1990 - 2021年急性肾小球肾炎的全球负担和健康不平等:2021年全球负担疾病研究的系统分析

IF 3 3区 医学 Q1 UROLOGY & NEPHROLOGY
Renal Failure Pub Date : 2025-12-01 Epub Date: 2025-08-31 DOI:10.1080/0886022X.2025.2551731
Kaixin Lei, Zibing Zhao, Ao Chen, Xinqi An, Yupei Li, Baihai Su
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引用次数: 0

摘要

背景:急性肾小球肾炎(GN)是肾小球损伤的急性发作,可影响儿童和老年人。然而,关于其发病率、流行率、死亡率和残疾调整生命年(DALYs)的最新数据仍然有限。这项研究旨在提供与急性GN相关的最新全球趋势和潜在的健康不平等。方法:报告全球、地区和国家各级每10万人的发病率、患病率、死亡率和DALYs,以及估计年度百分比变化(EAPC)。根据年龄、性别和社会人口指数(SDI)分析了全球趋势,并对2040年进行了预估。结果:在全球范围内,2021年有528,368例(95%不确定区间[UI], 446,739至613,211)事件病例,35,452例(95% UI, 30,151至41,655)流行病例,10,761例(95% UI, 7,668至13,463)死亡,312,303例(95% UI, 208,981至393,514)DALYs归因于急性GN。85岁以上的儿童负担最重。前沿分析显示,中等SDI国家在减轻疾病负担方面潜力最大。尽管在过去的三十年中,急性GN的疾病负担有所下降,但我们的预测表明,到2040年,由于人口增长和老龄化,其发病率和患病率将增加。结论:全球急性GN疾病负担有所减轻;然而,到2040年,人口增长和老龄化可能会导致发病率和患病率上升。SDI中部地区承受着不成比例的急性GN负担,特别是在儿童和老年人中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global burden and health inequalities of acute glomerulonephritis from 1990 to 2021: a systematic analysis of Global Burden Disease Study 2021.

Background: Acute glomerulonephritis (GN) is an acute episode of glomerular injury that affects both children and older adults. However, up-to-date data on its incidence, prevalence, mortality, and disability-adjusted life years (DALYs) remain limited. This study aims to provide the latest global trends and underlying health inequalities associated with acute GN.

Methods: Incidence, prevalence, mortality, and DALYs per 100,000 population were reported at global, regional, and national levels, along with the Estimated Annual Percentage Change (EAPC). Global trends were analyzed by age, sex, and sociodemographic index (SDI), with forward projections estimated for the year 2040.

Results: Globally, there were 528,368 (95% Uncertainty Interval [UI], 446,739 to 613,211) incident cases, 35,452 (95% UI, 30,151 to 41,655) prevalent cases, 10,761 (95% UI, 7,668 to 13,463) deaths, and 312,303 (95% UI, 208,981 to 393,514) DALYs attributed to acute GN in 2021. Children aged <14 years and older adults aged >85 years experienced the most severe burden. Frontier analysis revealed that middle SDI countries had the greatest potential to reduce the disease burden. Although the disease burden of acute GN has declined over the past three decades, our projections indicate that its incidence and prevalence will increase by 2040 due to population growth and aging.

Conclusion: The global disease burden of acute GN has decreased; however, population growth and aging may be associated with rising incidence and prevalence by 2040. Middle SDI regions bear a disproportionate burden of acute GN, particularly among children and older adults.

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来源期刊
Renal Failure
Renal Failure 医学-泌尿学与肾脏学
CiteScore
3.90
自引率
13.30%
发文量
374
审稿时长
1 months
期刊介绍: Renal Failure primarily concentrates on acute renal injury and its consequence, but also addresses advances in the fields of chronic renal failure, hypertension, and renal transplantation. Bringing together both clinical and experimental aspects of renal failure, this publication presents timely, practical information on pathology and pathophysiology of acute renal failure; nephrotoxicity of drugs and other substances; prevention, treatment, and therapy of renal failure; renal failure in association with transplantation, hypertension, and diabetes mellitus.
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