周辺動脈疾患の世界的,地域的,および国家的な負担:今後15年間の予測とともに,流行,発生,死亡,およびDALYの体系的な分析
Tao Kou1, Xin Qian1, Yuhui Liu1
1Department of Vascular Surgery, The Affiliated Hospital, Southwest Medical University, Luzhou, 646000, China.
Nutrition, metabolism, and cardiovascular diseases : NMCD
|August 31, 2025
まとめ
周辺動脈疾患 (PAD) の症例は1990年から2021年にかけて世界中で2倍に増加したが,年齢標準化された罹患率は減少した. 高所得国が直面している課題は 周辺動脈疾患の健康格差に対処するために 標的を絞った介入が必要です
科学分野:
- 流行病学
- 世界保健
- 血管疾患
背景:
- 周辺動脈疾患 (PAD) は,顕著な国際格差を持つ世界的な健康上の課題です.
- PADの進化する負担と特徴を理解することは,公衆衛生戦略にとって極めて重要です.
研究 の 目的:
- 1990年から2021年までのPADの世界的な負担と流行病学を分析する.
- PADの負担の国内格差を評価する.
- 今後15年間のPAD負担の傾向を予測する.
主な方法:
- 2021年グローバル・バーデン・オブ・ディジーズ (GBD) 研究のデータを活用した.
- 雇用ジョインポイント回帰,健康格差分析,境界分析,ベイジアン年齢期-コホートモデリング.
- 罹患率,死亡率,障害調整寿命年数 (DALYs) を分析した.
主要な成果:
- 世界的にPADの症例は1990年から2021年の間に102.01%増加して1億1370万人に達した.
- 人口増加と高齢化にもかかわらず,年齢標準化罹患率 (ASPR) は12. 33%減少した.
- 高い社会人口指数 (SDI) の国は,特にDALYでは,最も大きな負担を負いました.
結論:
- PADの世界的な負担は大きく,不均等に分布しています.
- 高いSDIを持つ国は,PADの課題を拡大しています.
- ターゲットを絞った介入は,格差を軽減し,将来のPADの負担を軽減するために不可欠です.
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