从1990年到2021年,创伤性关节脱的全球疾病负担及其到2045年的预测
Jingtao Huang1,2, Haoxian Tang2,3, Jiayou Chen1,2
1Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, PKU-Shenzhen Clinical Institute of Shantou University Medical College, Shenzhen, PR China.
在全球范围内,部,膝盖和肩膀的创伤性关节脱正在增加,收入较低的地区和男性的负担更高. 有针对性的预防策略对于缓解这种日益严重的健康问题至关重要.
科学领域:
- 整形外科和运动医学
- 公共卫生和流行病学
- 全球健康差异的差异
背景情况:
- 部,膝盖和肩膀的创伤性关节脱 (DOH,DOK,DOS) 是一个严重的全球健康问题.
- 全球疾病负担 (GBD) 2021数据库为分析这些伤害提供了全面的数据.
- 了解与社会人口指数 (SDI) 的关联是解决差距的关键.
研究的目的:
- 评估全球部,膝盖和肩部脱的负担.
- 分析关节位移与社会人口统计指数 (SDI) 之间的关联.
- 预测未来的趋势,并确定干预的领域.
主要方法:
- 分析GBD 2021数据的发病率,流行率和残疾人 (YLDs) 的生活年数.
- 将SDI与度指数相结合,以评估差异.
- 使用边界分析进行国家一级的比较和年龄期-队列 (APC) 建模进行未来预测.
主要成果:
- 尽管年龄标准化率下降,但DOH/DOK/DOS的全球发病率,流行率和YLD从1990年至2021年增加.
- 年轻人死亡率上升了57.21% (DOH),28.38% (DOK) 和15.48% (DOS);男性承担的负担更高,但女性的增加更为急剧.
- 较低的SDI国家面临更高的负担,跌倒和道路伤害是主要原因;预测表明持续的差异.
结论:
- 关节脱位在年龄,性别和SDI方面表现出显著的异质性,特别是在低收入地区.
- 对高风险群体制定政策和制定有针对性的预防策略至关重要.
- 有效减轻疾病负担需要有针对性的干预措施来解决发现的差异.
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