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哥伦比亚在2017年至2021年期间炎症性肠病的流行病学和医疗保健资源利用:2017年至2021年:一项回顾性索赔数据库研究
Fabián Juliao-Baños1, Viviana Parra-Izquierdo2, Tatiana Pacheco-Páez3
1Center of Excellence in Inflammatory Bowel Disease, Hospital Pablo Tobón Uribe, Medellín, Colombia.
在哥伦比亚,炎症性肠病 (IBD) 的发病率和流行率正在上升,影响生活质量和医疗保健使用. 这项研究突出了IBD病例和资源利用率的增加,为未来的患者护理策略提供了信息.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 炎症性肠病 (IBD),包括克罗恩病 (CD) 和性结肠炎 (UC),在拉丁美洲的发病率和患病率越来越高.
- IBD显著影响患者的生活质量,并导致大量的医疗保健资源利用 (HCRU).
研究的目的:
- 描述哥伦比亚IBD最近的流行病学趋势.
- 描述与哥伦比亚IBD相关的医疗保健资源利用模式.
主要方法:
- 从2017年到2021年,对哥伦比亚国家索赔数据库 (SISPRO) 的现实数据进行了回顾性分析.
- 包括社会人口统计,流行病学 (发病率,流行率,死亡率) 和HCRU数据.
主要成果:
- 确定了54,961例UC流行病例和13,136例CD病例.
- 在2017-2019年期间,UC发病率从3.82上升到5.18,CD从0.48上升到0.83每10万.
- 患病率在2019年达到顶峰 (UC: 48.65,CD: 15.41每10万);生物疗法使用增加,特别是抗TNF药物.
- 在COVID-19大流行期间,门诊访问和住院病例减少.
结论:
- 该研究证实,哥伦比亚的IBD发病率和流行率正在增加,尽管与大流行有关的下降.
- 增加的HCRU和药物费用伴随着IBD负担的增加.
- 调查结果支持在哥伦比亚为资源分配和改善IBD患者护理做出明智决策.
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