[1990 - 2035年囊性包虫病全球负担分析与预测]。

Q3 Medicine
Z Lai, G Liu, H Zhao, M Qiu, J Chen, E Luo, J Xin, X Yang
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The associations between the global burden of cystic echinococcosis and socio-demographic index (SDI) were examined using a smoothing spline model and frontier analysis, and the global burden of cystic echinococcosis was projected from 2022 to 2035 using the Bayesian age-period-cohort (BAPC) model.</p><p><strong>Results: </strong>The global agestandardized prevalence, mortality and DALYs rates of cystic echinococcosis were 7.69/10<sup>5</sup> [95% <i>UI</i>: (6.27/10<sup>5</sup>, 9.51/10<sup>5</sup>)], 0.02/10<sup>5</sup> [95% <i>UI</i>: (0.01/10<sup>5</sup>, 0.02/10<sup>5</sup>)], and 1.32/10<sup>5</sup> [95% <i>UI</i>: (0.99/10<sup>5</sup>, 1.69/10<sup>5</sup>)] in 2021. The global age-standardized prevalence of cystic echinococcosis appeared a tendency towards a rise by 0.14% per year from 1990 to 2021, and the global age-standardized mortality and DALYs rates of cystic echinococcosis appeared a tendency towards a decline by 4.68% and 4.01% per year from 1990 to 2021, respectively. Joinpoint regression analysis showed that global age-standardized prevalence of cystic echinococcosis appeared a tendency towards a decline from 1990 to 2000 [annual percent change (APC) = -0.66%, 95% confidence interval (<i>CI</i>): (-0.70%, -0.61%)] and from 2005 to 2015 [APC = -0.88%, 95% <i>CI</i>: (-0.93%, -0.82%)], and towards a rise from 2000 to 2005 [APC = 3.68%, 95% <i>CI</i>: (3.49%, 3.87%)] and from 2015 to 2021 [APC=0.30%, 95%<i>CI</i>: (0.19%, 0.40%)].Theagestandardized prevalence (<i>r</i> = -0.17, <i>P</i> < 0.05), mortality (<i>r</i> = -0.67, <i>P</i> < 0.05) and DALYs rates of cystic echinococcosis (<i>r</i> = -0.60, <i>P</i> < 0.05) all correlated negatively with SDI across 21 geographical regions from 1990 to 2021, and the age-standardized mortality (<i>r</i> = -0.61, <i>P</i> < 0.05) and DALYs rates (<i>r</i> = -0.44, <i>P</i> < 0.05) both correlated negatively with SDI across 204 countries and territories in 2021. Frontier analysis revealed that the age-standardized DALYs rate of cystic echinococcosis was still not in line with the frontier in some high-SDI countries or territories. In addition, the global age-standardized prevalence was projected with the BAPC model to appear a tendency towards a rise among both men [estimated annual percent change (EAPC) = 0.18%, 95% <i>CI</i>: (0.13%, 0.23%)] and women [EAPC = 0.29%, 95% <i>CI</i>: (0.24%, 0.34%)] from 2022 to 2035, and the global age-standardized mortality [men: EAPC = -4.71%, 95% <i>CI</i>: (-4.71%, -4.37%); women: EAPC = -4.74%, 95% <i>CI</i>: (-4.74%, -4.74%)] and DALYs rates [men: EAPC = -3.35%, 95% <i>CI</i>: (-3.36%, -3.34%); women: EAPC = -3.17%, 95% <i>CI</i>: (-3.18%, -3.16%)] were projected to appear a tendency towards a decline among both men and women.</p><p><strong>Conclusions: </strong>The global burden of cystic echinococcosis appeared an overall tendency towards a decline from 1990 to 2021; however, the global prevalence of cystic echinococcosis is projected to appear a tendency towards a rise from 2022 to 2035. Intensified cystic echinococcosis control programmes are recommended.</p>","PeriodicalId":38874,"journal":{"name":"中国血吸虫病防治杂志","volume":"37 3","pages":"255-267"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Analysis and prediction of global burden due to cystic echinococcosis from 1990 to 2035].\",\"authors\":\"Z Lai, G Liu, H Zhao, M Qiu, J Chen, E Luo, J Xin, X Yang\",\"doi\":\"10.16250/j.32.1915.2024195\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To investigate the trends in the global burden due to cystic echinococcosis from 1990 to 2021, and to predict the global burden of cystic echinococcosis from 2022 to 2035, so as to provide insights into formulation of the cystic echinococcosis control strategy.</p><p><strong>Methods: </strong>The global age-standardized prevalence, mortality, disability-adjusted life years (DALYs) rates and their 95% uncertainty intervals (<i>UI</i>) of cystic echinococcosis from 1990 to 2021 were captured from the Global Burden of Disease Study 2021 (GBD 2021) database, and the trends in the global burden of cystic echinococcosis from 1990 to 2021 were analyzed using the Joinpoint regression model. The associations between the global burden of cystic echinococcosis and socio-demographic index (SDI) were examined using a smoothing spline model and frontier analysis, and the global burden of cystic echinococcosis was projected from 2022 to 2035 using the Bayesian age-period-cohort (BAPC) model.</p><p><strong>Results: </strong>The global agestandardized prevalence, mortality and DALYs rates of cystic echinococcosis were 7.69/10<sup>5</sup> [95% <i>UI</i>: (6.27/10<sup>5</sup>, 9.51/10<sup>5</sup>)], 0.02/10<sup>5</sup> [95% <i>UI</i>: (0.01/10<sup>5</sup>, 0.02/10<sup>5</sup>)], and 1.32/10<sup>5</sup> [95% <i>UI</i>: (0.99/10<sup>5</sup>, 1.69/10<sup>5</sup>)] in 2021. The global age-standardized prevalence of cystic echinococcosis appeared a tendency towards a rise by 0.14% per year from 1990 to 2021, and the global age-standardized mortality and DALYs rates of cystic echinococcosis appeared a tendency towards a decline by 4.68% and 4.01% per year from 1990 to 2021, respectively. Joinpoint regression analysis showed that global age-standardized prevalence of cystic echinococcosis appeared a tendency towards a decline from 1990 to 2000 [annual percent change (APC) = -0.66%, 95% confidence interval (<i>CI</i>): (-0.70%, -0.61%)] and from 2005 to 2015 [APC = -0.88%, 95% <i>CI</i>: (-0.93%, -0.82%)], and towards a rise from 2000 to 2005 [APC = 3.68%, 95% <i>CI</i>: (3.49%, 3.87%)] and from 2015 to 2021 [APC=0.30%, 95%<i>CI</i>: (0.19%, 0.40%)].Theagestandardized prevalence (<i>r</i> = -0.17, <i>P</i> < 0.05), mortality (<i>r</i> = -0.67, <i>P</i> < 0.05) and DALYs rates of cystic echinococcosis (<i>r</i> = -0.60, <i>P</i> < 0.05) all correlated negatively with SDI across 21 geographical regions from 1990 to 2021, and the age-standardized mortality (<i>r</i> = -0.61, <i>P</i> < 0.05) and DALYs rates (<i>r</i> = -0.44, <i>P</i> < 0.05) both correlated negatively with SDI across 204 countries and territories in 2021. Frontier analysis revealed that the age-standardized DALYs rate of cystic echinococcosis was still not in line with the frontier in some high-SDI countries or territories. In addition, the global age-standardized prevalence was projected with the BAPC model to appear a tendency towards a rise among both men [estimated annual percent change (EAPC) = 0.18%, 95% <i>CI</i>: (0.13%, 0.23%)] and women [EAPC = 0.29%, 95% <i>CI</i>: (0.24%, 0.34%)] from 2022 to 2035, and the global age-standardized mortality [men: EAPC = -4.71%, 95% <i>CI</i>: (-4.71%, -4.37%); women: EAPC = -4.74%, 95% <i>CI</i>: (-4.74%, -4.74%)] and DALYs rates [men: EAPC = -3.35%, 95% <i>CI</i>: (-3.36%, -3.34%); women: EAPC = -3.17%, 95% <i>CI</i>: (-3.18%, -3.16%)] were projected to appear a tendency towards a decline among both men and women.</p><p><strong>Conclusions: </strong>The global burden of cystic echinococcosis appeared an overall tendency towards a decline from 1990 to 2021; however, the global prevalence of cystic echinococcosis is projected to appear a tendency towards a rise from 2022 to 2035. 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引用次数: 0

摘要

目的:了解1990 - 2021年囊性棘球蚴病全球负担变化趋势,预测2022 - 2035年囊性棘球蚴病全球负担,为制定囊性棘球蚴病控制策略提供依据。方法:从全球疾病负担研究2021 (GBD 2021)数据库中获取1990 - 2021年囊性棘球蚴病的全球年龄标准化患病率、死亡率、残疾调整生命年(DALYs)率及其95%不确定区间(UI),采用Joinpoint回归模型分析1990 - 2021年囊性棘球蚴病全球负担的趋势。采用平滑样条模型和前沿分析检验囊性棘球蚴病全球负担与社会人口统计指数(SDI)之间的关系,并使用贝叶斯年龄-时期-队列(BAPC)模型预测2022 - 2035年囊性棘球蚴病全球负担。结果:2021年全球囊性包虫病的年龄标准化患病率、死亡率和DALYs分别为7.69/105 [95% UI:(6.27/105, 9.51/105)]、0.02/105 [95% UI:(0.01/105, 0.02/105)]和1.32/105 [95% UI:(0.99/105, 1.69/105)]。1990 - 2021年囊性包虫病全球年龄标准化患病率呈每年上升0.14%的趋势,1990 - 2021年囊性包虫病全球年龄标准化死亡率和DALYs率呈每年下降4.68%和4.01%的趋势。联合点回归分析显示,全球年龄标准化包虫病患病率在1990 - 2000年呈下降趋势[年变化百分比(APC) = -0.66%, 95%可信区间(CI):(-0.70%, -0.61%)],在2005 - 2015年呈下降趋势[APC= -0.88%, 95%CI:(-0.93%, -0.82%)],在2000 - 2005年呈上升趋势[APC= 3.68%, 95%CI:(3.49%, 3.87%)],在2015 - 2021年呈上升趋势[APC=0.30%, 95%CI:(0.19%, 0.40%)]。1990 - 2021年,21个地理区域囊性包虫病的年龄标准化患病率(r = -0.17, P < 0.05)、死亡率(r = -0.67, P < 0.05)和DALYs率(r = -0.60, P < 0.05)均与SDI呈负相关,2021年204个国家和地区的年龄标准化死亡率(r = -0.61, P < 0.05)和DALYs率(r = -0.44, P < 0.05)均与SDI呈负相关。前沿分析显示,在一些sdi高的国家或地区,囊性包虫病年龄标准化DALYs率仍与前沿不一致。此外,BAPC模型预测,从2022年到2035年,全球年龄标准化患病率在男性[估计年百分比变化(EAPC) = 0.18%, 95% CI:(0.13%, 0.23%)]和女性[EAPC = 0.29%, 95% CI:(0.24%, 0.34%)]中呈现上升趋势,全球年龄标准化死亡率[男性:EAPC = -4.71%, 95% CI: (-4.71%, -4.37%)];女人:EAPC = -4.74%, 95%置信区间CI:(-4.74%, -4.74%)]和残疾率[男人:EAPC = -3.35%, 95%置信区间CI: (-3.36%, -3.34%);女性:EAPC = -3.17%, 95% CI:(-3.18%, -3.16%)]预计在男性和女性中均呈现下降趋势。结论:1990 - 2021年全球囊性包虫病负担总体呈下降趋势;然而,从2022年到2035年,囊性包虫病的全球患病率预计将呈现上升趋势。建议加强囊性包虫病控制规划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Analysis and prediction of global burden due to cystic echinococcosis from 1990 to 2035].

Objective: To investigate the trends in the global burden due to cystic echinococcosis from 1990 to 2021, and to predict the global burden of cystic echinococcosis from 2022 to 2035, so as to provide insights into formulation of the cystic echinococcosis control strategy.

Methods: The global age-standardized prevalence, mortality, disability-adjusted life years (DALYs) rates and their 95% uncertainty intervals (UI) of cystic echinococcosis from 1990 to 2021 were captured from the Global Burden of Disease Study 2021 (GBD 2021) database, and the trends in the global burden of cystic echinococcosis from 1990 to 2021 were analyzed using the Joinpoint regression model. The associations between the global burden of cystic echinococcosis and socio-demographic index (SDI) were examined using a smoothing spline model and frontier analysis, and the global burden of cystic echinococcosis was projected from 2022 to 2035 using the Bayesian age-period-cohort (BAPC) model.

Results: The global agestandardized prevalence, mortality and DALYs rates of cystic echinococcosis were 7.69/105 [95% UI: (6.27/105, 9.51/105)], 0.02/105 [95% UI: (0.01/105, 0.02/105)], and 1.32/105 [95% UI: (0.99/105, 1.69/105)] in 2021. The global age-standardized prevalence of cystic echinococcosis appeared a tendency towards a rise by 0.14% per year from 1990 to 2021, and the global age-standardized mortality and DALYs rates of cystic echinococcosis appeared a tendency towards a decline by 4.68% and 4.01% per year from 1990 to 2021, respectively. Joinpoint regression analysis showed that global age-standardized prevalence of cystic echinococcosis appeared a tendency towards a decline from 1990 to 2000 [annual percent change (APC) = -0.66%, 95% confidence interval (CI): (-0.70%, -0.61%)] and from 2005 to 2015 [APC = -0.88%, 95% CI: (-0.93%, -0.82%)], and towards a rise from 2000 to 2005 [APC = 3.68%, 95% CI: (3.49%, 3.87%)] and from 2015 to 2021 [APC=0.30%, 95%CI: (0.19%, 0.40%)].Theagestandardized prevalence (r = -0.17, P < 0.05), mortality (r = -0.67, P < 0.05) and DALYs rates of cystic echinococcosis (r = -0.60, P < 0.05) all correlated negatively with SDI across 21 geographical regions from 1990 to 2021, and the age-standardized mortality (r = -0.61, P < 0.05) and DALYs rates (r = -0.44, P < 0.05) both correlated negatively with SDI across 204 countries and territories in 2021. Frontier analysis revealed that the age-standardized DALYs rate of cystic echinococcosis was still not in line with the frontier in some high-SDI countries or territories. In addition, the global age-standardized prevalence was projected with the BAPC model to appear a tendency towards a rise among both men [estimated annual percent change (EAPC) = 0.18%, 95% CI: (0.13%, 0.23%)] and women [EAPC = 0.29%, 95% CI: (0.24%, 0.34%)] from 2022 to 2035, and the global age-standardized mortality [men: EAPC = -4.71%, 95% CI: (-4.71%, -4.37%); women: EAPC = -4.74%, 95% CI: (-4.74%, -4.74%)] and DALYs rates [men: EAPC = -3.35%, 95% CI: (-3.36%, -3.34%); women: EAPC = -3.17%, 95% CI: (-3.18%, -3.16%)] were projected to appear a tendency towards a decline among both men and women.

Conclusions: The global burden of cystic echinococcosis appeared an overall tendency towards a decline from 1990 to 2021; however, the global prevalence of cystic echinococcosis is projected to appear a tendency towards a rise from 2022 to 2035. Intensified cystic echinococcosis control programmes are recommended.

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来源期刊
中国血吸虫病防治杂志
中国血吸虫病防治杂志 Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
7021
期刊介绍: Chinese Journal of Schistosomiasis Control (ISSN: 1005-6661, CN: 32-1374/R), founded in 1989, is a technical and scientific journal under the supervision of Jiangsu Provincial Health Commission and organised by Jiangsu Institute of Schistosomiasis Control. It is a scientific and technical journal under the supervision of Jiangsu Provincial Health Commission and sponsored by Jiangsu Institute of Schistosomiasis Prevention and Control. The journal carries out the policy of prevention-oriented, control-oriented, nationwide and grassroots, adheres to the tenet of scientific research service for the prevention and treatment of schistosomiasis and other parasitic diseases, and mainly publishes academic papers reflecting the latest achievements and dynamics of prevention and treatment of schistosomiasis and other parasitic diseases, scientific research and management, etc. The main columns are Guest Contributions, Experts‘ Commentary, Experts’ Perspectives, Experts' Forums, Theses, Prevention and Treatment Research, Experimental Research, The main columns include Guest Contributions, Expert Commentaries, Expert Perspectives, Expert Forums, Treatises, Prevention and Control Studies, Experimental Studies, Clinical Studies, Prevention and Control Experiences, Prevention and Control Management, Reviews, Case Reports, and Information, etc. The journal is a useful reference material for the professional and technical personnel of schistosomiasis and parasitic disease prevention and control research, management workers, and teachers and students of medical schools.    The journal is now included in important domestic databases, such as Chinese Core List (8th edition), China Science Citation Database (Core Edition), China Science and Technology Core Journals (Statistical Source Journals), and is also included in MEDLINE/PubMed, Scopus, EBSCO, Chemical Abstract, Embase, Zoological Record, JSTChina, Ulrichsweb, Western Pacific Region Index Medicus, CABI and other international authoritative databases.
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