中国人口中COPD的疾病负担:系统性审查
Jiaxin Xu1, Zile Ji1, Peng Zhang1
1Department of Respiratory Diseases, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, People's Republic of China.
Therapeutic advances in respiratory disease
|December 26, 2023
概括
在过去的30年中,中国慢性阻塞性肺病 (COPD) 的负担有所下降. 然而,缺乏对其经济负担的标准化指标,需要为COPD患者制定统一的标准.
科学领域:
- 肺部医学 肺部医学
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 慢性阻塞性肺病 (COPD) 是一个重大的全球健康挑战.
- 慢性肺炎是全球整体疾病负担的主要原因之一.
- 了解不同人群的具体负担对于有效的公共卫生战略至关重要.
研究的目的:
- 进行系统性审查,评估中国的COPD疾病负担.
- 确定导致中国人口中COPD相关经济负担的关键因素.
- 为了解中国COPD影响的趋势和影响变量提供见解.
主要方法:
- 对中国大陆COPD疾病负担的研究进行系统审查.
- 搜索了多个数据库,包括PubMed,科学网络,Embase,CNKI,WANGFANG和VIP.
- 使用AHRQ推评级工具对横截面研究进行偏差风险评估.
主要成果:
- 审查包括了45项研究.
- 在过去30年中,中国COPD的残疾调整寿命年 (DALY) 每年下降0.9%.
- 在男性,农村地区和中国西部,COPD的患病率更高;中位数的直接医疗费用在150美元至2014美元/人/年之间.
- 经济负担的主要因素包括年龄,住院时间,医院类型,性别和职业.
结论:
- 在过去的三十年中,中国的COPD总体负担呈现下降趋势.
- 发现中国COPD患者经济负担的标准化指标显著缺乏.
- 建议建立一个统一的标准来衡量COPD的经济负担.
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