Department of Dermatology and Allergology, Helsinki University Hospital, Meilahdentie 2, FIN-00250 Helsinki, Finland.
Acta Derm Venereol. 2022 Jun 15;102:adv00738. doi: 10.2340/actadv.v102.2287.
The burden of atopic dermatitis (AD) appears to be increasing in adult and elderly patients. The aim of this study was to analyse the nationwide database of the Finnish Institute for Health and Welfare regarding the number of patients with AD and of general practitioner consultations in Finland during 2018. The database comprised the main diagnoses of all visits to public primary healthcare. There were 2,094,673 primary care patients (males/females 43.19/56.81%) and 20,905 patients with AD (1.00%) and 24,180 consultations due to AD (0.45%). The highest numbers of patients with AD were in the age groups 0-14 years (9,922 patients, 47.46%) and 15-65 years (9,144 patients, 43.74%). A substantial proportion of patients with AD were aged > 50 years (3,515 patients, 16.81%) or >65 years (1,947 patients, 9.31%). Regression analysis indicated a statistically significant association of age group with patient numbers (p = 0.032) and number of consultations (p = 0.030). There were no differences between direct age group comparisons (p = 0.303), sex (p = 0.389), or number of consultations/patient (p = 0.235). Patients with AD are prevalent in all age groups in Finnish primary care. Patient numbers were also relatively high in groups other than childhood, indicating that age-related distribution in primary care may be shifting to older ages.
特应性皮炎（AD）的负担似乎在成年和老年患者中增加。本研究的目的是分析芬兰国家卫生和福利研究所关于 2018 年芬兰 AD 患者数量和全科医生就诊次数的全国数据库。该数据库包含所有公共初级保健就诊的主要诊断。共有 2094673 名初级保健患者（男性/女性为 43.19/56.81%），20905 名 AD 患者（1.00%）和 24180 次 AD 就诊（0.45%）。AD 患者人数最多的年龄组为 0-14 岁（9922 例，47.46%）和 15-65 岁（9144 例，43.74%）。相当一部分 AD 患者年龄>50 岁（3515 例，16.81%）或>65 岁（1947 例，9.31%）。回归分析表明，年龄组与患者人数（p=0.032）和就诊次数（p=0.030）之间存在统计学显著关联。直接年龄组比较之间没有差异（p=0.303），性别（p=0.389）或每例就诊患者数（p=0.235）。在芬兰初级保健中，AD 患者在所有年龄组中都很常见。除儿童以外的其他年龄组的患者人数也相对较高，这表明初级保健中与年龄相关的分布可能正在向老年转移。
