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成人肥大细胞增多症的患病率和发病率:一项丹麦全国性登记研究。

Prevalence and incidence of mastocytosis in adults: a Danish nationwide register study.

作者信息

Jørgensen Maren Poulsgaard, Øvlisen Andreas Kiesbye, Jensen Jonas Faartoft, El-Galaly Tarec Christoffer, Dalager Maiken Glud, Vestergaard Hanne, Broesby-Olsen Sigurd, Severinsen Marianne Tang

机构信息

Department of Hematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.

Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

出版信息

Eur J Epidemiol. 2025 Jan;40(1):43-53. doi: 10.1007/s10654-024-01195-5. Epub 2025 Jan 3.

Abstract

Mastocytosis is a group of rare heterogeneous diseases with a prevalence previously found to be 10-23 per 100,000 persons. More awareness and improvements in the diagnostic methods in later years have led to more patients being diagnosed. Here, we set out to present the prevalence and incidence rate of mastocytosis among the adult Danish population. By merging data from the Danish National Patient Register, the Danish Pathology Register and the Danish Cancer Register we included all adult patients (≥ 18 years) diagnosed with mastocytosis in Denmark prior to 2022. A cohort of 1,594 patients with mastocytosis was identified. The prevalence of mastocytosis was 27.43 per 100,000 persons (95% confidence interval [CI]: 25.95-28.96) as of January 1, 2022, and the 25-year average incidence rate between 1997 and 2021 was 1.21 per 100,000 persons (95%CI: 1.02-1.40) with an increasing incidence rate since 2002. We found a higher prevalence of mastocytosis among adults in the Danish population than previously reported, and an increasing incidence rate during the last 20 years. Increased awareness of the disease and better diagnostic methods most likely contributed to this.

摘要

肥大细胞增多症是一组罕见的异质性疾病,先前发现其患病率为每10万人中有10 - 23例。近年来,人们对该病的认识有所提高,诊断方法也有所改进,从而使更多患者得到确诊。在此,我们旨在呈现丹麦成年人群中肥大细胞增多症的患病率和发病率。通过合并丹麦国家患者登记册、丹麦病理学登记册和丹麦癌症登记册的数据,我们纳入了2022年之前在丹麦被诊断为肥大细胞增多症的所有成年患者(≥18岁)。确定了一个由1594例肥大细胞增多症患者组成的队列。截至2022年1月1日,肥大细胞增多症的患病率为每10万人中有27.43例(95%置信区间[CI]:25.95 - 28.96),1997年至2021年期间的25年平均发病率为每10万人中有1.21例(95%CI:1.02 - 1.40),自2002年以来发病率呈上升趋势。我们发现丹麦成年人群中肥大细胞增多症的患病率高于先前报告的水平,且在过去20年中发病率不断上升。对该疾病认识的提高和更好的诊断方法很可能促成了这一情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f2f/11799073/bcf74d599ad6/10654_2024_1195_Fig1_HTML.jpg

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