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甲状腺毒性和甲状腺周期性的20年趋势:基于人口的队列研究
Gloria Hoi-Yee Li1, Ching-Man Tang1, Ray Shing-Hin Li1
1Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
European thyroid journal
|September 5, 2025
概括
甲状腺毒性病的发病率在香港上升,但甲状腺毒性周期性 (TPP) 的发病率保持稳定. 这项研究使用电子健康记录建立了第一个TPP队列,强调需要持续监测甲状腺毒性趋势.
科学领域:
- 内分泌学
- 流行病学
- 医疗信息学
背景情况:
- 甲状腺毒性周期性 (TPP) 是甲状腺毒性的严重并发症.
- 由于数据的可用性,对TPP的大规模流行病学研究是有限的.
- 电子医疗数据库为基于人口的健康研究提供了潜力.
研究的目的:
- 在香港建立基于人群的甲状腺毒性和TPP登记.
- 评估甲状腺毒性和TPP发病率,住院时间和住院时间的趋势.
- 通过电子健康记录验证用于识别甲状腺毒性和TPP病例的算法.
主要方法:
- 从大型电子医疗数据库中开发并验证了用于识别甲状腺毒性和TPP病例的算法.
- 根据2002年至2021年的验证数据建立了基于人口的队列.
- 分析了标准化发病率,与TPP相关的住院率和住院时间.
主要成果:
- 经过验证的算法获得了高的阳性预测值 (0. 86对于甲状腺毒性,0. 97对于TPP).
- 2002 年至 2021 年,甲状腺毒性病发病率显著增加 (每年变化 4. 77%).
- 男性和女性的TPP发病率保持稳定;住院率和住院时间一致.
结论:
- 这项研究成功地使用验证的电子健康数据创建了第一个TPP队列.
- 甲状腺毒性疾病的发病率越来越高,因此需要持续监测和监测.
- 这些发现强调了电子健康记录在罕见疾病流行病学研究中的有用性.
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