美国人口中消化系统疾病的负担
Aynur Unalp-Arida1, Constance E Ruhl2
1National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Department of Health and Human Services, Two Democracy Plaza, Room 6009, 6707 Democracy Blvd., Bethesda, MD 20892-5458.
medRxiv : the preprint server for health sciences
|September 4, 2023
概括
消化系统疾病对美国人口产生重大影响,每年影响数百万人. 这种负担在黑人和老年人中不成比例地高,突出显示了消化系统健康的关键人口差异.
科学领域:
- 胃肠病学和肝病学
- 公共卫生和流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 消化系统疾病是美国的主要公共卫生挑战,导致严重的发病率,死亡率和医疗保健利用率.
- 了解消化系统疾病的流行和影响的当前趋势对于有效的公共卫生战略和资源配置至关重要.
研究的目的:
- 通过使用综合的国家数据,调查目前美国消化系统疾病的负担.
- 分析与消化系统疾病相关的患病率,医疗保健利用率和死亡率的趋势.
主要方法:
- 使用多个国家数据库,包括调查和索赔数据 (例如NAMCS,NIS,SEER,Medicare 5%样本).
- 估计的患病率,门诊护理访问,急诊室访问,出院和死亡率.
- 率是根据年龄调整的,按每10万人口呈现.
主要成果:
- 消化系统疾病影响人口的很大一部分,基于索赔的患病率为30.5% (商业保险) 和53.1% (医疗保险).
- 每年的估计包括1.26亿次门诊,4.1亿次急诊,1600万次出院和472,000次死亡.
- 患病率和死亡率因年龄,性别和种族/种族而异,在黑人和老年人中观察到更高的负担.
结论:
- 在美国,消化系统疾病的整体负担很大.
- 存在显著的差异,黑人和老年人承担了不成比例的消化系统疾病负担.
- 趋势显示,2004年至最近几年间,门诊病例增加,但医院出院和消化系统疾病死亡率下降.
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