韩国乙型肝炎病毒感染的流行病学:15年分析
Log Young Kim1, Jeong-Ju Yoo2, Young Chang3
1Department of Big DATA Strategy, National Health Insurance Service, Wonju, Korea.
Journal of Korean medical science
|January 30, 2024
概括
慢性乙型肝炎 (CHB) 患者数量和平均年龄在15年内增加,严重后果较少,但成本更高. 新冠病毒病2019 (COVID-19) 在乙型肝炎病毒 (HBV) 患者的医疗保健使用量减少.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 慢性乙型肝炎 (CHB) 在乙型肝炎病毒 (HBV) 流行地区仍然是一个重要的公共卫生问题.
- 了解流行病学趋势和外部因素的影响,如2019年新冠病毒病 (COVID-19) 对于有效管理至关重要.
研究的目的:
- 分析CHB15年的流行病学变化.
- 评估COVID-19对CHB患者医疗保健利用的影响.
主要方法:
- 使用国家医疗保险服务索赔数据从2007-2021年.
- 员工倾向性得分匹配,以建立一个可比的年龄和性别对照组.
主要成果:
- 观察到CHB患者数量和平均年龄的持续增加,男性占主导地位下降.
- 已注意到肝细胞癌,肝硬化和脱补偿率的下降,肝移植的增加.
- 冠状动脉病患者的医疗和药物费用较高,并增加了并发症和同时服用药物的费用.
- 在COVID-19期间,与对照组相比,CHB患者的门诊访问和医疗费用减少.
结论:
- 在15年内,CHB流行,严重程度,成本和并发症发生了显著的流行病学变化.
- 与一般人群相比,COVID-19明显减少了CHB患者的医疗保健利用率.
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