按性别划分的多发性硬化症死亡率趋势:智利1997-2019。

J Arriagada Opazo, V Farah González, M González Delgadillo, L Nuñez-Franz, C Morales Garcia, P Jiménez Rodríguez
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引用次数: 0

摘要

背景:全球多发性硬化症(MS)患病率呈上升趋势。据估计,全球共有280万人患有多发性硬化症。2008年,智利启动了多发性硬化症改良疗法的试点项目及其临床实践指南。目的:本研究旨在分析智利1997 - 2019年按性别和纬度分类的多发性硬化症死亡率趋势。方法:从卫生统计信息部和国家统计局的人口数据中提取1997-2019年MS死亡率数据(ICD-10, G35)。按年龄计算标准化死亡率(SMRs)。采用Joinpoint和RiskDiff分析了死亡风险、人口结构和人口规模对粗死亡率的影响。结果:自2005年以来,TME呈明显下降趋势。当按性别分类时,下降不显著。从纬度上看,北部和中部南部有明显的下降趋势;在南方,下降趋势不明显。由于人口结构的变化,粗死亡率增加了25%,死亡风险降低了25.46%。结论:1997-2019年智利因多发性硬化症引起的SMR呈下降趋势,且仅在北部地区有所下降。由于人口的变化,粗死亡率有所上升,然而,死亡的风险却有所下降,特别是在男性中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multiple Sclerosis mortality trend by sex: Chile 1997-2019.

Background: An increasing trend has been observed in the prevalence of Multiple Sclerosis (MS) globally. It is estimated that a total of 2.8 million people live with MS worldwide. In 2008, Chile started a pilot program for the Modifying Therapy of MS, and its clinical practice guideline.

Aim: This study aims to analyze the trend of the MS mortality rate in Chile from 1997 to 2019 disaggregated by sex and latitude.

Methods: MS mortality data (ICD-10, G35) from 1997-2019 were extracted from the Department of Health Statistical Information and population data from the National Institute of Statistics. Standardized mortality rates (SMRs) by age were calculated. The trend of the SMR was analyzed using Joinpoint and with RiskDiff the effect of the risk of dying, the structure, and the size of the population on the crude mortality rate was evaluated.

Results: The trend of the TME has been decreasing significantly since 2005. When disaggregating by sex the decrease was not significant. According to latitude, the north and center south have a significant decreasing trend; in the south, the decreasing trend is not significant. There is an increase of 25% in the crude mortality rate due to the change in the structure of the population and a decrease of 25.46% is attributed to the risk of dying.

Conclusion: The SMR due to MS in Chile during 1997-2019 has decreased, in addition, a decreasing SMR is evidenced only in the northern zone. The crude rate has increased as a consequence of changes in the population, however, the risk of dying has decreased, especially in men.

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