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1968 - 1988年英国的囊性纤维化:发病率、人口与生存率

Cystic fibrosis in the United Kingdom, 1968-1988: incidence, population and survival.

作者信息

Dodge J A, Morison S, Lewis P A, Colest E C, Geddes D, Russell G, Jackson A D, Bentley B

机构信息

Department of Child Health, Queen's University of Belfast, UK.

出版信息

Paediatr Perinat Epidemiol. 1993 Apr;7(2):157-66. doi: 10.1111/j.1365-3016.1993.tb00390.x.

Abstract

A thorough survey was conducted of patients with cystic fibrosis living in the UK from 1977 onwards. This was supplemented with death certificate data back to 1968. There was one case identified for each 2475 births. The total number of cases in the UK rose linearly from 4086 in 1977 to 5426 in 1988 and is estimated to be 6000 in 1992. The probability of survival improved in the period under study for all age groups and in both sexes. It was worst in the first year of life, dropped sharply thereafter but then increased steadily with age. There has been a very marked improvement over the years in survival in the first year of life, but a lesser one in older age groups. Male mortality was greater than that in females in the first year of life, but less in subsequent years giving, overall, worse survival for females. A set of cohort and 'current' survival graphs for the two sexes are given.

摘要

对1977年起居住在英国的囊性纤维化患者进行了全面调查。这一调查还补充了可追溯至1968年的死亡证明数据。每2475例出生中有1例确诊病例。英国的病例总数从1977年的4086例呈线性增长至1988年的5426例,预计1992年为6000例。在研究期间,所有年龄组和男女两性的生存概率均有所提高。在生命的第一年情况最差,此后急剧下降,但随后随年龄稳步上升。多年来,生命第一年的生存率有了非常显著的提高,但老年组的提高幅度较小。在生命的第一年,男性死亡率高于女性,但在随后几年则低于女性,总体而言,女性的生存率更差。给出了两性的一组队列和“当前”生存图。

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