Papadopoulos A A, Polymeros D, Kateri M, Tzathas C, Koutras M, Ladas S D
Hepatogastroenterology Unit, 2nd Department of Internal Medicine - Propaedeutic, Attikon University Hospital, Medical School, Athens University, Athens, Greece.
Dig Dis. 2008;26(1):80-4. doi: 10.1159/000109393. Epub 2008 Feb 15.
There are several reports showing a continuing fall in the incidence of acute appendicitis in the western countries. Our aim was to study the trend of the incidence of acute appendicitis in the Greek population over 30 years.
We analyzed the data referring to the years 1970-1999 on the incidence and mortality of acute appendicitis for the entire Greek population. Data were retrieved from the Annual Bulletin for the Social Welfare and Health Statistics of the National Statistics Service of Greece. In this database, acute appendicitis was a hospital discharge diagnosis.
Over the study period, there was a 75% decrease of the age-standardized incidence of acute appendicitis from 652/100,000 to 164/100,000. The median female-to-male ratio of hospitalized patients for appendicitis of the study period (1970-1999) fell progressively from 1.27 in the year 1970 to 0.93 in the year 1999. The case fatality rates remained constant, ranging below 0.09 deaths per 100 appendicitis cases.
There is a significant decline of the incidence of acute appendicitis in the Greek population over the years 1970-1999. This time trend is probably related to the improvement of the socioeconomic conditions over the same period and not to the introduction of new diagnostic aids.
有几份报告显示西方国家急性阑尾炎的发病率持续下降。我们的目的是研究30年来希腊人群急性阑尾炎发病率的变化趋势。
我们分析了1970 - 1999年整个希腊人群急性阑尾炎发病率和死亡率的数据。数据取自希腊国家统计局社会福利与健康统计年度公报。在这个数据库中，急性阑尾炎是出院诊断。
在研究期间，急性阑尾炎年龄标准化发病率下降了75%，从652/100,000降至164/100,000。研究期间（1970 - 1999年）因阑尾炎住院患者的女性与男性比例中位数从1970年的1.27逐渐降至1999年的0.93。病死率保持稳定，每100例阑尾炎病例死亡人数低于0.09人。
1970 - 1999年希腊人群急性阑尾炎发病率显著下降。这种时间趋势可能与同期社会经济状况的改善有关，而非新诊断辅助手段的引入。
