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疾病负担和因过度饮酒,肥胖和病毒性肝炎造成的成本:英国"柳叶刀"杂志关于肝病常设委员会的第四份报告
Roger Williams1, Graeme Alexander2, Iain Armstrong3
1Foundation for Liver Research, The Institute of Hepatology, London, UK.
Lancet (London, England)
|December 5, 2017
概括
过度饮酒,肥胖和病毒性肝炎正在增加英国的肝病负担. 政府需要采取紧急行动, 解决这些可预防的原因, 并减少医疗保健成本和死亡率.
科学领域:
- 肝病学和公共卫生
背景情况:
- 英国"柳叶刀"杂志关于肝病的常设委员会提出了八项关键建议,以减轻酒精消费,肥胖和病毒性肝炎的影响.
- 目前的数据显示,饮酒量增加,超重和肥胖的患病率增加,以及病毒性肝炎的负担是导致肝病的主要原因.
研究的目的:
- 介绍英国肝病八项主要建议的进展情况的新数据和后续数据.
- 分析生活方式因素和病毒感染对肝脏健康和相关医疗费用的影响.
主要方法:
- 分析与酒精消费,肥胖和病毒性肝炎相关的数据.
- 审查行业对政府征税的反应以及当前公共卫生干预措施的有效性.
- 检查医疗保健成本和肝病护理中的社会经济差异.
主要成果:
- 酒精性肝病预计将超过缺血性心脏病的失业年数.
- 超过60%的英国成年人超重或肥胖,
- 虽然新的C型肝炎治疗方法改善了结果,但对高危人群的查仍然不足.
- 酒精滥用和肥胖造成的医疗费用很大, 每年估计数十亿美元.
结论:
- 政府干预,包括监管和财政行动,对于解决日益严重的肝病危机至关重要.
- 需要改善肝脏血液检查和专家转诊的初级保健指南.
- 在脆弱的社区进行针对性查和加强肝病学培训至关重要.
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