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[阿塞拜疆急性淋巴细胞白血病发病率的季节性动态变化]

[The seasonal dynamics of morbidity of acute lymphoblastic leukemia in Azerbaijan].

作者信息

Bagirov I A

机构信息

The B. A. Eyvazov Azerbaijan Research Institute of Hematology and Transfusiology, AZ1003, Baku, Azerbaijan,

出版信息

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2019 Sep;27(5):911-914. doi: 10.32687/0869-866X-2019-27-5-911-914.

Abstract

The article presents results of assessment of seasonal dynamics of morbidity rate of acute lymphoblastic leukemia among population younger than 29 years old in Azerbaijan. The materials of Scientific and Research Institute of Hematology and Transfusiology were used, including data of National register of acute lymphoblastic leukemia. The observation had been realized retrospectively and covered data of 991 patients younger than 29 years old in 1998-2014. According used data, all patients were distributed according to seasons. The inter-seasonal differences in the cases of acute lymphoblastic leukemia were estimated by single-factor analysis of variance. During 1998-2014 number of acute lymphoblastic leukemia cases changed within the interval 10 - 20 in Spring, 10-27 in Summer, 10-29 Autumn and 8-19 cases in Winter. The median of cases of acute lymphoblastic leukemia consisted 13,3 in Spring, 15,4 in Summer, 13,7 in Autumn and 10 in Winter. The average number of cases of acute lymphoblastic leukemia in Spring was (15,49±1,13), in Summer (15,89±1,08) and in Autumn (15,71±1,21) practically were equal (р>0,05) and was significantly (р<0,05) higher than the same data in Winter (11,07±0,76). In total, during 1998-2014 number of acute lymphoblastic leukemia cases in Summer was higher than the same number in Winter up to 1,24 times. The risk of the incidence of acute lymphoblastic leukemia earlier than age of 29 years in Winter in Azerbaijan is relatively low. The increase of morbidity risk of acute lymphoblastic leukemia is specific for Spring, Summer and Autumn are at the same degree. The seasonal risks of acute lymphoblastic leukemia morbidity are not universal. They change depending on conditions of the year. The seasonal risks of acute lymphoblastic leukemia morbidity are better to be assessed comparing morbidity cases per seasons of a year (winter, spring, summer and autumn), but not according summary of winter and summer seasons.

摘要

本文介绍了阿塞拜疆29岁以下人群急性淋巴细胞白血病发病率季节性动态评估结果。研究使用了血液学和输血学科学研究院的资料,包括急性淋巴细胞白血病国家登记数据。观察采用回顾性研究,涵盖了1998 - 2014年991例29岁以下患者的数据。根据所使用的数据,所有患者按季节分布。通过单因素方差分析估计急性淋巴细胞白血病病例的季节间差异。1998 - 2014年期间,春季急性淋巴细胞白血病病例数在10 - 20例之间变化,夏季为10 - 27例,秋季为10 - 29例,冬季为8 - 19例。急性淋巴细胞白血病病例数的中位数在春季为13.3,夏季为15.4,秋季为13.7,冬季为10。春季急性淋巴细胞白血病病例的平均数量为(15.49±1.13),夏季为(15.89±1.08),秋季为(15.71±1.21),实际上三者相等(р>0.05),且显著高于冬季的相同数据(11.07±0.76)(р<0.05)。总体而言,1998 - 2014年期间,夏季急性淋巴细胞白血病病例数比冬季高出1.24倍。在阿塞拜疆,29岁之前冬季患急性淋巴细胞白血病的风险相对较低。急性淋巴细胞白血病发病风险的增加在春季、夏季和秋季具有相同程度的特异性。急性淋巴细胞白血病发病的季节性风险并不普遍。它们会根据年份情况而变化。评估急性淋巴细胞白血病发病的季节性风险,最好比较一年中每个季节(冬季、春季、夏季和秋季)的发病病例数,而不是根据冬季和夏季的总和。

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