Endocrine Abstracts

The prevalence of endocrinologic diseases in Slovak Republic in 2015 was about 390 000 patients e.g. the prevalence was about 7.1%. The objective of this study was to find out the basic relevant characteristics of delivery of endocrinologic care based on data from General Insurance Company with covering cca 63% of all inhabitants.

Methods: The combined analysis from the GIC data was used.

Results: 246 195 patients, 212 977 women and 33 597 men, were examined in this study. The patients visited 150 endocrinologic outpatients departments (EOD). The number amounted from 1100 to 2800 patients per one department. The prevalence of endocrinologic diseases differed from 6.1% to 9.3% compared 8 administrative regions. The ratio of EOD varied between 2.9% and 6.7% per 100 000 inhabitants. The migration of patients among regions varied from 3% to 10%. The thyreoid diseases represented 88.4% of all patients, metabolic diseases –  8.3%, bone diseases – 6.5%, all other diseases – 5.4% (1 patients had one and more diseases). The prevalence of benign tumors in patients was cca 1.85% and malignant tumors about 1.7%. Some endocrinologic diseases were treated by more than 50 other specialists like internal specialists etc. In this thyreoid diseases represented about 21.9%, bone diseases – 686%, metabolic diseases – 18.6% and all others diseases – 65.4%. From 2013 to 2015 y. was observed an increase of patients with thyreoid diseases in 7.0%, bone diseases – 4.5%, other diseases 5.3%. Together 21 activities from daily practice were observed and evaluated. The most often were: first and followed examination, blood taking, evaluation of laboratory exams, ultrasonography, advice to the patients, densitometry, biopsy, etc.

Conclusions: The prevalence of endocrinologic diseaseas in Slovakia is high. There are some non explanable differences among administrative reasons in access to endocrinologic outpatients care and high level of overlapping among endocrinology and other medical specialties.