估计英格兰未被诊断的痴呆症使用捕获和重新捕获技术
Naaheed Mukadam1, Louise Marston2, Katie Flanagan2
1University College London, London, UK. n.mukadam@ucl.ac.uk.
BMC geriatrics
|January 3, 2025
概括
捕获-重新捕获方法显示,英格兰确诊的痴呆病例显著增加,在1997年至2018年期间从42.4%上升到84.4%. 这表明痴呆症的患病率可能低于以前的想法,在年轻人和南亚人群中持续存在低诊断.
科学领域:
- 流行病学 流行病学
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
背景情况:
- 捕获-重新捕获技术尚未广泛应用于估计痴呆症患病率,使用在英格兰例行收集的数据.
- 通过使用电子健康记录,估计未被诊断的痴呆症随时间的变化对于公共卫生规划至关重要.
研究的目的:
- 使用例行收集的数据,估计英格兰未诊断的痴呆病例数量.
- 评估随着时间的推移,痴呆症诊断率的变化.
- 调查基于年龄,种族,社会经济贫困和性别的痴呆症诊断差异.
主要方法:
- 从1997年到2018年利用了相关的初级保健和医院病例统计数据.
- 应用林肯-彼得森估计器来估计缺失的痴呆症诊断和总流行率.
- 使用β回归来分析影响痴呆病例识别的因素.
主要成果:
- 确诊的痴呆病例比例从1997年的42.4%增加到2018年的84.4%.
- 在65岁以上的人群中,痴呆的估计患病率在2018年增加到4.4%,达到4.4%.
- 在南亚族群和年轻年龄段观察到较低的诊断率,而在更贫困地区观察到更高的诊断率.
结论:
- 痴呆症病例的鉴定有了显著的改善,这表明潜在的潜在患病率可能比以前估计的要低.
- 痴呆症在年轻人和南亚人口中仍未被诊断出来,需要针对性的干预措施.
- 需要进一步的研究来复制这些发现,并完善痴呆症患病率估计.
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