1990年至2021年脊柱骨折的全球,区域和国家负担趋势:基于人口的研究
Zhizhong Shang1,2,3,4, Yubao Lu1,2,3,4, Jiale He1,2,3,4
1Department of Spine Surgery, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
International journal of surgery (London, England)
|October 7, 2025
概括
全球脊柱骨折病例正在上升,尽管年龄标准化率 (ASR) 正在下降. 这一趋势凸显了差异,需要针对性公共卫生干预措施,以预防和管理脊柱骨折.
科学领域:
- 流行病学和公共卫生.
- 整形外科和创伤学
- 全球卫生研究全球卫生研究
背景情况:
- 脊柱骨折是全球日益严重的健康问题,原因是高发病率和残疾风险.
- 对脊柱骨折疾病负担和趋势的有限理解阻碍了有效的公共卫生战略.
研究的目的:
- 分析从1990年到2021年全球疾病负担和脊柱骨折的趋势.
- 为了确定不平等,并预测脊柱骨折发生率和残疾的未来趋势.
主要方法:
- 利用2021年全球疾病负担 (GBD) 数据库进行全面的数据分析.
- 雇佣趋势,相关性,年龄-时期-队列,边界,不平等和预测分析.
- 在不同地区,社会人口指数 (SDI) 水平,年龄组和性别之间调查的疾病负担.
主要成果:
- 脊柱骨折的全球年龄标准化率 (ASR) 从1990年到2021年有所下降,预计未来将有所下降.
- 绝对病例数和残疾生活年数 (YLD) 增加,最近下降率放缓.
- 存在显著的区域不平等,高SDI地区的负担更高;男性60岁以下的ASR更高,而60岁以上的女性的ASR更高. 主要原因包括跌倒和道路伤害.
结论:
- 尽管ASR下降,但脊柱骨折的绝对数量不断增加和显著的异质性要求量身定制的公共卫生干预措施.
- 未来的战略必须解决人口和地区之间的差异,以有效管理脊柱骨折.
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