AIMS To estimate prevalence, incidence, and mortality of diagnosed diabetes in Greenland, and to evaluate quality of diabetes care among men and women, and patients living in towns and settlements. METHODS This study was designed as an observational cross-sectional study based on review of data obtained from the electronic medical record (EMR) in Greenland. All permanent residents of Greenland registered with a diabetes diagnosis in the EMR (N = 1498) were included. RESULTS The age-standardized prevalence of diabetes was 2.19% as of Nov 30, 2018. The age-standardized incidence was 147 per 100,000 per year and the age-standardized mortality was 62 per 10,000 person-year among people aged ≥0 years old (Dec 1, 2017 to Nov 30, 2018). Quality of diabetes care was slightly higher among women compared to men concerning proportion with annual measurement of glycated haemoglobin (HbA1c) (89.9% vs. 85.8%; p < 0.015), blood pressure (83.7% vs. 76.7%; p < 0.001).The only difference observed in quality of care among settlements and towns was lower proportion tested for microalbuminuria within one year in settlements (50.3% vs. 40.1%; p < 0.001). CONCLUSIONS The age-standardized prevalence of diagnosed diabetes in Greenland was 2.19% and the prevalence of diagnosed diabetes among adults aged ≥20 years was 3.7%. Only minor differences in quality of care related to gender and place of residence were observed. Further improvements in quality of care are warranted.

中文翻译：

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格陵兰诊断出糖尿病的患病率，发病率，死亡率和护理质量。

目的评估格陵兰诊断出的糖尿病的患病率，发病率和死亡率，并评估男女以及城镇居民区的糖尿病护理质量。方法基于对格陵兰电子病历（EMR）数据的回顾，本研究被设计为观察性横断面研究。包括格陵兰所有在EMR中诊断为糖尿病的永久居民（N = 1498）。结果截至2018年11月30日，按年龄分组的糖尿病患病率为2.19％。年龄≥0岁的人群中，年龄分组的发病率为147 / 100,000每年，年龄分组的死亡率为62 / 10,000人/年（ 2017年12月1日至2018年11月30日）。就糖化血红蛋白（HbA1c）的年度测量比例而言，女性的糖尿病护理质量比男性略高（89.9％vs. 85.8％； p <0.015），血压（83.7％vs. 76.7％； p <0.001）在定居点​​和城镇之间观察到的唯一护理质量差异是，在定居点一年内测试的微量白蛋白尿比例较低（50.3％对40.1％； p <0.001）。结论在格陵兰，按年龄标准诊断的糖尿病患病率为2.19％，在≥20岁的成年人中，诊断为糖尿病的患病率为3.7％。仅观察到与性别和居住地有关的护理质量存在细微差异。有必要进一步提高护理质量。在定居点​​和城镇之间观察到的护理质量的唯一差异是，在定居点一年内检测到的微量白蛋白尿比例较低（50.3％对40.1％； p <0.001）。结论在格陵兰，按年龄标准诊断的糖尿病患病率为2.19％，在≥20岁的成年人中，诊断为糖尿病的患病率为3.7％。仅观察到与性别和居住地有关的护理质量存在细微差异。有必要进一步提高护理质量。在定居点​​和城镇之间观察到的护理质量的唯一差异是，在定居点一年内检测到的微量白蛋白尿比例较低（50.3％对40.1％； p <0.001）。结论在格陵兰，按年龄分类的诊断为糖尿病的患病率为2.19％，在≥20岁的成年人中，诊断为糖尿病的患病率为3.7％。仅观察到与性别和居住地有关的护理质量存在细微差异。有必要进一步提高护理质量。7％。仅观察到与性别和居住地有关的护理质量存在细微差异。有必要进一步提高护理质量。7％。仅观察到与性别和居住地有关的护理质量存在细微差异。有必要进一步提高护理质量。