Hygiene and Clinical Epidemiology Unit, "S. Maria della Misericordia" University Hospital of Udine, Udine, Italy.
Epidemiological Service, Central Health Directorate, Udine, Friuli Venezia Giulia Region, Italy.
Neurol Sci. 2018 Apr;39(4):699-704. doi: 10.1007/s10072-018-3273-x. Epub 2018 Feb 9.
Parkinson's disease is known to pose a relevant burden to society in industrialized countries. However, not much research has been conducted on the epidemiology of this disease in Italy. Our aim was to estimate the incidence rate and prevalence of Parkinson's disease in the Italian Friuli Venezia Giulia region using administrative health-related databases. Five regional administrative databases (hospitalizations, exemptions from medical charges, drug prescriptions, nursing homes, and home visits) were individually linked with one another through an anonymous stochastic univocal key. Using a pre-defined algorithm, incident and prevalent cases of Parkinson's disease were identified for the year 2016. The estimated regional incidence rate was 0.28 new cases/1000 person-years; prevalence was 3.89/1000 inhabitants. Both increased with increasing age and were higher among males than among females. A considerable proportion of prevalent cases was admitted to the hospital or nursing home in 2016, whereas only a few received home visits by health professionals. The incidence and prevalence of the disease were considerable, especially in the older population, indicating the need to develop multidisciplinary models to care for patients living in the region.
帕金森病在工业化国家对社会构成了重大负担。然而，针对意大利的这种疾病的流行病学，相关研究并不多。我们的目的是使用与健康相关的行政数据库，来评估意大利弗留利-威尼斯朱利亚地区帕金森病的发病率和患病率。五个区域行政数据库（住院、医疗费用豁免、药物处方、疗养院和家庭访问）通过匿名随机唯一键彼此单独链接。使用预定义的算法，确定了 2016 年的帕金森病新发病例和现患病例。估计的区域发病率为 0.28 例/1000 人年；患病率为 3.89/1000 居民。发病率和患病率均随年龄增长而增加，且男性高于女性。在 2016 年，相当一部分现患病例住院或入住疗养院，而只有少数人接受了专业卫生人员的家庭访问。疾病的发病率和患病率相当高，尤其是在老年人群中，这表明需要制定多学科模式来照顾该地区的患者。
