主要胆道胆道炎的全球流行病学:更新的系统性审查和元分析
Jarell Jie-Rae Tan1, Ambrose Hon Lam Chung2, Jing Hong Loo3
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
概括
全球初级胆道胆道炎 (PBC) 的患病率有所增加,特别是在西太平洋地区. 这一趋势凸显了医疗保健负担日益增加以及PBC流行病学的地理差异.
科学领域:
- 肝病学和胃肠病学 肝病学和胃肠学
- 流行病学和公共卫生.
背景情况:
- 初级胆道胆炎 (PBC) 在发生率上表现出显著的地理差异.
- 了解PBC流行病学的全球和时间趋势对于公共卫生规划至关重要.
研究的目的:
- 提供一次性胆道胆道炎 (PBC) 的流行和发病率的最新全球估计.
- 分析从1976年到2024年的PBC流行和发病率的时间趋势.
- 调查影响PBC流行病学的因素,包括地理区域和人类发展指数.
主要方法:
- 在2024年8月20日之前,对三个电子数据库进行系统的文献搜索.
- 包括59项研究,包括3.81亿参与者和129,455例PBC病例.
- 进行元回归分析以评估时间趋势和对地理,人口和诊断因素的子组分析.
主要成果:
- 汇总的全球PBC患病率为每10万人口中18.1例;发生率为每10万人/年1.8例.
- 在更高度国家,具有更高人类发展指数的国家,在美国和女性中观察到更高的PBC患病率.
- 全球PBC患病率随着时间的推移而增加,西太平洋地区的增长最为显著.
结论:
- 越来越多的PBC患病率意味着越来越多的医疗保健挑战,特别是在西太平洋地区.
- 需要进一步的研究来阐明度和PBC流行之间的关系.
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