在日本,使用皮肤脏活检的区域差异很大
Yasuhiro Oda1, Hiroshi Nishi2, Masaomi Nangaku2
1Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan, yasuhirooda3@gmail.com.
Nephron
|October 4, 2023
概括
在日本,皮肤活检频率存在区域差异,各县之间的差异高达4.8倍. 更高的活检率与脏移植和透析的增加相关,这表明脏护理的区域差异.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在日本,透脏活检利用的区域差异尚不清楚.
- 现有的大型数据集缺乏对脏活检实践的全面调查.
研究的目的:
- 为了调查日本各地皮肤活检频率的区域差异.
- 为了确定与活检率观察到的变化相关的因素.
主要方法:
- 分析2020财年通过皮肤进行脏活检的国家医疗保险索赔数据.
- 计算住院患者皮肤透过脏活检频率,按人口,按县划分.
- 探索活检频率与移植,透析率和功能患病率之间的相关性.
主要成果:
- 在2020财年,记录了22,419次皮肤活检.
- 住院患者的皮肤活检频率在各县之间变化高达4.8倍,即使调整了年龄和性别.
- 更高的活检频率与脏移植和腹腔透析率有积极的相关性,与功能减弱的患病率有负相关性.
结论:
- 在日本,在住院患者的皮肤通活检频率中发现了显著的区域差异.
- 活检率较高的地区可能会提供更多的移植和腹腔透析.
- 这项研究提供了2020年日本每年进行的2万多次脏活检的首个全面数据集.
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