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西澳大利亚的慢性病患病率,2010-2020年
Kanika Mehta1,2, Sean Randall3,4, Crystal Man Ying Lee4
1Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
BMJ open
|January 29, 2025
概括
西澳大利亚的慢性病 (CKD) 患病率从2010年到2020年大幅增加. 这种增长凸显了不同的人口和地点中CKD患病率的差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 慢性病 (CKD) 在全球范围内构成了重大公共卫生挑战.
- 了解CKD的流行和趋势对于有效的卫生资源分配和政策制定至关重要.
研究的目的:
- 确定2010年至2020年期间西澳大利亚 (WA) 中CKD的流行率和时间趋势.
- 确定与西澳大利亚的CKD患病率相关的人口和地理因素.
主要方法:
- 一个回顾性,基于人口的队列研究,利用来自WA病理学,医院和死亡记录的链接的非识别数据.
- 纳入标准包括18岁及以上的个体,至少有一次血清肌素测试.
- 使用估计的淋巴膜过率 (eGFR) 和尿中的白蛋白-肌素比率 (UACR) 确定了CKD状态.
主要成果:
- 对2,501,188个人的分析显示,年龄性别标准化的CKD患病率从2010年的4.7%大幅增加到2020年的6.0% (年平均百分比变化为3.0%).
- 2020年,CKD第3阶段及以上的患病率为4.8%.
- 在区域/偏远地区和在社会经济最不利的五分位数中的个人中,发现CKD的患病率更高.
结论:
- 西澳大利亚的CKD患病率呈现出一致的上升趋势,与国家模式保持一致.
- 存在严重的CKD患病率差异,受年龄,社会经济地位和地理偏远的影响.
- 这些发现强调了需要有针对性的干预措施来解决CKD负担和健康不平等的问题.
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