DOI: 10.21045/2071-5021-2016-48-2-3
Demicheva T.P., Shilova S.P.
Perm State Medical University named after Academician E.A. Wagner, Perm

Contacts:Tatyana Demicheva, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. The study significance is substantiated by the need for objective information on prevalence of endocrine disorders. True prevalence is a basic requirement for planning and developing a comprehensive system of preventive measures.

The study purpose was to conduct a comparative analyze of informativity of different sources of data on prevalence of endocrine disorders.

Methods: official statistics of the Perm territory (form #12) for 2000-2014. The authors analyzed incidence and prevalence based on care seeking that reflects prevalence rates. Data on medical examinations as part of additional regular medical examination of the working population in which the author participated as endocrinologist are provided. The number of people examined in 2006-2010 added up to 8 122. Then, according to Orders #1344n and #1011 of the Ministry of Health organization of medical examinations was changed (the author did not participate in such examinations). Since medical examinations are targeted at working population, the authors conducted a special “narrow focus” study on detecting endocrine disorders among people over 60. A total of 3 884 people were examined.

Results. In the Perm territory the disease prevalence based on care seeking totaled to 68.3 per 1000 population in 2014, while the disease incidence was 5.5 times lower. The structure of disease prevalence was determined by diabetes mellitus, thyroid gland disorders and obesity.

For 15 years the indicators increased by 1.7, 2.5 and 4.3 times respectively. In adult population the indicators reach 35.2, 23.7 and 0.9 per 1000 population. Incidence of endocrine disorders detected during medical examinations added up to 314.2 per 1000 examined, including: diabetes mellitus - 17.4; thyroid gland disorders - 133.8 and obesity – 163.0. In people over 60 the incidence was 223.8 per 1000. The share of patients with diabetes mellitus estimated 58.2%; thyroid gland disorders - 18.7%, and obesity – 8.6%.

Conclusions.

1. Official statistics can’t serve as the only information source to assess the true prevalence of endocrine disorders i.e. incidence of endocrine disorders by care seeking is 4 times lower than the same by medical examinations.

2. Official reporting doesn’t provide in-depth characteristics of morbidity suggesting the need for improvement or use of other information sources.

3. Dynamics of care seeking is characterized by negative trends. For 15 years in the Perm territory the obesity prevalence increased by 4.8 times which is significantly higher than growth rates of prevalence of diabetes mellitus and thyroid gland disorders.

Keywords: prevalence of endocrine disorders; dynamics; information sources; medical examinations of the working population and the senior age groups.

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