波兰 1999 年至 2014 年因慢性阻塞性肺疾病（COPD）导致的标准预期寿命损失（SEYLL）。

Standard expected years of life lost (SEYLL) due to chronic obstructive pulmonary disease (COPD) in Poland from 1999 to 2014.

机构信息

Department of Epidemiology and Biostatistics, Medical University of Lodz, Lodz, Poland.

Department of Social Medicine, Medical University of Lodz, Lodz, Poland.

出版信息

PLoS One. 2019 Mar 12;14(3):e0213581. doi: 10.1371/journal.pone.0213581. eCollection 2019.

DOI:10.1371/journal.pone.0213581

PMID:30861024

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6414010/

Abstract

PURPOSE

The aim of the study is to analyze the standard expected years of life lost (SEYLL) due to chronic obstructive pulmonary disease (COPD) in Poland from 1999 to 2014 by sex and place of residence.

METHODS

The number of deaths due to chronic obstructive pulmonary disease (J40 -J44 and J47 according to ICD-10) over the period 1999 to 2014 was analyzed based on data obtained from the Central Statistical Office in Poland. Standard expected years of life lost due to chronic obstructive pulmonary disease were calculated by sex and place of residence according to the living population (SEYLLp) and the number of deaths caused by the disease (SEYLLd). Changes in the calculated measures were evaluated using joinpoint models. The annual percentage change (APC) and the average annual percentage change (AAPC) were also calculated.

RESULTS

The study revealed that COPD contributed to 1.8% of the total number of deaths which occurred between 1999 and 2014. The greatest decrease in the analyzed measures was observed among males from rural areas (p<0.05) (SEYLL: AAPC = -1.6; 95%CI: -3.0;-0.2; SEYLLp: AAPC = -2.0; 95%CI: -3.4;-0.6; SEYLLd: AAPC = -1.1; 95%CI: -1.2;-0.9). A statistically significant increase in the SEYLL and SEYLLp indices was observed among female city dwellers (SEYLL: AAPC = 2.4; 95%CI:0.7;4.0 and SEYLLp: AAPC = 2.4; 95%CI: 0.8;4.1).

CONCLUSIONS

All studied measures were higher in the male group than in the female group, regardless of the place of residence. A male who died of COPD in Poland in 2014 potentially lost 14.9 years of life, whereas a female lost 14.2 years.

摘要

目的

本研究旨在分析 1999 年至 2014 年波兰因慢性阻塞性肺疾病（COPD）导致的标准预期寿命损失（SEYLL），并按性别和居住地进行细分。

方法

根据波兰中央统计局的数据，对 1999 年至 2014 年间因慢性阻塞性肺疾病（J40-J44 和 J47 根据 ICD-10）导致的死亡人数进行了分析。根据现有人口（SEYLLp）和因该病导致的死亡人数（SEYLLd），按性别和居住地计算因慢性阻塞性肺疾病导致的标准预期寿命损失。采用连接点模型评估计算指标的变化情况。还计算了年百分比变化（APC）和平均年百分比变化（AAPC）。

结果

研究表明，1999 年至 2014 年间，COPD 导致的死亡人数占总死亡人数的 1.8%。在分析的指标中，农村地区男性的降幅最大（p<0.05）（SEYLL：AAPC = -1.6；95%CI：-3.0；-0.2；SEYLLp：AAPC = -2.0；95%CI：-3.4；-0.6；SEYLLd：AAPC = -1.1；95%CI：-1.2；-0.9）。城市女性的 SEYLL 和 SEYLLp 指数呈统计学显著上升（SEYLL：AAPC = 2.4；95%CI：0.7；4.0；SEYLLp：AAPC = 2.4；95%CI：0.8；4.1）。