在美国的流行病期间,与不同血液恶性瘤相关的死亡率的变化
Ugo Fedeli1, Claudio Barbiellini Amidei1, Xuesong Han2
1Epidemiological Department, Azienda Zero, Veneto Region, Padua, Italy.
International journal of cancer
|February 9, 2024
概括
血液癌症患者面临更高的COVID-19风险. 使用多种死亡原因 (MCOD) 的死亡率数据显示,在大流行期间,慢性淋巴细胞白血病,非霍奇金淋巴瘤和多发性髓瘤的死亡率显著增加.
科学领域:
- 血液学 血液学 血液学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 患有血液性恶性瘤的患者面临严重COVID-19结果的风险增加.
- 有限的基于人口的数据存在于血液癌症的流行病相关死亡率.
研究的目的:
- 分析1999-2021年血液恶性瘤的死亡率趋势,重点关注COVID-19大流行的影响.
- 使用基本死亡原因 (UCOD) 与多种死亡原因 (MCOD) 的死亡率数据进行比较.
主要方法:
- 从美国国家卫生统计中心提取死亡证明数据 (UCOD和MCOD).
- 应用Joinpoint分析以确定死亡率趋势变化和估计年度百分比变化 (1999-2021年).
主要成果:
- 慢性淋巴细胞白血病显示了与COVID-19相关的显著月度死亡峰值.
- 基于MCOD的年龄标准化死亡率每年在慢性淋巴细胞白血病 (14.0%),非霍奇金淋巴瘤 (5.1%) 和多发性骨髓瘤 (3.2%) 中增加.
- 仅基于UCOD的比率没有显示出与流行病相关的显著变化.
结论:
- 使用MCOD的死亡率监测对于准确评估大流行病对血液恶性瘤患者的影响至关重要.
- MCOD数据对于评估疫苗接种活动等干预措施的有效性至关重要.
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