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1945年至1985年丹麦的囊性纤维化。发病率、死亡率及集中治疗对生存率影响的分析

Cystic fibrosis in Denmark 1945 to 1985. An analysis of incidence, mortality and influence of centralized treatment on survival.

作者信息

Nielsen O H, Thomsen B L, Green A, Andersen P K, Hauge M, Schiøtz P O

机构信息

Department of Medical Gastroenterology C, Herlev Hospital, Denmark.

出版信息

Acta Paediatr Scand. 1988 Nov;77(6):836-41. doi: 10.1111/j.1651-2227.1988.tb10765.x.

Abstract

The entire population of cystic fibrosis (CF) patients in Denmark diagnosed in the period January 1, 1945, to June 30, 1985, comprised 514 persons of whom 62 were diagnosed at autopsy. Of the remaining 452 patients, 372 were probands and 80 were secondary cases. The effect of a centralized treatment on the prognosis was evaluated using a Cox's regression model. Furthermore an incidence analysis was performed using probands including autopsies. Centralized treatment had a significantly beneficial effect on the prognosis (p = 0.02), the death intensity (hazard rate) being decreased by a factor of 0.60. It was calculated that at present 1 out of 4,760 newborn Danes may be diagnosed as suffering from CF before the age of 15 years, and 3% of the Danish population are heterozygotes for CF.

摘要

1945年1月1日至1985年6月30日期间,丹麦所有被诊断出患有囊性纤维化(CF)的患者共计514人,其中62人是在尸检时确诊的。在其余452名患者中,372名是先证者,80名是继发病例。使用Cox回归模型评估集中治疗对预后的影响。此外,还对包括尸检病例在内的先证者进行了发病率分析。集中治疗对预后有显著的有益影响(p = 0.02),死亡强度(风险率)降低了0.60倍。据计算,目前每4760名丹麦新生儿中就有1人可能在15岁之前被诊断出患有CF,丹麦人口中有3%是CF的杂合子。

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