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哮喘患病率上升:是真实增长、诊断标准变化还是诊断准确性提高?

The rising prevalence of asthma: true increase, diagnostic exchange or diagnostic accuracy?

作者信息

Fransoo Randall R, Martens Patricia J, Prior Heather J, Katz Alan, Burland Elaine, Nickel Nathan C, Chateau Dan

机构信息

Senior Research Scientist, Manitoba Centre for Health Policy (MCHP), Assistant Professor, Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, MB.

出版信息

Healthc Policy. 2013 May;8(4):27-34.

Abstract

In the midst of frequent reports about "the asthma epidemic," results from a number of studies by the manitoba centre for health policy have shown stable or decreasing prevalence of an overall indicator of respiratory diseases which includes asthma. To resolve these apparently contrary findings, we conducted a time trend analysis using administrative data. results revealed significant potential for diagnostic exchange: asthma prevalence increased, but that of bronchitis decreased.

摘要

在关于“哮喘流行”的频繁报道中,马尼托巴卫生政策中心的多项研究结果表明,包括哮喘在内的呼吸系统疾病总体指标的患病率保持稳定或有所下降。为了解决这些明显矛盾的发现,我们使用行政数据进行了时间趋势分析。结果显示诊断转换存在显著可能性:哮喘患病率上升,但支气管炎患病率下降。

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