结核性克罗恩病的流行,发病率和治疗模式:美国基于人口的队列研究
Yanni Fan1, Ling Zhang1, Gil Y Melmed2
1Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT.
这项研究发现,在美国,每10万人中患有24.9例裂性克罗恩病 (CD),每年每10万人中患有7.0例新病例. 最初的治疗通常涉及抗瘤亡因子疗法,许多患者需要手术.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 卷性克罗恩病 (CD) 是一种严重的并发症,基于有限的人口数据.
- 了解其流行和发病率对于患者护理和资源配置至关重要.
研究的目的:
- 为了估计在美国发生的CD的患病率和发病率.
- 分析新诊断患有抽性CD的患者的治疗模式.
主要方法:
- 美国行政索赔数据库 (2016-2019) 的回顾性分析.
- 包括至少365天连续加入保险的患者.
- 粗略估计,年龄和性别调整的流行率和发病率.
主要成果:
- 年龄和性别调整后的患病率:每10万人中24.9;发病率:每10万人中7.0人/年.
- 在一年内,大约50%的发生病例接受了生物疗法,主要是抗瘤坏死因子 (TNF) 药物.
- 大约三分之一的事件需要手术,大多数发生在诊断后3个月内.
结论:
- 在美国人口中,曲性CD的流行率和发病率显著.
- 治疗通常涉及抗TNF疗法,突出其在管理曲性CD的重要性.
- 对于患有发生的CD的患者来说,存在很大的手术负担.
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