多发性硬化症的全球负担及其可归因的风险因素,1990-2019年
Saeid Safiri1,2, Amir Ghaffari Jolfayi1, Seyed Ehsan Mousavi3
1Neurosciences Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Frontiers in neurology
|November 11, 2024
概括
从1990年到2019年,多发性硬化症 (MS) 的流行率和负担在全球范围内有所下降. 然而,多发性硬化仍然是一个重要的健康问题,特别是对女性来说,需要综合医疗保健规划.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 多发性硬化症 (MS) 是一种进展性神经系统疾病,患病率越来越高.
- 了解MS的全球负担对于有效的公共卫生战略至关重要.
研究的目的:
- 从1990年到2019年,分析全球多发性硬化症 (MS) 的负担.
- 根据年龄,性别和社会人口统计指数 (SDI) 来检查多发性硬化症的流行率,死亡率和残疾调整寿命年 (DALYs).
主要方法:
- 利用了2019年全球疾病负担项目的数据.
- 报告的流行率,死亡率和DALY估计,包括年龄标准化率和不确定性间隔.
主要成果:
- 2019年,MS导致全球180万例流行病例,22.4万例死亡,以及120万个DALY.
- 全球MS患病率,死亡率和DALY的年龄标准化率在1990年至2019年期间大幅下降.
- 女性患病率更高,MS DALY率与不同地区SDI之间存在非线性关系.
结论:
- 尽管年龄标准化DALY率在全球范围内有所下降,但多发性硬化继续给患者带来巨大的负担.
- 将MS及其风险因素纳入医疗保健规划是必不可少的,尤其是在社会经济发达地区.
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