在美国分析20年白血病死亡率 (1999-2020年)
Nouman Aziz1, Waseem Nabi1, Muzamil Khan2
1Wyckoff Heights Medical Center Program, Brooklyn, NY.
Clinical lymphoma, myeloma & leukemia
|April 6, 2025
概括
白血病死亡率整体下降,但老年人最近出现轻微增加. 白血病死亡人数存在跨年龄,性别和地理位置的持续差异,表明医疗保健获取不平等.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 白血病是一种显著的血液恶性瘤,其结果因人口和地理而异.
- 了解白血病死亡率趋势和差异对于有效的公共卫生政策至关重要.
研究的目的:
- 分析1999年至2020年美国白血病死亡率趋势.
- 专注于年龄调整的死亡率 (AAMR),差异和地理模式.
主要方法:
- 使用了CDC WONDER数据库来查看白血病死亡 (ICD-10代码C91-C95).
- 分层年龄组 (<45岁和≥45岁) 并根据人口统计,人口普查地区和城市化情况分析数据.
- 员工使用Joinpoint回归模型来估计年度百分比变化 (APC).
主要成果:
- 年龄调整后的死亡率 (AAMR) 对于45岁以上的人来说,每年下降了-0.90%,但从2018年到2020年略有上升.
- 在男性,非西班牙裔白人和农村人口中观察到更高的AAMR.
- 白血病死亡率持续下降,在45岁以下的个体中差异很小.
结论:
- 总的来说,白血病死亡率有所下降,但在年龄,性别和地理区域之间仍然存在差异.
- 这些差异表明,在获得医疗保健方面存在不平等.
- 需要有针对性的干预措施来弥补这些差距,并在全国范围内改善白血病护理.
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