Shree Rath, Hira Hameed, Saif Ur Rahman, Muhammad Ali, Muhammad Sohaib, Mishaim Khan, Shabir Muhammad
{"title":"美国老年人疝气相关死亡率的差异：对CDC-WONDER数据库21年的分析","authors":"Shree Rath, Hira Hameed, Saif Ur Rahman, Muhammad Ali, Muhammad Sohaib, Mishaim Khan, Shabir Muhammad","doi":"10.1007/s10029-025-03464-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Hernias are common conditions often requiring surgical intervention. Despite advancements in medical techniques, hernia-related mortality remains a significant concern, particularly among older adults. This study aims to analyze the mortality trends and disparities in hernia-related deaths among U.S. adults aged 65 and older over a 21-year period, focusing on demographic and geographic discrepancies.</p><p><strong>Methods: </strong>Data from the CDC-WONDER database, spanning from 1999 to 2020, was used to identify hernia-related deaths among individuals aged 65 and older, classified by ICD-10 codes K40-46. Mortality rates were stratified by age, sex, race, geography, and place of death. Annual age-adjusted mortality rates (AAMRs) were calculated using the 2000 U.S. population as a baseline, and trends were analyzed using Joinpoint regression v.5.2.0 to estimate annual percent changes (APCs) and overall average annual percent changes (AAPCs) from 1999 to 2020.</p><p><strong>Results: </strong>The study identified 32,597 hernia-related deaths in older adults, with a predominance in females (61.39%) over males (38.61%). AAMR values showed stability overall but were consistently higher among older men (3.54 per 100,000 95% CI: 3.48-3.60) compared to older women (3.52 per 100,000, 95% CI: 3.47-3.57). Racial disparities were notable, with non-Hispanic Whites exhibiting the highest AAMRs (3.66 per 100,000) with a rising trend ((AAPC NH White: 0.46; 95% CI: 0.22 to 0.73)), while non-Hispanic Black and Hispanic populations showed declining or stable trends. Throughout the study duration, rural areas had higher overall AAMRs versus urban areas, with overall AAMR values of 4.07 (95% CI: 3.98-4.17) and 3.43 (95% CI: 3.38-3.47), CONCLUSION: While overall hernia-related mortality rates have remained stable, significant demographic and geographic disparities persist. Older men, non-Hispanic Whites, and residents of rural areas and the Midwest are at higher risk. These findings highlight the need for targeted public health interventions to address these disparities and reduce the mortality burden from hernias among older adults.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"285"},"PeriodicalIF":2.4000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Disparities in hernia-related mortality among older adults in the U.S.: A 21-year analysis of the CDC-WONDER database.\",\"authors\":\"Shree Rath, Hira Hameed, Saif Ur Rahman, Muhammad Ali, Muhammad Sohaib, Mishaim Khan, Shabir Muhammad\",\"doi\":\"10.1007/s10029-025-03464-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Hernias are common conditions often requiring surgical intervention. Despite advancements in medical techniques, hernia-related mortality remains a significant concern, particularly among older adults. This study aims to analyze the mortality trends and disparities in hernia-related deaths among U.S. adults aged 65 and older over a 21-year period, focusing on demographic and geographic discrepancies.</p><p><strong>Methods: </strong>Data from the CDC-WONDER database, spanning from 1999 to 2020, was used to identify hernia-related deaths among individuals aged 65 and older, classified by ICD-10 codes K40-46. Mortality rates were stratified by age, sex, race, geography, and place of death. Annual age-adjusted mortality rates (AAMRs) were calculated using the 2000 U.S. population as a baseline, and trends were analyzed using Joinpoint regression v.5.2.0 to estimate annual percent changes (APCs) and overall average annual percent changes (AAPCs) from 1999 to 2020.</p><p><strong>Results: </strong>The study identified 32,597 hernia-related deaths in older adults, with a predominance in females (61.39%) over males (38.61%). AAMR values showed stability overall but were consistently higher among older men (3.54 per 100,000 95% CI: 3.48-3.60) compared to older women (3.52 per 100,000, 95% CI: 3.47-3.57). Racial disparities were notable, with non-Hispanic Whites exhibiting the highest AAMRs (3.66 per 100,000) with a rising trend ((AAPC NH White: 0.46; 95% CI: 0.22 to 0.73)), while non-Hispanic Black and Hispanic populations showed declining or stable trends. Throughout the study duration, rural areas had higher overall AAMRs versus urban areas, with overall AAMR values of 4.07 (95% CI: 3.98-4.17) and 3.43 (95% CI: 3.38-3.47), CONCLUSION: While overall hernia-related mortality rates have remained stable, significant demographic and geographic disparities persist. Older men, non-Hispanic Whites, and residents of rural areas and the Midwest are at higher risk. These findings highlight the need for targeted public health interventions to address these disparities and reduce the mortality burden from hernias among older adults.</p>\",\"PeriodicalId\":13168,\"journal\":{\"name\":\"Hernia\",\"volume\":\"29 1\",\"pages\":\"285\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hernia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10029-025-03464-y\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-025-03464-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Disparities in hernia-related mortality among older adults in the U.S.: A 21-year analysis of the CDC-WONDER database.
Introduction: Hernias are common conditions often requiring surgical intervention. Despite advancements in medical techniques, hernia-related mortality remains a significant concern, particularly among older adults. This study aims to analyze the mortality trends and disparities in hernia-related deaths among U.S. adults aged 65 and older over a 21-year period, focusing on demographic and geographic discrepancies.
Methods: Data from the CDC-WONDER database, spanning from 1999 to 2020, was used to identify hernia-related deaths among individuals aged 65 and older, classified by ICD-10 codes K40-46. Mortality rates were stratified by age, sex, race, geography, and place of death. Annual age-adjusted mortality rates (AAMRs) were calculated using the 2000 U.S. population as a baseline, and trends were analyzed using Joinpoint regression v.5.2.0 to estimate annual percent changes (APCs) and overall average annual percent changes (AAPCs) from 1999 to 2020.
Results: The study identified 32,597 hernia-related deaths in older adults, with a predominance in females (61.39%) over males (38.61%). AAMR values showed stability overall but were consistently higher among older men (3.54 per 100,000 95% CI: 3.48-3.60) compared to older women (3.52 per 100,000, 95% CI: 3.47-3.57). Racial disparities were notable, with non-Hispanic Whites exhibiting the highest AAMRs (3.66 per 100,000) with a rising trend ((AAPC NH White: 0.46; 95% CI: 0.22 to 0.73)), while non-Hispanic Black and Hispanic populations showed declining or stable trends. Throughout the study duration, rural areas had higher overall AAMRs versus urban areas, with overall AAMR values of 4.07 (95% CI: 3.98-4.17) and 3.43 (95% CI: 3.38-3.47), CONCLUSION: While overall hernia-related mortality rates have remained stable, significant demographic and geographic disparities persist. Older men, non-Hispanic Whites, and residents of rural areas and the Midwest are at higher risk. These findings highlight the need for targeted public health interventions to address these disparities and reduce the mortality burden from hernias among older adults.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
