Systemic amyloidosis in England: an epidemiological study.

Systemic amyloidosis in England: an epidemiological study.
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DOI:
10.1111/bjh.12286
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发表时间:
2013-05
影响因子:
6.5
通讯作者:
Gillmore JD
Gillmore JD
中科院分区:
医学2区
文献类型:
--
作者:
Pinney JH;Smith CJ;Taube JB;Lachmann HJ;Venner CP;Gibbs SD;Dungu J;Banypersad SM;Wechalekar AD;Whelan CJ;Hawkins PN;Gillmore JD

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系统性淀粉样变性的流行病学研究很少,并且以前从未估计过英格兰的疾病负担。 1999年,国家卫生服务部门委托国家淀粉样变性中心(NAC)为所有淀粉样变性患者提供国家临床服务。所有提交给 NAC 的个人数据都保存在一个综合中央数据库中,并将这些数据与从国家统计办公室获得的 2000 年至 2008 年英国淀粉样变性死亡证明数据进行了比较。 2543 人的死亡证明上注明了淀粉样变性,相当于 0·58/1000 记录的死亡人数。同一时期,NAC 随访的 1143 名淀粉样变患者死亡,其中 903 名(79%)的死亡证明上记录有淀粉样变病。根据 NAC 的新转诊,估计 2008 年英国人口中系统性淀粉样变性的最低发病率为 0·4/100 000 人。发病率在 60-79 岁达到高峰。系统性 AL 淀粉样变性是最常见的类型,估计最低发病率为 0·3/100 000 人口。尽管这项研究存在各种局限性,但现有数据表明,英格兰系统性淀粉样变性的发病率超过 0·8/100 000 人口。
Epidemiological studies of systemic amyloidosis are scarce and the burden of disease in England has not previously been estimated. In 1999, the National Health Service commissioned the National Amyloidosis Centre (NAC) to provide a national clinical service for all patients with amyloidosis. Data for all individuals referred to the NAC is held on a comprehensive central database, and these were compared with English death certificate data for amyloidosis from 2000 to 2008, obtained from the Office of National Statistics. Amyloidosis was stated on death certificates of 2543 individuals, representing 0·58/1000 recorded deaths. During the same period, 1143 amyloidosis patients followed at the NAC died, 903 (79%) of whom had amyloidosis recorded on their death certificates. The estimated minimum incidence of systemic amyloidosis in the English population in 2008, based on new referrals to the NAC, was 0·4/100 000 population. The incidence peaked at age 60–79 years. Systemic AL amyloidosis was the most common type with an estimated minimum incidence of 0·3/100 000 population. Although there are various limitations to this study, the available data suggest the incidence of systemic amyloidosis in England exceeds 0·8/100 000 of the population.
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