Diseguaglianze nei ricoveri evitabili per complicanze del diabete: una revisione sistematica della letteratura con meta-analisi

Translated title of the contribution: [Autom. eng. transl.] Inequalities in avoidable hospitalizations for complications of diabetes: a systematic review of the literature with meta-analysis

Gualtiero Ricciardi, Gianfranco Damiani, Lanfranco Iodice, Paolo Parente, Chiara De Waure, Andrea Ambrosone, Roberto Vitetta

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] Introduction: Diabetes is a global problem in Public Health and hospitalizations for its complications are defined as potentially avoidable (PE) in the context of good primary care. The aim of the study is to evaluate inequalities in the appropriateness of the territorial treatment of diabetes by measuring the avoidable hospitalization for complications of diabetes among different socioeconomic groups. Methods: A systematic review of the literature was carried out until March 2015, using Medline and Scopus. The key words were: "preventable", "avoidable", "hospitalization", "disparities", "inequalities", "chronic disease", "diabetes". A meta-analysis of the results was then performed using a random-effects model. Results. The review included 22 scientific papers, for a total of about 11 million hospitalizations, which investigated the relationship between inequalities in different populations (general vs. diabetic cohorts) and PE hospitalizations for diabetes complications. 63% of the articles (14/22) had a cross-sectional design, 37% (8/22) were cohort studies. The inequalities were analyzed for the following variables: gender (18/22, 82%), age (18/22, 82%), ethnicity (12/22, 54.5%), income (12/22, 54.5%), area of residence (5/22, 23%). Because of the high heterogeneity between the studies, a meta-analysis was possible only for ethnicity. The combination of 5 studies confirmed an increased risk in PE hospitalizations for diabetes complications among individuals with a disadvantaged ethnicity (black or other minorities vs. Caucasian whites) in a general population setting with a Relative Risk of 2.54 (IC95%: 1.94-3.33). Conclusions. The inequalities of admissions due to diabetic complications indicate an inequitable offer of primary care that must be addressed with a proactive approach to population medicine program.
Translated title of the contribution[Autom. eng. transl.] Inequalities in avoidable hospitalizations for complications of diabetes: a systematic review of the literature with meta-analysis
Original languageItalian
Title of host publicationAbstract Book del 48° Congresso Nazionale SItI – “Alimentare la salute”
Pages303
Number of pages1
Publication statusPublished - 2015
Event48° Congresso Nazionale SItI – “Alimentare la salute” - Milano
Duration: 14 Oct 201517 Oct 2015

Conference

Conference48° Congresso Nazionale SItI – “Alimentare la salute”
CityMilano
Period14/10/1517/10/15

Keywords

  • diabete
  • diseguaglianze
  • meta-analisi
  • ospedalizzazione evitabile
  • revisione sistematica

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