发生的抗质底膜疾病的年龄和时间依赖的增加:全国性的队列研究
Karl Emil Nelveg-Kristensen1, Bo Madsen2, Mark McClure3
1Department of Nephrology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Clinical kidney journal
|January 8, 2024
概括
抗质底膜 (GBM) 疾病的发病率正在上升,特别是在老年人中. 尽管取得了进展,但脏的存活仍然具有挑战性,死亡率与其他严重的脏疾病相美.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 流行病学 流行病学
- 免疫学 免疫学 免疫学
背景情况:
- 抗质底膜 (GBM) 疾病是一种罕见的自身免疫性疾病.
- 流行病学研究受到疾病罕见性的限制.
- 了解发病率和结果的趋势对于患者护理至关重要.
研究的目的:
- 检查1998年至2018年反GBM疾病发病率的变化.
- 分析抗GBM疾病患者的结局,包括存率和死亡率.
- 将结果与匹配的对照人群进行比较.
主要方法:
- 利用全国性的医疗保健登记册来识别发生抗GBM疾病的患者 (ICD-10代码DM31.0A).
- 用人暴露密度采样为4:1,与基于出生年份和性别的对照匹配.
- 应用日志链路回归调整时间,年龄和性别以模型生存.
主要成果:
- 确定了97例反GBM疾病事件,总发病率为0.91例/百万/年.
- 随着时间的推移 (P=.02) 和年龄的增长,发病率显著增加.
- 一年脏存活概率为0.38,显示时间依赖的变化 (P=.035);5年死亡率为26.8%.
结论:
- 反GBM疾病的发病率有所增加,可能是由于人口结构的变化.
- 死亡率仍然很高,与需要透析的抗中性细胞质抗体相关血管炎 (AAV) 的年龄和性别匹配的患者相似.
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