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结核病根除的流行病学基础。9. 自1925年以来丹麦结核病患者死亡率的变化。

Epidemiological basis of tuberculosis eradication. 9. Changes in the mortality of Danish tuberculosis patients since 1925.

作者信息

Buhl K, Nyboe J

出版信息

Bull World Health Organ. 1967;37(6):907-25.

Abstract

The authors have carried out an analysis of the mortality among Danish patients with tuberculosis whose condition was diagnosed between 1925 and 1954 in order to obtain a picture of the trend of tuberculosis mortality over a period during which a dramatic improvement in the prognosis of the disease has taken place. The data originate from clinical records and follow-up during 10 years of all notified cases fulfilling certain conditions in Arhus, the largest provincial town in Denmark.The mortality of the patients was highest immediately after diagnosis and decreased during the 10 years they were followed. The relative changes during the follow-up period, however, appeared to be the same in all patient groups and this fact has greatly simplified the comparison of the mortality among patients diagnosed in the different calendar years.Analysis of the data according to year of diagnosis showed a consistent and substantial decrease in the mortality of young patients before the antituberculosis drugs came into use. This was true even within groups of patients with similar radiological findings. For patients over 45 years of age, however, there was no significant decrease in mortality before 1950.

摘要

作者对1925年至1954年间被诊断患有结核病的丹麦患者的死亡率进行了分析,以便了解在该疾病预后显著改善的时期内结核病死亡率的趋势。数据来源于丹麦最大的省级城镇奥胡斯所有符合特定条件的报告病例的临床记录和10年随访。患者的死亡率在诊断后立即最高,并在随后的10年中下降。然而,在随访期间,所有患者组的相对变化似乎相同,这一事实大大简化了不同历年诊断患者之间死亡率的比较。根据诊断年份对数据进行分析表明,在抗结核药物使用之前,年轻患者的死亡率持续且大幅下降。即使在具有相似放射学表现的患者组中也是如此。然而,对于45岁以上的患者,1950年之前死亡率没有显著下降。

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