   

DOI  :  10.1186/s12963-017-0124-6

 received in 2016-07-21, accepted in 2017-02-09,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThis study estimates life expectancy with and without type 2 diabetes for individuals in Lower Saxony, Germany in order to detect a trend in population health.MethodsMorbidity and mortality data derived from German administrative claims data (statutory health insurance, AOK Niedersachsen, N = 2,900,065) were used covering 10 years from 2005 to 2014. Life table analysis was applied for calculating life expectancy, life expectancy free of type 2 diabetes, life expectancy with type 2 diabetes, and the proportion of life expectancy free of diabetes to total life expectancy using the Sullivan method.ResultsThe total life expectancy increase is stronger in men than in women: At the age of 20, total life expectancy was 55.0 years in 2005 and 56.3 years in 2014 for men, whereas it was 61.7 years in 2005 and 62.5 years in 2014 for women. Decreases in life expectancy without type 2 diabetes were more pronounced in women than in men. Accordingly, life expectancy with type 2 diabetes increased in both women and in men. The proportion of life expectancy without diabetes to total life expectancy decreased, indicating a similar development in both. For example, at the age of 60, the proportion of life expectancy without diabetes to total life expectancy decreased from 0.75 in 2005 to 0.66 in 2014 for men, while it decreased from 0.77 in 2005 to 0.70 in 2014 for women.ConclusionsAgainst the background of increasing total life expectancy, the time spent in morbidity increased for the case of type 2 diabetes in Lower Saxony, Germany.

【 授权许可】

CC BY   
© The Author(s). 2017