2024年意大利慢性乙型肝炎和德尔塔病毒确诊患者:来自国家真实世界数据库的估计

IF 5.2 2区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Alessandro Loglio, Ivan Gardini, Massimiliano Conforti, Marco Bartoli, Francesco Silvia, Carmine Coppola, Luchino Chessa, Gianluca Svegliati-Baroni, Laura Schiadà, Ivan Gentile, Biagio Pinchera, Maurizia Rossana Brunetto, Piero Colombatto, Alessio Aghemo, Stella De Nicola, Pierluigi Toniutto, Edoardo Giovanni Giannini, Antonio Colecchia, Dante Romagnoli, Loredana Sarmati, Francesca Romana Ponziani, Filomena Morisco, Calogero Cammà, Giuseppe Cabibbo, Pietro Lampertico, Elisabetta Degasperi, Pietro Invernizzi, Antonio Ciaccio, Francesco Paolo Russo, Antonio Massimo Ippolito, Grazia Anna Niro, Natalia Terreni, Gerardo Nardone, Alba Rocco, Maria D'Antò, David Sacerdoti, Donatella Ieluzzi, Alessia Ciancio, Adriano Pellicelli, Alessandro Federico, Loredana Simone, Vincenzo Messina, Ernesto Claar, Valerio Rosato, Gianpiero D'Offizi, Paolo Caraceni, Paolo Muratori, Cinzia Giaccherini, Stefano Fagiuoli, Mauro Viganò
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引用次数: 0

摘要

在过去的几十年中,意大利乙型肝炎(HBV)和丁型肝炎病毒(HDV)感染发生了重大变化,但缺乏可靠和最新的慢性乙型肝炎(CHB)和丁型肝炎(CHD)患病率数据。该研究的目的是描述2024年意大利CHB和冠心病的流行病学,基于现实世界的数据。方法统计21个地区卫生主管部门的CHB(016.070.32例)和CHD(016.070.33例)免医疗费用患者人数。为了了解有多少慢性乙型肝炎或冠心病患者没有这些特定的豁免,在全国30个胃肠病学、肝病学和传染病科进行了一项调查。结果卫生当局的数据分别报告了67 514例CHB和5216例CHD的豁免。然而,在6775例CHB和504例CHD患者中,分别只有60.3%和55.7%的患者有特定的豁免。基于这些结果,我们估计有111 960例(95% CI: 109 780-114 240) CHB患者和9360例(95% CI: 8690-10 150) CHD患者,患病率分别为0.22%和0.019%。此外,该队列的抗hdv患病率为7.7%。结论我们的研究为意大利诊断为慢性乙型肝炎和冠心病的成年患者的数量提供了一个合理的估计,并可能被认为是决策卫生政策的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Diagnosed Patients With Chronic Hepatitis B and Delta Virus in Italy in 2024: An Estimation From a National Real-World Database

Diagnosed Patients With Chronic Hepatitis B and Delta Virus in Italy in 2024: An Estimation From a National Real-World Database

Background and Aims

Hepatitis B (HBV) and Hepatitis Delta virus (HDV) infection have undergone significant changes in Italy over the past few decades, but reliable and updated prevalence of chronic hepatitis B (CHB) and Delta (CHD) data are lacking. The aim of the study was to describe the epidemiology of CHB and CHD in Italy in 2024, based on real-world data.

Methods

The number of patients with a healthcare expenditure exemption for CHB (016.070.32) and CHD (016.070.33) was obtained from 21 Regional Health Authorities. To understand how many CHB or CHD patients did not have these specific exemptions, a survey was conducted in 30 Gastroenterology, Hepatology and Infectious Diseases Units across the country.

Results

Health Authorities data reported 67 514 and 5216 subjects with an exemption for CHB and for CHD, respectively. However, among 6775 CHB and 504 CHD patients, only 60.3% and 55.7% of them had the specific exemption, respectively. Based on these results, we estimated 111 960 (95% CI: 109 780–114 240) CHB and 9360 (95% CI: 8690–10 150) CHD patients, with a prevalence of 0.22% and 0.019% of the adult overall population. Moreover, anti-HDV prevalence was 7.7% from this cohort.

Conclusion

Our study provides a plausible estimate of the current number of adult patients diagnosed with CHB and CHD in Italy and may be considered the basis for decision-making health policies.

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来源期刊
Liver International
Liver International 医学-胃肠肝病学
CiteScore
13.90
自引率
4.50%
发文量
348
审稿时长
2 months
期刊介绍: Liver International promotes all aspects of the science of hepatology from basic research to applied clinical studies. Providing an international forum for the publication of high-quality original research in hepatology, it is an essential resource for everyone working on normal and abnormal structure and function in the liver and its constituent cells, including clinicians and basic scientists involved in the multi-disciplinary field of hepatology. The journal welcomes articles from all fields of hepatology, which may be published as original articles, brief definitive reports, reviews, mini-reviews, images in hepatology and letters to the Editor.
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