2003年至2018年,韩国甲状腺功能障碍的患病率,治疗状况和并发症:全国人口研究
Hwa Young Ahn1, Sun Wook Cho2,3, Mi Young Lee4
1Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Endocrinology and metabolism (Seoul, Korea)
|July 12, 2023
概括
甲状腺功能障碍在女性中更为常见,在韩国主要用抗甲状腺药物治疗. 年轻患者面临更高的严重并发症和并发症的风险.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 研究了2003-2018年间韩国甲状腺功能障碍的发病率和治疗模式.
- 研究了与甲状腺功能障碍治疗相关的并发症和并发症.
研究的目的:
- 调查韩国甲状腺功能障碍发病率和治疗选择的时间趋势.
- 分析高甲状腺患者治疗相关的并发症和相关的并发症.
主要方法:
- 使用国家医疗保险服务数据的回顾性观察研究.
- 通过诊断代码和使用抗甲状腺药物的持续时间 (>6个月) 定义的甲状腺功能障碍.
主要成果:
- 根据年龄标准化的发病率在女性 (105.13/100,000) 比男性 (42.23/100,000) 高.
- 在研究期间,诊断年龄从50岁转移到60岁.
- 在93.7%的病例中使用了抗甲状腺药物; 废除疗法从7.68%降至4.56%.
- 年轻患者更频繁地出现不良事件 (腺细胞瘤,肝炎) 和并发症 (心房动,骨质疏松症,骨折).
结论:
- 甲状腺功能障碍在韩国的女性中是甲状腺功能障碍的2.5倍,而抗甲状腺药物是首选的第一线治疗方法.
- 与一般人群相比,甲状腺功能高的患者在较年轻时表现出心房动,骨质疏松症和骨折的风险增加.
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