全球、区域和国家口腔颌面裂隙负担与医疗质量指数（QCI）调查：1990 - 2019年全球疾病负担系统分析

Global, regional, and national survey on burden and Quality of Care Index (QCI) of orofacial clefts: Global burden of disease systematic analysis 1990-2019.

作者信息

Sofi-Mahmudi Ahmad, Shamsoddin Erfan, Khademioore Sahar, Khazaei Yeganeh, Vahdati Amin, Tovani-Palone Marcos Roberto

机构信息

National Pain Centre, Department of Anesthesia, McMaster University, Hamilton, ON, Canada.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.

出版信息

PLoS One. 2025 Jan 8;20(1):e0317267. doi: 10.1371/journal.pone.0317267. eCollection 2025.

DOI:10.1371/journal.pone.0317267

PMID:39774532

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11709310/

Abstract

BACKGROUND

Orofacial clefts are the most common craniofacial anomalies that include a variety of conditions affecting the lips and oral cavity. They remain a significant global public health challenge. Despite this, the quality of care for orofacial clefts has not been investigated at global and country levels.

OBJECTIVE

We aimed to measure the quality-of-care index (QCI) for orofacial clefts worldwide.

METHODS

We used the 2019 Global Burden of Disease data to create a multifactorial index (QCI) to assess orofacial clefts globally and nationally. By utilizing data on incidence, prevalence, years of life lost, and years lived with disability, we defined four ratios to indirectly reflect the quality of healthcare. Subsequently, we conducted a principal component analysis to identify the most critical variables that could account for the observed variability. The outcome of this analysis was defined as the QCI for orofacial clefts. Following this, we tracked the QCI trends among males and females worldwide across various regions and countries, considering factors such as the socio-demographic index and World Bank classifications.

RESULTS

Globally, the QCI for orofacial clefts exhibited a consistent upward trend from 1990 to 2019 (66.4 to 90.2) overall and for females (82.9 to 94.3) and males (72.8 to 93.6). In the year 2019, the top five countries with the highest QCI scores were as follows: Norway (QCI = 99.9), Ireland (99.4), France (99.4), Germany (99.3), the Netherlands (99.3), and Malta (99.3). Conversely, the five countries with the lowest QCI scores on a global scale in 2019 were Somalia (59.1), Niger (67.6), Burkina Faso (72.6), Ethiopia (73.0), and Mali (74.4). Gender difference showed a converging trend from 1990 to 2019 (optimal gender disparity ratio (GDR): 123 vs. 163 countries), and the GDR showed a move toward optimization (between 0.95 and 1.05) in the better and worse parts of the world.

CONCLUSION

Despite the positive results regarding the QCI for orofacial clefts worldwide, some countries showed a slight negative trend.

摘要

背景

口面部裂隙是最常见的颅面畸形，包括影响唇部和口腔的多种病症。它们仍然是一项重大的全球公共卫生挑战。尽管如此，全球和国家层面尚未对口面部裂隙的护理质量进行调查。

目的

我们旨在衡量全球口面部裂隙的护理质量指数（QCI）。

方法

我们使用2019年全球疾病负担数据创建了一个多因素指数（QCI），以在全球和国家层面评估口面部裂隙。通过利用发病率、患病率、寿命损失年数和残疾生存年数的数据，我们定义了四个比率来间接反映医疗保健质量。随后，我们进行了主成分分析，以确定能够解释观察到的变异性的最关键变量。该分析的结果被定义为口面部裂隙的QCI。在此之后，我们追踪了全球不同地区和国家男性和女性的QCI趋势，同时考虑了社会人口指数和世界银行分类等因素。

结果

在全球范围内，1990年至2019年口面部裂隙的QCI总体呈持续上升趋势（从66.4升至90.2），女性（从82.9升至94.3）和男性（从72.8升至93.6）亦是如此。2019年，QCI得分最高的前五个国家如下：挪威（QCI = 99.9）、爱尔兰（99.4）、法国（99.4）、德国（99.3）、荷兰（99.3）和马耳他（99.3）。相反，2019年全球QCI得分最低的五个国家是索马里（59.1）、尼日尔（67.6）、布基纳法索（72.6）、埃塞俄比亚（73.0）和马里（74.4）。1990年至2019年，性别差异呈现出一种趋同趋势（最佳性别差异比率（GDR）：123个国家对163个国家），并且在世界上较好和较差的地区，GDR都朝着优化方向发展（在0.95至1.05之间）。