中国COPD的多维负担:与其他流行非传染性疾病的倾向性得分匹配的比较
Quan Sun1, Bixiang Lu1, Qiuping Chen2
1Health Care Security and Pharmacoeconomic Evaluation Branch, China Medical Education Association, Beijing, People's Republic of China.
慢性阻塞性肺病 (COPD) 显著影响中国,其负担比高血压,糖尿病或高胆固醇血症更大. 它的影响随着疾病的严重程度而恶化,凸显出需要量身定制的管理策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 慢性阻塞性肺病 (COPD) 是中国的主要死亡原因.
- 与其他非传染性疾病 (NCD) 相比,COPD的综合负担尚不清楚.
- 本研究旨在将COPD的多维负担与中国其他流行非传染性疾病进行比较.
研究的目的:
- 评估和比较COPD与高血压,糖尿病,高胆固醇和骨质疏松症在中国的多维负担.
- 评估COPD严重程度对与健康相关的生活质量,工作生产力和医疗保健利用率的影响.
- 为管理COPD和相关非传染性疾病的公共卫生策略提供信息.
主要方法:
- 2020年中国国家健康与健康调查 (NHWS) 的横截面分析.
- 包括589名自我报告的COPD患者和其他非传染性疾病的匹配队伍 (1:1倾向性得分匹配).
- 评估与健康有关的生活质量 (HRQoL),工作生产力和活动障碍 (WPAI) 以及医疗保健资源利用率 (HCRU).
主要成果:
- 慢性肺炎患者的整体疾病负担明显高于高血压,糖尿病或高胆固醇血症患者.
- 慢性肺炎的负担取决于严重程度,黄金阶段B和D显示最显著的损害.
- 慢性肺炎与较低的HRQoL和比高血压和高胆固醇血症更高的活动障碍有关;严重的慢性肺炎 (D期) 显示出比糖尿病更大的失业和住院.
结论:
- 在中国,COPD带来了显著而明显的多维负担,往往超过其他常见的非传染性疾病.
- 慢性肺炎的健康和社会经济影响随着疾病的严重程度而升级.
- 调查结果强调,中国需要基于严重程度的治疗和综合护理方法来治疗COPD.
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