丹麦骨质疏松性脊椎骨折患者2010-2018:国家注册表分析
Mikkel Ø Andersen1,2, Andreas K Andresen1, Jacob Stampe Frølich3
1Center for Spine Surgery and Research, Lillebaelt Hospital, Kolding, Denmark.
Spine
|November 21, 2024
概括
骨质疏松性脊椎骨折 (OVF) 在丹麦正在增加,影响超过20%的仍在工作的患者. 这凸显了OVF对劳动人口的重大社会经济影响.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 丹麦的骨质疏松性脊椎骨折 (OVF) 发生率和患者特征没有得到充分的记录.
- 国家注册提供了将健康和经济数据联系在一起的机会,以获得对OVF的新见解.
研究的目的:
- 描述丹麦OVF患者的社会人口统计和健康特征.
- 分析OVF发病率的时间趋势,并比较OVF患者和对照者之间的劳动力市场参与和并发症.
主要方法:
- 基于登记册的队列研究,使用来自丹麦国家登记册 (2010-2018) 的链接数据.
- 确定的医院诊断的脊椎压缩骨折;根据性别,年龄和市政单位匹配的对照.
- 分析了工作状态 (就业,疾病福利,退休,养老金) 和伴随疾病 (在前10年内诊断).
主要成果:
- 在2010-2018年期间,有20262人被诊断患有OVF;64%是女性,平均年龄为73.6岁.
- 每10万人口的OVF发病率从86个增加到142个 (2010年至2018年),区域差异较大.
- 超过20%的OVF患者在骨折前就业;77%的患者退休或退休. 在OVF患者中,共患病的病例较多.
结论:
- 在过去的十年中,在丹麦,医院诊断的OVF发病率有所增加,区域差异很大.
- 在骨折发生之前,相当一部分OVF患者 (20%以上) 已经有工作,这表明了相当大的社会经济负担.
- 与普通人群相比,OVF患者的并发症负担更高.
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