意大利艾滋病患者死亡率：艾滋病监测与多种死因登记系统的比较。

Mortality of people with AIDS in Italy: comparison of AIDS surveillance and multiple cause-of-death registries.

机构信息

Servizio Sistema integrato salute, assistenza e previdenza, Istituto Nazionale di Statistica, Rome, Italy.

Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano (PN), Italy.

出版信息

Ann Ist Super Sanita. 2022 Apr-Jun;58(2):139-145. doi: 10.4415/ANN_22_02_10.

DOI:10.4415/ANN_22_02_10

PMID:35722801

Abstract

AIMS

To assess whether the use of multiple cause-of-death data could improve reporting of AIDS mortality in Italy.

METHOD

Population-based, record-linkage study, on 3,975,431 deaths recorded in the National Registry of Causes of Death (RCoD) and 4,530 deaths recorded in the National AIDS Registry (RAIDS), during 2006-2012.

RESULTS

The record-linkage identified 3,646 AIDS-related deaths present in both registries, 884 deaths in the RAIDS without mention of HIV/AIDS in the RCoD, and 3,796 deaths in the RCoD with mention of HIV/AIDS that were not present in the RAIDS. In the latter, in-depth analysis of multiple cause-of-death allowed the identification of 1,484 deaths that were AIDS-related. On these results, we estimated 6,014 deceased people with AIDS. Of them, 14.7% (884) were not present in the RCoD and 24.7% (1,484) derived from the RCoD only.

CONCLUSIONS

The integration of different nationwide registries allowed a more comprehensive estimate of the impact of AIDS-associated mortality in Italy.

摘要

目的

评估使用多种死因数据是否能提高意大利艾滋病死亡率的报告质量。

方法

本研究为基于人群的记录链接研究，纳入了 2006 年至 2012 年期间国家死因登记处（RCoD）记录的 3975431 例死亡和国家艾滋病登记处（RAIDS）记录的 4530 例死亡。

结果

记录链接在两个登记处中确定了 3646 例与艾滋病相关的死亡，在 RAIDS 中有 884 例死亡未在 RCoD 中提及 HIV/AIDS，而在 RCoD 中有 3796 例提及 HIV/AIDS 的死亡未在 RAIDS 中记录。在后一种情况下，对多种死因的深入分析确定了 1484 例与艾滋病相关的死亡。基于这些结果，我们估计有 6014 名艾滋病死亡患者。其中，14.7%（884 例）未在 RCoD 中记录，24.7%（1484 例）仅来源于 RCoD。