Gózdz Stanislaw, Krzyzak Michalina, Maślach Dominik, Wróbel Monika, Bielska-Lasota Magdalena
Holycross Cancer Centre, Kielce, Poland.
Rocz Panstw Zakl Hig. 2013;64(3):205-10.
Premature mortality in younger age groups influences the society as far as social and economic aspects are concerned. Therefore, it is important to come up with a tool which will allow to assess them, and will enable to implement only these health care measures that bring tangible benefits. That is the reason for introducing PYLL rate (PYLL - potential years of life lost), which is an addition to the analysis of premature mortality as it includes the number of deaths due to a particular cause and the age at death.
The purpose of this study was to analyse the level and trends of PYLL rate according to death causes in years 2002 -2010 in Swietokrzyskie Province.
The material for the analysis was the information from the Central Statistical Office on the number of deaths due to all causes registered among the inhabitants of Swiytokrzyskie Province in years 2002-2010. Causes of death were coded according to the 10th revision of the International Classification of Diseases. The analysis of premature mortality was carried out with the use of PYLL rate. PYLL rate was calculated according to the method proposed by Romeder, according to which the premature mortality was defined as death before the age of 70. The analysis of time trends of PYLL rate and the APC (annual percent change) of the PYLL rate were calculated using jointpoint model as well as the Jointpoint Regression Program (Version 4.0.1 - January 2013).
In men, in years 2002 - 2007 PYLL rate increased by 1.5% per year (p<0.05). From year 2007 the trend went downward and PYLL rate decreased on average by 3.1% per year till year 2010. External causes of death, cardiovascular diseases and cancers in years 2002 - 2010 were the reason for almost 74.0% PYLL in men. In year 2010 PYLL rate due to all death causes amounted to 8913.8/105 and was three times higher than in women (2975.5/10(5)). In women, however, during the analysed period PYLL rate did not change significantly, and was dominated by cancers, cardiovascular diseases and external death causes. Similarly to men, those three groups of death causes were responsible for an average 76.0% PYLL.
The analysis of the causes of premature mortality in Swietokrzyskie Province shows that in the majority of cases it is due to preventable deaths, which calls for the necessity of more intensive measures in primary and secondary prevention as well as the improvement in treatment standards, mainly of cardiovascular diseases, cancers, injuries and accidents.
就社会和经济方面而言，较年轻年龄组的过早死亡会对社会产生影响。因此，重要的是要提出一种工具，用于评估这些情况，并仅实施能带来切实益处的医疗保健措施。这就是引入潜在寿命损失年率（PYLL - Potential Years of Life Lost）的原因，它是对过早死亡分析的补充，因为它包括特定原因导致的死亡人数和死亡年龄。
本研究的目的是分析2002 - 2010年期间什切青省按死亡原因划分的潜在寿命损失年率的水平和趋势。
分析材料来自中央统计局关于2002 - 2010年什切青省居民登记的所有原因导致的死亡人数信息。死亡原因根据《国际疾病分类》第10版进行编码。使用潜在寿命损失年率对过早死亡进行分析。潜在寿命损失年率根据罗梅德提出的方法计算，根据该方法，过早死亡定义为70岁之前的死亡。使用联合点模型以及联合点回归程序（版本4.0.1 - 2013年1月）计算潜在寿命损失年率的时间趋势和潜在寿命损失年率的年度百分比变化（APC）。
在男性中，2002 - 2007年期间潜在寿命损失年率每年增加1.5%（p<0.05）。从2007年起趋势下降，到2010年潜在寿命损失年率平均每年下降3.1%。2002 - 2010年期间，男性中外部死因、心血管疾病和癌症导致的潜在寿命损失年数占近74.0%。2010年所有死因导致的潜在寿命损失年率为8913.8/10万，是女性的三倍（2975.5/10万）。然而，在女性中，在分析期间潜在寿命损失年率没有显著变化，主要死因是癌症、心血管疾病和外部死因。与男性类似，这三组死因平均导致76.0%的潜在寿命损失年数。
什切青省过早死亡原因分析表明，在大多数情况下是可预防的死亡，这就需要在一级和二级预防中采取更有力的措施，并提高治疗标准，主要是针对心血管疾病、癌症、伤害和事故的治疗标准。
