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Burden of Digestive Diseases in the United States Population: Rates and Trends.
The American Journal of Gastroenterology ( IF 8.0 ) Pub Date : 2024-11-26 , DOI: 10.14309/ajg.0000000000003241 Aynur Unalp-Arida,Constance E Ruhl
The American Journal of Gastroenterology ( IF 8.0 ) Pub Date : 2024-11-26 , DOI: 10.14309/ajg.0000000000003241 Aynur Unalp-Arida,Constance E Ruhl
Digestive diseases are common in the United States (U.S.) and lead to significant morbidity, mortality, and health care utilization. We used national survey and claims databases to expand on earlier findings and investigate rates and trends in the digestive disease burden in the U.S. The Nationwide Emergency Department Sample, National Inpatient Sample, Vital Statistics of the U.S.: Multiple Cause-of-Death Data, Optum Clinformatics® Data Mart, and Centers for Medicare and Medicaid Services Medicare 5% Sample and Medicaid files were used to estimate claims-based prevalence, medical care, and mortality with a digestive disease diagnosis. Digestive disease prevalence (claims-based, 2019) was 24.2% among Medicaid beneficiaries, 33.2% among private insurance enrollees, and 51.5% among Medicare beneficiaries and rose over the previous decade. Digestive diseases contributed to 42 million emergency department visits, 17 million hospital stays, and 472,000 deaths in 2019. Women had higher medical care rates with a digestive disease diagnosis, but mortality rates were higher among men. Blacks had higher medical care use and mortality rates compared with Whites, and Hispanics had lower rates. During the study period, ambulatory care and emergency department visit rates with a digestive disease diagnosis rose, while hospitalization and mortality rates declined. Among private insurance enrollees, rates were higher compared with national data for hospitalizations, but lower for emergency department visits. The digestive disease burden in the U.S. is substantial, particularly among Blacks and older adults. Further research is needed to better understand reasons for disparities and trends in health care use and mortality reported in this paper.
中文翻译:
美国人口消化系统疾病负担:比率和趋势。
消化系统疾病在美国 (U.S.) 很常见,并导致显着的发病率、死亡率和医疗保健利用率。我们使用全国调查和索赔数据库来扩展早期发现,并调查美国消化疾病负担的发生率和趋势。全国急诊科样本、全国住院样本、美国生命统计:多种死因数据、Optum Clinformatics® 数据集市以及医疗保险和医疗补助服务中心医疗保险 5% 样本和医疗补助文件用于估计基于索赔的患病率、医疗保健和死亡率消化疾病诊断。消化系统疾病患病率(基于索赔,2019 年)在 Medicaid 受益人中为 24.2%,在私人保险参保者中为 33.2%,在 Medicare 受益人中为 51.5%,并且在过去十年中有所上升。2019 年,消化系统疾病导致 4200 万人次急诊就诊、1700 万人住院和 472,000 人死亡。女性被诊断为消化系统疾病的医疗护理率较高,但男性的死亡率较高。与白人相比,黑人的医疗保健使用率和死亡率更高,而西班牙裔的死亡率较低。在研究期间,诊断为消化系统疾病的门诊护理和急诊科就诊率上升,而住院率和死亡率下降。在私人保险参保者中,与全国住院数据相比,住院率较高,但急诊科就诊率较低。美国的消化系统疾病负担很大,尤其是在黑人和老年人中。需要进一步的研究来更好地了解本文报告的医疗保健使用和死亡率差异的原因和趋势。
更新日期:2024-11-26
中文翻译:
美国人口消化系统疾病负担:比率和趋势。
消化系统疾病在美国 (U.S.) 很常见,并导致显着的发病率、死亡率和医疗保健利用率。我们使用全国调查和索赔数据库来扩展早期发现,并调查美国消化疾病负担的发生率和趋势。全国急诊科样本、全国住院样本、美国生命统计:多种死因数据、Optum Clinformatics® 数据集市以及医疗保险和医疗补助服务中心医疗保险 5% 样本和医疗补助文件用于估计基于索赔的患病率、医疗保健和死亡率消化疾病诊断。消化系统疾病患病率(基于索赔,2019 年)在 Medicaid 受益人中为 24.2%,在私人保险参保者中为 33.2%,在 Medicare 受益人中为 51.5%,并且在过去十年中有所上升。2019 年,消化系统疾病导致 4200 万人次急诊就诊、1700 万人住院和 472,000 人死亡。女性被诊断为消化系统疾病的医疗护理率较高,但男性的死亡率较高。与白人相比,黑人的医疗保健使用率和死亡率更高,而西班牙裔的死亡率较低。在研究期间,诊断为消化系统疾病的门诊护理和急诊科就诊率上升,而住院率和死亡率下降。在私人保险参保者中,与全国住院数据相比,住院率较高,但急诊科就诊率较低。美国的消化系统疾病负担很大,尤其是在黑人和老年人中。需要进一步的研究来更好地了解本文报告的医疗保健使用和死亡率差异的原因和趋势。