医疗保险受益人群中的矽肺患病率和发病率。
Silicosis prevalence and incidence among Medicare beneficiaries.
机构信息
Surveillance Branch, Respiratory Health Division, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Morgantown, West Virginia.
出版信息
Am J Ind Med. 2019 Mar;62(3):183-191. doi: 10.1002/ajim.22944. Epub 2019 Jan 18.
INTRODUCTION
Existing epidemiologic information on silicosis relies on mortality data.
METHODS
We analyzed health insurance claims and enrollment information from 49 923 987 fee-for-service (FFS) Medicare beneficiaries aged ≥65 from 1999 to 2014. Three different definitions were developed to identify silicosis cases and results are presented as ranges of values for the three definitions.
RESULTS
Among FFS beneficiaries, 10 026-19 696 fit the silicosis case definitions (16-year prevalence: 20.1-39.5 per 100 000) with the highest prevalence among North American Natives (87.2-213.6 per 100 000) and those in New Mexico (83.9-203.4 per 100 000). The annual average prevalence had a significant (P < 0.05) 2-5% annual decline from 2005 to 2014. The average annual number of incident cases had a significant 3-16% annual decline from 2007 to 2014.
CONCLUSIONS
Silicosis is a prevalent disease among Medicare beneficiaries aged ≥65, with variation across the country. Morbidity data from health insurance claims can provide a more complete picture of silicosis burden.
简介
现有的矽肺流行病学信息依赖于死亡率数据。
方法
我们分析了 1999 年至 2014 年期间 49923987 名享受按服务收费（FFS）医疗保险的≥65 岁老年人的医疗保险索赔和登记信息。制定了三种不同的定义来确定矽肺病例，并以三种定义的范围值呈现结果。
结果
在 FFS 受益人群中，有 10026-19696 人符合矽肺病例定义（16 年患病率：20.1-39.5/10 万），北美原住民患病率最高（87.2-213.6/10 万），新墨西哥州患病率最高（83.9-203.4/10 万）。从 2005 年到 2014 年，每年的平均患病率呈显著（P<0.05）2-5%的下降趋势。从 2007 年到 2014 年，每年新发病例的平均数量呈显著的 3-16%的下降趋势。
结论
矽肺是 Medicare 受益人群中≥65 岁人群的一种常见疾病，其分布在全国范围内存在差异。医疗保险索赔中的发病率数据可以更全面地了解矽肺的负担。
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