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关于2018年波兰结核病例报告完整性的库存研究
Teresa Domaszewska1, Maria Korzeniewska-Kosela2, Barbara Hauer1
1Robert Koch Institute, Berlin, Germany.
概括
波兰的结核病 (TB) 监测记录了超过90%的估计病例,根据观察到的数据,报告不足率为1.9%. 这表明通报率是确诊结核病发病率的可靠代表.
科学领域:
- 流行病学 流行病学
- 公共卫生监督 公共卫生监督
- 传染病控制和控制传染病
背景情况:
- 评估结核病 (TB) 报告的完整性对于监测结核病监测系统至关重要.
- 估计结核病负担对于有效的控制策略至关重要.
研究的目的:
- 评估2018年波兰结核病报告的完整性.
- 与诊断实验室数据对比,评估国家结核病登记册的准确性.
主要方法:
- 一种双重库存方法,将国家结核病登记册的通知与诊断实验室记录进行比较.
- 使用观察和捕获-重新捕获 (CRC) 方法计算报告不足.
- 将通知与综合住院数据进行比较,以估计区域和人口统计的完整性.
主要成果:
- 观察到的结核病报告不足为1.9% (78例缺失),CRC模拟的报告不足为2.4% (总计估计有4,176例).
- 根据住院数据,报告不足率为5.1%,显示不同地区和年龄组的差异,但性别一致.
- 监测系统至少捕获了波兰估计的结核病例的90%.
结论:
- 波兰的结核病监测系统显示出高度的完整性,捕获了90%以上的估计病例.
- 报告率是波兰确诊结核病发病率的良好代表.
- 建议向数字报告系统过渡,以改善数据的及时性并减少报告延迟.
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