Increasing incidence of type 1 diabetes among Hong Kong children and adolescents: The Hong Kong Childhood Diabetes Registry 2008 to 2017.


Journal

Pediatric diabetes
ISSN: 1399-5448
Titre abrégé: Pediatr Diabetes
Pays: Denmark
ID NLM: 100939345

Informations de publication

Date de publication:
08 2020
Historique:
received: 24 12 2019
revised: 09 03 2020
accepted: 29 03 2020
pubmed: 9 4 2020
medline: 15 7 2021
entrez: 9 4 2020
Statut: ppublish

Résumé

The incidence of childhood-onset type 1 diabetes (T1D) has been reported to be rising but there is also evidence that it has been attenuated in recent years. We described the time trends and the incidence of T1D in children in Hong Kong from 2008 to 2017 and compared with the previous local registry in 1997 to 2007. Data were extracted from the Hong Kong Childhood Diabetes Registry, which was established in 2016. It consists of a retrospective registry (including all childhood diabetes diagnosed in 2008 to 2015) and a prospective registry (including all T1D children diagnosed from 2016 onwards). All T1D children diagnosed at the age of less than 18 years from 1 January 2008 to 31 December 2017 and managed in the public system were included in this study. For the incident years in the 2008 to 2017 period, a total of 498 children with T1D was identified. The crude incidence rate was 4.3 per 100 000 person/year (95% confidence interval 3.96-4.72), which was much higher than the last registry of 2.2 per 100 000 persons/year. Using general linear model, the increment is statistically significant (P = .02). When compared to the last registry, the rate of increment had attenuated, with annual increment in crude incidence in the two periods for T1D <15 years changing from 4.3% to 3.5% (P = .02). The incidence of T1D children increased significantly in the past two decades in Hong Kong, but the rate of increase had attenuated in recent years.

Identifiants

pubmed: 32267057
doi: 10.1111/pedi.13016
doi:

Types de publication

Historical Article Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

713-719

Informations de copyright

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

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Auteurs

Joanna Yuet-Ling Tung (JY)

Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Department of Paediatrics, Hong Kong Children's Hospital, Hong Kong, China.

Elaine Yin-Wai Kwan (EY)

Department of Paediatrics, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China.

Betty Wai-Man But (BW)

Department of Paediatrics, Queen Elizabeth Hospital, Hong Kong, China.

Wilfred Hing-Sang Wong (WH)

Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

Antony Chun-Cheung Fu (AC)

Department of Paediatrics, Princess Margaret Hospital, Hong Kong, China.

Gloria Pang (G)

Department of Paediatrics, Princess Margaret Hospital, Hong Kong, China.

Jennifer Wing-Yan Tsang (JW)

Department of Paediatrics, Prince of Wales Hospital, Hong Kong, China.

Ho-Chung Yau (HC)

Department of Paediatrics, Prince of Wales Hospital, Hong Kong, China.

Kiran Belaramani (K)

Department of Paediatrics, Tuen Mun Hospital, Hong Kong, China.

Lap-Ming Wong (LM)

Department of Paediatrics, Tuen Mun Hospital, Hong Kong, China.

Shirley Man-Yee Wong (SM)

Department of Paediatrics, Queen Elizabeth Hospital, Hong Kong, China.

Priscilla Lo (P)

Department of Paediatrics, United Christian Hospital, Hong Kong, China.

Kwok-Leung Ng (KL)

Department of Paediatrics, United Christian Hospital, Hong Kong, China.

Wilson Kwan-Yee Yeung (WK)

Department of Paediatrics, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China.

Kwong-Tat Chan (KT)

Department of Paediatrics, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China.

Angela Mo-Kit Chan (AM)

Department of Paediatrics, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, China.

Sammy Wai-Chun Wong (SW)

Department of Paediatrics, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, China.

Ming-Kut Tay (MK)

Department of Paediatrics, Tseung Kwan O Hospital, Hong Kong, China.

Jacky Chung (J)

Department of Paediatrics, Caritas Medical Centre, Hong Kong, China.

Ching-Yin Lee (CY)

Department of Paediatrics, Caritas Medical Centre, Hong Kong, China.

Yuen-Yu Lam (YY)

Department of Paediatrics, Kwong Wah Hospital, Hong Kong, China.

Pik-To Cheung (PT)

Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

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