Ten-Year Trends of Persistent Mortality With Gallstone Disease: A Retrospective Cohort Study in New Jersey.
Ten-Year Trends of Persistent Mortality With Gallstone Disease: A Retrospective Cohort Study in New Jersey.
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DOI：
10.1016/j.gastha.2023.03.023
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Strom, Brian L
中科院分区：
文献类型：
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作者：
Peck, Gregory L;Kuo, Yen-Hong;Nonnenmacher, Edward;Gracias, Vicente H;Hudson, Shawna V;Roy, Jason A;Strom, Brian L
在美国，胆结石病死亡率的近期趋势仍然很少。然而，在临床管理，如内窥镜检查率，胆囊切除术，胆囊造口术，并在国家一级的保险访问，可能已经发生了多个变化。因此，我们评估了最近新泽西胆结石病死亡率的长期趋势。我们使用国家卫生统计中心的限制性死亡率文件对2009年至2018年的死亡率进行了回顾性队列研究。主要结局是任何死亡，国际疾病分类，第10次修订，临床修改诊断代码的胆石病在新泽西。采用简单线性回归对死亡发生率的趋势进行建模。从2009年到2018年，有1580例确诊的胆石病（dGD）死亡。10年来，死亡率的年度趋势持平。10年内，dGD死亡相对于所有死亡的发生率仅从0.21%变化至0.20%。这些结果在20个亚组组合中的18个中也是一致的，尽管65岁或以上的拉丁美洲人中dGD死亡的趋势增加[斜率估计值0.93，95%置信限0.42-1.43，P = .003]。新泽西近10年来dGD死亡率变化不大。这需要在其他国家和国家复制。需要对临床护理和保险获得的变化进行更仔细的检查，以帮助理解为什么它们没有导致这种可避免的死亡原因的积极变化。
Recent trends in mortality with gallstone disease remain scarce in the United States. Yet multiple changes in clinical management, such as rates of endoscopy, cholecystectomy, and cholecystostomy, and insurance access at the state level, may have occurred. Thus, we evaluated recent secular trends of mortality with gallstone disease in New Jersey. We performed a retrospective, cohort study of mortality from 2009 to 2018 using the National Center for Health Statistics, Restricted Mortality Files. The primary outcome was any death with an International Classifications of Disease, 10th Revision, Clinical Modification diagnosis code of gallstone disease in New Jersey. Simple linear regression was used to model trends of incidence of death. 1580 deaths with diagnosed gallstone disease (dGD) occurred from 2009 to 2018. The annual trend of incidence of death was flat over 10 years. The incidence of death with dGD relative to all death changed only from 0.21% to 0.20% over 10 years. These findings were consistent also in 18 of 20 subgroup combinations, although the trend of death with dGD in Latinos 65 years or older increased [slope estimate 0.93, 95% confidence limit 0.42–1.43, P = .003]. The rate of death with dGD showed little change over the recent 10 years in New Jersey. This needs to be reproduced in other states and nationally. A closer examination of the changes in clinical care and insurance access is needed to help understand why they did not result in a positive change in this avoidable cause of death.