流行病学和风险因素在日本埃索诺菲尔性食管炎:一个基于人口的研究
Akinari Sawada1, Takumi Imai2, Yasutaka Ihara2
1Department of Gastroenterology, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
概括
在日本,性食道炎 (EoE) 的发病率和患病率显著增加,尽管它仍然比西方国家少. 酒精消费和过敏与更高的EoE风险有关,而吸烟显示有保护作用.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 免疫学 免疫学 免疫学
背景情况:
- 在全球范围内,异性食道炎 (EOE) 诊断正在上升.
- 对于亚洲的EoE,基于人口的流行病学数据有限.
- 这项研究解决了日本对EoE流行病学的需求.
研究的目的:
- 调查日本一般人口中EoE的流行病学.
- 为了确定日本EoE的发病率和流行率.
- 为了确定与日本EdE相关的潜在风险因素.
主要方法:
- 对大型雇主医疗保险索赔数据库 (2005-2022) 的分析.
- 使用ICD-10代码K20.0.0.0识别EoE病例
- 发病率和流行率的计算;用于风险因素分析的嵌套病例控制研究.
主要成果:
- 在15200895个人中发现了1010例EoE病例.
- 到2022年,与2017年相比,EoE的发病率和流行率显著增加.
- 酒精消费,过敏和精神疾病与EoE风险增加有关;吸烟显示风险降低.
结论:
- 在日本,近二十年来,EoE的发病率和流行率一直在稳步增加.
- 与美国和西欧相比,EoE在日本的流行率仍然较低.
- 了解全球EoE流行病学可以阐明遗传和环境风险因素.
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