急性阑尾炎的发病率真的在下降吗？
Is the incidence of acute appendicitis really falling?
作者信息
Williams N M, Jackson D, Everson N W, Johnstone J M
机构信息
Department of Surgery, Leicester Royal Infirmary.
出版信息
Ann R Coll Surg Engl. 1998 Mar;80(2):122-4.
Abstract
To determine if there has been a genuine fall in the incidence of acute appendicitis, an epidemiological study using HAA and Korner datasets for the years 1975-1994 was carried out to identify those children and young adults undergoing appendicectomy for acute appendicitis. The overall incidence of acute appendicitis fell from 1.84/1000 to 1.17/1000. This fall was statistically significant (R2 = 0.74, P < 0.01). The decrease was significant in both males (overall reduction, 34%) and females (overall reduction, 40%). No significant reduction was observed in either males or females between 15 and 19 years of age. The overall reduction remains essentially unexplained, but may have implications for health planning and provision of services.
摘要
为确定急性阑尾炎的发病率是否真的有所下降，开展了一项流行病学研究，利用1975年至1994年的HAA和科纳数据集，以确定那些因急性阑尾炎接受阑尾切除术的儿童和年轻人。急性阑尾炎的总体发病率从1.84/1000降至1.17/1000。这一下降具有统计学意义（R2 = 0.74，P < 0.01）。男性（总体下降34%）和女性（总体下降40%）的发病率均显著下降。15至19岁的男性和女性发病率均未观察到显著下降。总体下降的原因基本上仍不明确，但可能对卫生规划和服务提供有影响。
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本文引用的文献
1
Is appendicitis decreasing in frequency.阑尾炎的发病率在下降吗？
AMA Arch Surg. 1959 May;78(5):794-8; discussion 799-801. doi: 10.1001/archsurg.1959.04320050125019.
2
Acute appendicitis in the under-5 year old.5岁以下儿童的急性阑尾炎
J R Coll Surg Edinb. 1994 Jun;39(3):168-70.
3
Where has all the appendicitis gone?阑尾炎都去哪儿了？
Lancet. 1994 Sep 10;344(8924):700. doi: 10.1016/s0140-6736(94)92201-2.
4
Observations on the epidemiology of appendicitis.阑尾炎流行病学观察
Gut. 1967 Dec;8(6):533-8. doi: 10.1136/gut.8.6.533.
5
The aetiology of appendicitis.阑尾炎的病因。
Br J Surg. 1971 Sep;58(9):695-9. doi: 10.1002/bjs.1800580916.
6
Changes in the incidence of acute appendicitis in Glasgow Asian and white children between 1971 and 1985.1971年至1985年间格拉斯哥亚裔和白人儿童急性阑尾炎发病率的变化。
J Epidemiol Community Health. 1988 Sep;42(3):290-3. doi: 10.1136/jech.42.3.290.
7
Acute appendicitis in childhood in the Negev region: some epidemiological observations over an 11-year period (1973-1983).
J Pediatr Gastroenterol Nutr. 1988 Sep-Oct;7(5):680-4. doi: 10.1097/00005176-198809000-00010.
8
Vegetable consumption and acute appendicitis in 59 areas in England and Wales.英格兰和威尔士59个地区的蔬菜消费与急性阑尾炎
Br Med J (Clin Res Ed). 1986 Apr 5;292(6525):927-30. doi: 10.1136/bmj.292.6525.927.
9
Acute appendicitis and dietary fibre: an alternative hypothesis.急性阑尾炎与膳食纤维：一种替代性假说。
Br Med J (Clin Res Ed). 1985 Apr 13;290(6475):1125-7. doi: 10.1136/bmj.290.6475.1125.
10
The epidemiology of appendicitis and appendectomy in the United States.美国阑尾炎及阑尾切除术的流行病学
Am J Epidemiol. 1990 Nov;132(5):910-25. doi: 10.1093/oxfordjournals.aje.a115734.
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