کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
340220 548206 2006 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Differential trends in prevalence of diabetes and unrelated general medical illness for schizophrenia patients before and after the atypical antipsychotic era
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
پیش نمایش صفحه اول مقاله
Differential trends in prevalence of diabetes and unrelated general medical illness for schizophrenia patients before and after the atypical antipsychotic era
چکیده انگلیسی

ObjectiveTo estimate the net growth in the risk of type 2 diabetes mellitus (DM) in the population of patients with schizophrenia that may be attributable to the increased use of the class of atypical antipsychotics (A-APDs), adjusting for community trends in DM risk.MethodsUsing data from the National Hospital Discharge Survey, we perform trend analyses for prevalence of DM and general illness unrelated to insulin resistance in patients with schizophrenia, as well as in individuals without known mental illness, during three time periods: 1) prior to any A-APDs introduction (1979–1989); 2) short-term after their introduction (1990–1995), and long-term following their introduction (1996–2001).ResultsTrends in DM and general illness risks were comparable among inpatients with schizophrenia and those without mental illness during the pre-A-APD era and the short-term post-A-APDs era. During 1996–2001, the net difference in DM prevalence grew at an increasing rate (0.7% per year, p < 0.001). By 2001, over a base DM prevalence of 10% in patients with schizophrenia, 3.1 percentage points (p = 0.016) could be attributed to the use of A-APDs. There was no significant net growth in the prevalence of general illness during this period for these patients. This growth was most pronounced among African-American females and middle aged (35–49 years old) patients. This increased risk of DM translates into additional direct medical costs of $800 million per year.ConclusionsThe introduction of A-APDs, after a lag period, is associated with increased risk of DM. This needs to be considered in light of the advantages of these drugs in efficacy and tolerability. Long-term studies are necessary to identify the effect of individual A-APDs on DM risk.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Schizophrenia Research - Volume 86, Issues 1–3, September 2006, Pages 99–109
نویسندگان
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