Sarcoidosis mortality in the United States, 1979-1991: An analysis of multiple-cause mortality data
Sarcoidosis mortality in the United States, 1979-1991: An analysis of multiple-cause mortality data
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DOI：
10.1016/s0002-9343(97)89518-6
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发表时间：
1996-04-01
影响因子：
5.9
通讯作者：
Mannino, DM
中科院分区：
文献类型：
--
作者：
Gideon, NM;Mannino, DM
目的：我们试图描述1979年至1991年美国结节病的死亡率。方法：我们分析了1979年至1991年期间国家卫生统计中心编制的死亡证明报告。结果：在研究期间死亡的26,866,600人中，9,014人的死亡证明上列出了结节病的诊断。我们将研究组限制在5791人，他们死于结节病或其并发症之一。在男性中，年龄调整死亡率从1979年的1.3 / 100万增加到1991年的1.6 / 100万，在女性中，这些死亡率从1979年的1.9 / 100万增加到1991年的2.5 / 100万。黑人的年龄调整死亡率一直高于白人。年龄调整死亡率，按种族分层，因州而异。在白人中，发病率最高的是北部各州，而在黑人中，发病率最高的是大西洋中部和中西部北部各州。结论：报告的结节病死亡率因地区、性别和种族而异。我们无法确定这些差异是否与疾病的特征有关，还是与死亡认证和编码中的问题有关。
PURPOSE: We sought to describe sarcoidosis mortality in the United States from 1979 through 1991.METHODS: We analyzed death certificate reports compiled by the National Center for Health Statistics for the period 1979 through 1991.RESULTS: Of the 26,866,600 people who died during the study period, 9,014 had a diagnosis of sarcoidosis listed on their death certificates. We restricted our study group to 5,791 people who died because of sarcoidosis or one of its complications. Among men, age-adjusted mortality rates increased from 1.3 per 1,000,000 in 1979 to 1.6 per 1,000,000 in 1991, and among women, these rates increased from 1.9 per 1,000,000 in 1979 to 2.5 per 1,000,000 in 1991. Age-adjusted mortality rates were consistently higher among blacks than among whites. Age-adjusted mortality rates, stratified by race, varied by state. Among whites, the highest rates were in northern states, while among blacks, the highest rates were in the Middle Atlantic and northern Midwestern states.CONCLUSIONS: Reported mortality due to sarcoidosis varies by region, sex, and race. We cannot determine whether these differences are related to characteristics of the disease, or problems in death certification and coding.