我国孤立性浆细胞瘤的患病率调查:基于全国2016年城镇医疗保险数据的测算  

Prevalence investigation of solitary plasmacytoma in China:A calculation based on national urban medical insurance in 2016

作　　者：许璐 刘扬[2] 赖雪峰 冯菁楠 刘国臻 詹思延[1,4] 黄晓军[2,5] 王胜锋 路瑾[2,5] Xu Lu;Liu Yang;Lai Xuefeng;Feng Jingnan;Liu Guozhen;Zhan Siyan;Huang Xiaojun;Wang Shengfeng;Lu Jin(Department of Epidemiology and Biostatistics,School of Public Health,Peking University,Beijing 100191,China;Peking University Institute of Hematology,Peking University People’s Hospital,National Clinical Research Center for Hematologic Disease,Beijing 100044,China;Peking University Health Information Technology Co.Ltd,Beijing 100097,China;Research Center of Clinical Epidemiology,Peking University Third Hospital,Beijing 100191,China;Innovative Center of Hematology,Soochow University,Suzhou 215123,China)

机构地区：[1]北京大学公共卫生学院流行病与卫生统计学系,100191 [2]北京大学血液病研究所,北京大学人民医院,国家血液系统疾病临床医学研究中心,100044 [3]北大医疗信息技术有限公司,100097 [4]北京大学第三医院临床流行病学中心,100191 [5]苏州大学协同创新中心,215123

出　　处：《中华血液学杂志》2020年第6期451-455,共5页Chinese Journal of Hematology

摘　　要：目的分析我国孤立性浆细胞瘤患者分布特征并测算2016年患病率。方法基于2016年1月1日至12月31日我国21个省城镇职工和城镇居民医疗保险数据开展研究。通过疾病诊断名称、疾病诊断编码识别孤立性浆细胞瘤患者。根据性别、地区和年龄进行亚组分析,并进行敏感性分析以考察结果的稳健性。基于我国2010年全国人口普查数据、欧洲2013年标准人口数据、美国2010年人口数据以及澳大利亚2011年人口数据计算按年龄调整的标化患病率。结果 2016年我国孤立性浆细胞瘤患病率为1.18/10万(95%CI 1.06~1.31),其中男性患病率为1.26/10万(95%CI 1.10~1.43),女性患病率为1.10/10万(95%CI 0.93~1.29)。基于我国2010年全国人口普查数据所得标化患病率为0.85/10万(95%CI 0.82~0.88)。结论本研究利用全国城镇医疗保险数据测算我国孤立性浆细胞瘤的患病率,为孤立性浆细胞瘤相关医疗政策制定以及基础研究提供线索。Objective The aim of this study is to analyze the distribution features of patients with solitary plasmacytoma and calculate the prevalence of solitary plasmacytoma in China in the year 2016.Methods This study was based on China’s urban employees’basic medical insurance and the urban residences’basic medical insurance from 21 provinces from January 1,2016 to December 31,2016.Patients with solitary plasmacytoma were identified by disease names and codes.Subgroup analyses were carried out by sex,region,and age.Furthermore,sensitivity analyses were performed to test the robustness of the results.Age-adjusted prevalence was calculated based on the 2010 Chinese census data,the 2013 Revised European Standard Population,the 2010 US population,and the 2011 Australian population.Results In 2016,the prevalence of solitary plasmacytoma in China was 1.18 per 100000 population(95%CI,1.06-1.31),with 1.26 per 100000 population(95%CI,1.10-1.43)and 1.10 per 100000 population(95%CI,0.93-1.29)for males and females,respectively.The age-adjusted prevalence based on the 2010 Chinese census data was 0.85 per 100000 population(95%CI,0.82-0.88).Conclusion This study estimated the prevalence of solitary plasmacytoma in China on the basis of the national urban medical insurance,which can provide clues for the enactment of solitary plasmacytoma-related medical policies and basic studies about solitary plasmacytoma.

关 键 词：孤立性浆细胞瘤 患病率 医疗保险 

分 类 号：R733.3[医药卫生—肿瘤]