Kurata J H, Elashoff J D, Haile B M, Honda G D
Am J Public Health. 1983 Sep;73(9):1066-72. doi: 10.2105/ajph.73.9.1066.
There has been a dramatic decline in reported hospitalization and mortality rates for peptic ulcer disease in the past two decades. Data from the National Center for Health Statistics and from the Commission on Professional and Hospital Activities were examined to determine the cause(s) for this decline. Gastric and duodenal ulcer mortality rates decreased by 58 per cent and 68 per cent, respectively, from 1962 to 1978; changes in criteria for selecting the underlying cause of death might account for some of this apparent decrease. Hospitalization rates for duodenal ulcers decreased nearly 50 per cent from 1970 to 1978, but hospitalizations for gastric ulcers did not decrease. During this same time period, hospitalizations for peptic ulcers as one of the "all listed" causes remained stable, and hospitalizations for a closely related diagnosis, gastritis/duodenitis, increased. Changes in coding practices, hospitalization criteria, and diagnostic procedures appear to have contributed to the decline in reported hospitalization and mortality rates for peptic ulcer disease.
在过去二十年中，据报告的消化性溃疡疾病住院率和死亡率显著下降。对国家卫生统计中心以及专业与医院活动委员会的数据进行了审查，以确定导致这种下降的原因。从1962年到1978年，胃溃疡和十二指肠溃疡的死亡率分别下降了58%和68%；死亡根本原因选择标准的变化可能是这种明显下降的部分原因。十二指肠溃疡的住院率从1970年到1978年下降了近50%，但胃溃疡的住院率没有下降。在同一时期，作为“所有列出原因”之一的消化性溃疡住院率保持稳定，而与消化性溃疡密切相关的诊断——胃炎/十二指肠炎的住院率有所上升。编码做法、住院标准和诊断程序的变化似乎促成了消化性溃疡疾病报告的住院率和死亡率的下降。
