Burden of gastrointestinal disease in the United States: 2012 update.
Burden of gastrointestinal disease in the United States: 2012 update.
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DOI：
10.1053/j.gastro.2012.08.002
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发表时间：
2012-11
期刊：
影响因子：
29.4
通讯作者：
Shaheen NJ
中科院分区：
文献类型：
--
作者：
Peery AF;Dellon ES;Lund J;Crockett SD;McGowan CE;Bulsiewicz WJ;Gangarosa LM;Thiny MT;Stizenberg K;Morgan DR;Ringel Y;Kim HP;DiBonaventura MD;Carroll CF;Allen JK;Cook SF;Sandler RS;Kappelman MD;Shaheen NJ
胃肠道 (GI) 疾病导致大量的发病率、死亡率和费用。对最新数据的统计分析对于指导胃肠道研究、教育和临床实践是必要的。我们估计了美国胃肠道疾病的负担。我们收集了有关胃肠道疾病（包括癌症）和症状的流行病学信息，以及有关资源利用、生活质量、工作和活动障碍、发病率和死亡率的数据。这些数据来自全国流动医疗调查；全国健康与保健调查；全国住院患者样本；监测、流行病学和最终结果计划；国家生命统计系统；汤森路透 MarketScan®；医疗保险；医疗补助；以及临床结果研究计划的国家内窥镜数据库。我们估计了内窥镜的使用和成本，并研究了内窥镜手术的趋势。腹痛是促使就诊的最常见胃肠道症状（1590 万人次就诊）。胃食管反流是最常见的胃肠道诊断（890 万人次就诊）。过去 10 年，艰难梭菌感染导致的住院率和死亡率翻了一番。急性胰腺炎是最常见的住院原因（274,119 例出院）。结直肠癌占所有胃肠道癌症的一半以上，是胃肠道相关死亡的主要原因（52,394 例死亡）。 2009年，进行了690万例上消化道内窥镜检查、1150万例下消化道内窥镜检查和228,000例胆道内窥镜检查。门诊胃肠内窥镜检查的总费用为324亿美元。胃肠道疾病是美国发病率、死亡率和费用的一个重要来源。
Gastrointestinal (GI) diseases account for substantial morbidity, mortality and cost. Statistical analyses of the most recent data are necessary to guide GI research, education and clinical practice. We estimate the burden of GI disease in the US. We collected information on the epidemiology of GI diseases (including cancers) and symptoms, along with data on resource utilization, quality of life, impairments to work and activity, morbidity, and mortality. These data were obtained from the National Ambulatory Medical Care Survey; National Health and Wellness Survey; Nationwide Inpatient Sample; Surveillance, Epidemiology, and End Results Program; National Vital Statistics System; Thompson Reuters MarketScan®; Medicare; Medicaid; and the Clinical Outcomes Research Initiative’s National Endoscopic Database. We estimated endoscopic use and costs and examined trends in endoscopic procedure. Abdominal pain was the most common gastrointestinal symptom that prompted a clinic visit (15.9 million visits). Gastroesophageal reflux was the most common GI diagnosis (8.9 million visits). Hospitalizations and mortality from Clostridium difficile infection have doubled in the last 10 years. Acute pancreatitis was the most common reason for hospitalization (274,119 discharges). Colorectal cancer accounted for more than half of all GI cancers and was the leading cause of GI-related mortality (52,394 deaths). There were 6.9 million upper, 11.5 million lower, and 228,000 biliary endoscopies performed in 2009. The total cost for outpatient gastrointestinal endoscopy examinations was $32.4 billion. GI diseases are a source of substantial morbidity, mortality and cost in the US.
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影响因子：
11.8
作者：
McDonald, LC;Owings, M;Jernigan, DB
通讯作者：
Jernigan, DB
影响因子：
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Bolge, Susan C.;Doan, Justin F.;Baran, Robert W.
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通讯作者：
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