The consistency of shingles and its significance for health monitoring
The consistency of shingles and its significance for health monitoring
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DOI：
10.1007/s10654-004-2219-1
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发表时间：
2004-01-01
影响因子：
13.6
通讯作者：
Cross, KW
中科院分区：
文献类型：
--
作者：
Fleming, DM;Bartelds, A;Cross, KW
对监测人群的准确估计是流行病学研究的关键。许多国家没有病人登记制度，因此妨碍了常规疾病监测。我们研究了带状疱疹的发病率随着时间的推移，并调查了假设的发病率是一致的，可以作为一个代理估计监测人口。对1970年以来每周回报服务（WRS）和1998-2001年期间荷兰哨兵网络（DSN）报告的带状疱疹年发病率进行了研究。在按年龄标准化后，对按性别分列的年发病率（1998-2001年）进行了比较。通过将WRS发生率应用于DSN事件病例数，估计DSN中的人群。带状疱疹的发病率是每年和季节性一致。两个网络中男性的发病率相似，WRS中女性的发病率高出约18%：在15-64岁年龄组中，两个网络中的发病率相似，但在0-14岁儿童和65岁及以上人群中，WRS中的发病率较高。根据WRS中的平均年龄/性别特异性比率估计的DSN中的总人口在调查的4年中每年观察到的12%以内。这两个国家带状疱疹的发病率非常接近，可以根据社区发病病例的知识估计15-64岁的调查人群。建议对哨点做法网络中的带状疱疹进行例行监测，作为确保记录质量的一种方法，并作为在登记人口不详的情况下估计调查人口的一种手段。
Accurate estimation of monitored populations is essential for epidemiological study. Many countries do not have systems of patient registration and routine disease surveillance is thereby hindered. We studied the incidence of shingles over time and investigated the hypothesis that the incidence is consistent and could be used as a proxy for estimating the monitored population. Annual incidence rates of shingles reported in the Weekly Returns Service (WRS) since 1970 and in the Dutch Sentinel Network (DSN) over the period 1998-2001 were studied. Gender specific annual rates (1998-2001) were compared after standardising for age. The population in the DSN was estimated by applying the WRS incidence rates to the numbers of DSN incident cases. The incidence of shingles was annually and seasonally consistent. Incidence in males was similar in both networks and in females approximately 18% greater in the WRS: in age groups 15-64 years, incidence was similar in both networks, but in children 0-14 years and in persons 65 years and over, it was higher in the WRS. The total populations in the DSN estimated from average age/gender specific rates in the WRS were within 12% of the observed in each of the 4 years surveyed. The incidence of shingles in the two countries was sufficiently close to estimate the surveyed population aged 15-64 years from knowledge of incident cases in the community. Routine monitoring of shingles in sentinel practice networks is commended as a method of assuring recording quality and as a means of estimating the survey population where the registered population is not known.