Prevalence of medically treated children with ADHD and type 1 diabetes in Germany – Analysis of two representative databases
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Thomas M. Kapellen
,
Rebecca Reimann
Abstract
Background:
The aim of this study was to analyze the prevalence of attention deficit hyperactivity disorder (ADHD) in children and adolescents with type 1 diabetes mellitus (T1DM) in Germany.
Methods:
Two different representative German databases – IMS®-Disease Analyzer, a database that includes diagnoses as well as other information, and IMS®-LRx, a database that documents prescriptions – were used to conduct a retrospective analysis. We searched the LRx database for patients who received both insulin and ADHD-specific medication.
Results:
In 2014, 677,587 children and adolescents aged 0–18 years were treated by a pediatrician and documented in the Disease Analyzer database. Of these patients, 16,833 received the International Statistical Classification of Diseases and Related Health Problems (ICD-10) diagnosis of ADHD (2.5%) and 3668 patients were treated for T1DM (0.1%). Of these 3668 patients, a total of 153 children were also diagnosed with ADHD (4.2%; p<0.05). In the LRx database, the overall prevalence of children in Germany who received both drugs for the treatment of ADHD and insulin in 2014 amounted to 2.9%. Diagnosis of ADHD is 2.4–3.3 times more frequent in boys than in girls. The highest prevalence was seen in the age group of 12–15 years (3.5%) and the lowest in the age group of 6–11 years (2.5%).
Conclusions:
Children with diabetes suffer from ADHD significantly more frequently than children without diabetes. The prevalence of medically treated children with ADHD and diabetes is similar to that documented in a recent report by the Barmer GEK health insurance body. However, it is possible that children with T1DM are much more frequently seen by medical care providers and are thus more likely to be evaluated and receive an appropriate diagnosis.
Acknowledgment
T.K. planned the study and wrote the article, R.R. conducted the study in cooperation with K.K. and edited the article. K.K. did the statistical work. W.K. reviewed and edited the article.
Conflict of interest statement: The authors declare that there is no conflict of interest.
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©2016 Walter de Gruyter GmbH, Berlin/Boston
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Artikel in diesem Heft
- Frontmatter
- Editorial
- Puberty – genes, environment and clinical issues
- Puberty
- Increased levels of bisphenol A (BPA) in Thai girls with precocious puberty
- Efficacy and safety of triptorelin 6-month formulation in patients with central precocious puberty
- Monitoring treatment of central precocious puberty using basal luteinizing hormone levels and practical considerations for dosing with a 3-month leuprolide acetate formulation
- Original Articles
- Association between the triglyceride to high-density lipoprotein cholesterol ratio and insulin resistance in Korean adolescents: a nationwide population-based study
- Progression from impaired glucose tolerance to type 2 diabetes in obese children and adolescents: a 3–6-year cohort study in southern Thailand
- Investigation of the inflammatory biomarkers of metabolic syndrome in adolescents
- A 10-year experience using combined lipid-lowering pharmacotherapy in children and adolescents
- Prevalence of medically treated children with ADHD and type 1 diabetes in Germany – Analysis of two representative databases
- Association of short stature with life satisfaction and self-rated health in children and adolescents: the CASPIAN-IV study
- Case Reports
- Central precocious puberty in a boy with 22q13 deletion syndrome and NOTCH-1 gene duplication
- Non-androgen secreting adrenocortical carcinoma in preadolescence: a case report and literature review
- Efficacy of growth hormone therapy in Kearns-Sayre syndrome: the KIGS experience
- A unique case of Shwachman-Diamond syndrome presenting with congenital hypopituitarism
