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人群分析男性和女性疾病进展模式的差异。

Population-wide analysis of differences in disease progression patterns in men and women.

机构信息

Novo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, 2200, Copenhagen, Denmark.

Unit of Clinical Pharmacology, Roskilde University Hospital, 4000, Roskilde, Denmark.

出版信息

Nat Commun. 2019 Feb 8;10(1):666. doi: 10.1038/s41467-019-08475-9.

Abstract

Sex-stratified medicine is a fundamentally important, yet understudied, facet of modern medical care. A data-driven model for how to systematically analyze population-wide, longitudinal differences in hospital admissions between men and women is needed. Here, we demonstrate a systematic analysis of all diseases and disease co-occurrences in the complete Danish population using the ICD-10 and Global Burden of Disease terminologies. Incidence rates of single diagnoses are different for men and women in most cases. The age at first diagnosis is typically lower for men, compared to women. Men and women share many disease co-occurrences. However, many sex-associated incongruities not linked directly to anatomical or genomic differences are also found. Analysis of multi-step trajectories uncover differences in longitudinal patterns, for example concerning injuries and substance abuse, cancer, and osteoporosis. The results point towards the need for an increased focus on sex-stratified medicine to elucidate the origins of the socio-economic and ethological differences.

摘要

性别医学是现代医疗保健中一个非常重要但研究不足的方面。需要建立一个数据驱动的模型,以系统地分析男女之间在住院方面的全人群、纵向差异。在这里,我们使用 ICD-10 和全球疾病负担术语,对完整的丹麦人群中的所有疾病和疾病共病进行了系统分析。在大多数情况下,男性和女性的单一诊断的发病率不同。与女性相比,男性首次诊断的年龄通常较低。男性和女性有许多共同的疾病共病。然而,也发现了许多与解剖学或基因组差异没有直接联系的与性别相关的不一致。多步骤轨迹分析揭示了纵向模式的差异,例如与伤害和药物滥用、癌症和骨质疏松症有关的差异。这些结果表明,需要更加关注性别医学,以阐明社会经济和行为差异的起源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b651/6368599/b79d8d0d8378/41467_2019_8475_Fig1_HTML.jpg

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