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波兰 2011-2015 年肉芽肿性多血管炎的流行病学。

Epidemiology of Granulomatosis with Polyangiitis in Poland, 2011-2015.

机构信息

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

National Institute of Public Health-National Institute of Hygiene, Warsaw, Poland.

出版信息

Adv Exp Med Biol. 2018;1116:131-138. doi: 10.1007/5584_2018_239.

Abstract

Granulomatosis with polyangiitis (GPA) is a form of vasculitis that affects small- and medium-sized vessels in many organs. The aim of the study was to describe the epidemiology of GPA in Poland in 2011-2015, including the incidence and prevalence rates. The authors conducted a retrospective, population-based study, using hospital discharge records with GPA diagnosis. GPA incidence was estimated on the basis of the data from the Polish hospital morbidity study carried out by the National Institute of Public Health. The final study group consisted of 1491 patients (749 females, 742 males) who were first time hospitalized with the diagnosis of GPA. The average annual incidence of GPA in Poland was 7.7/1,000,000 (95% CI, 4.1-11.4), and the point prevalence at the end of 2015 was 36/1,000,000. A statistically significant decrease in the GPA incidence was noticed in this study. A 1-year survival rate for GPA was 94%. In conclusion, the incidence and prevalence rates of GPA in Poland are similar to that reported in other European countries. The study provides recent epidemiological data on GPA in Poland, which may be useful for comparisons with other geographical regions.

摘要

肉芽肿性多血管炎(GPA)是一种影响许多器官中小血管和中等大小血管的血管炎。本研究的目的是描述 2011-2015 年波兰 GPA 的流行病学情况,包括发病率和患病率。作者进行了一项回顾性、基于人群的研究,使用了带有 GPA 诊断的医院出院记录。GPA 的发病率是根据波兰国家公共卫生研究所进行的全国医院发病率研究的数据来估计的。最终的研究组由 1491 名首次因 GPA 住院的患者(749 名女性,742 名男性)组成。波兰 GPA 的年平均发病率为 7.7/100 万(95%CI,4.1-11.4),2015 年底的时点患病率为 36/100 万。本研究中注意到 GPA 的发病率呈统计学显著下降。GPA 的 1 年生存率为 94%。总之,波兰 GPA 的发病率和患病率与其他欧洲国家报告的相似。本研究提供了波兰 GPA 的最新流行病学数据,这可能有助于与其他地理区域进行比较。

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