在美国索赔/EHR数据中,自身免疫疾病患病率的种族/种族差异
Sunali D Goonesekera1, Surup Dey, Shilpa Thakur
1Department of Epidemiology, Clarivate (Ann Arbor), 789 E Eisenhower Parkway, Ann Arbor, MI 48008.
The American journal of managed care
|January 25, 2024
概括
在免疫媒介性炎症性疾病 (IMIDs) 中存在种族和民族差异. 了解IMID患病率和重叠综合征的这些差异对于早期诊断和改善患者管理至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 免疫媒介性炎症疾病 (IMID) 和重叠综合征是复杂的疾病.
- 有限的研究已经探索了IMID患病率的种族和民族差异.
- 了解这些差异对于公平的医疗保健至关重要.
研究的目的:
- 评估种族/族裔之间的关联以及美国成年人中IMID和重叠综合征的流行率.
- 为了确定在不同种族和民族群体中不同流行率的特定IMIDs.
- 检查不同人群中IMIDs的同时发生模式.
主要方法:
- 从2021年开始利用美国索赔和电子健康记录进行的回顾性队列研究.
- 对1080万成年患者的分析.
- 对流行IMID和重叠综合征的种族,种族,性别和年龄组进行分层分析.
主要成果:
- 在所有组中,炎症性肠病 (IBD),全身性红斑狼 (SLE),多发性硬化症 (MS) 和类风湿性关节炎 (RA) 是最常见的.
- 在种族/种族和特定的IMID (例如,SLE,RA,MS,IBD,牛皮/牛皮关节炎) 之间发现了显著的关联.
- 叠加综合征是不常见的,在不同组中观察到IMID组合的变化.
结论:
- 在美国成年人群中,IMID患病率和共发生率的种族和种族差异很明显.
- 意识到这些差异可以帮助早期诊断和加强疾病管理策略.
- 进一步研究这些变化的根本原因是有必要的.
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