中国浆细胞白血病的患病率调查:基于全国2016年城镇医疗保险数据的测算  

Prevalence investigation of plasma cell leukemia in China:a calculation based on national urban medical insurance in 2016

作　　者：许璐 刘扬[2] 赖雪峰 白易 冯菁楠 詹思延[1,3] 黄晓军[2,4] 王胜锋 路瑾[2,4] Xu Lu;Liu Yang;Lai Xuefeng;Bai Yi;Feng Jingnan;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;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,北京100191 [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,北京100044 [3]北京大学第三医院临床流行病学中心,北京100191 [4]苏州大学协同创新中心,苏州215123

出　　处：《中华血液学杂志》2020年第12期984-988,共5页Chinese Journal of Hematology

摘　　要：目的分析我国城市人口中浆细胞白血病(PCL)的流行病学特征,并测算2016年PCL患病率。方法利用我国23个省2016年1月1日至2016年12月31日的城镇基本医疗保险数据进行测算。利用医疗保险数据中的疾病诊断名称和疾病诊断编码识别PCL患者。按性别、地区和年龄进行亚组分析,并通过敏感性分析考察结果的稳健性。基于我国2010年全国人口普查数据计算按年龄调整的标准化患病率。结果2016年我国城市人口中PCL患病率为0.11/10万(95%CI 0.05~0.19),其中男性和女性患病率分别为0.12/10万(95%CI 0.06~0.21),0.10/10万(95%CI 0.04~0.19)。PCL的患病率在70~79岁时达高峰。敏感性分析显示本研究结果具有稳健性。根据我国2010年全国人口普查数据所得的标化患病率为0.12/10万(95%CI 0.11~0.13)。结论本研究首次利用全国城镇医疗保险数据测算我国PCL的患病率,为PCL相关研究和政策制定提供依据。Objective To analyze the epidemiological features of patients with plasma cell leukemia(PCL)and calculate the prevalence of PCL in urban China in 2016.Methods Calculation in this study was based on China's urban basic medical insurance from 23 provinces between January 1,2016 and December 31,2016.The identification of the patients with PCL was based on the disease names and codes in the claim data.Subgroup analyses were carried out by sex,region,and age.To test the robustness of the results,we performed sensitivity analyses.Age-adjusted prevalence was calculated,based on the 2010 Chinese census data.Results The prevalence of PCL in urban China in 2016 was 0.11 per 100000 population(95%CI 0.05-0.19),and the male prevalence and female prevalence were 0.12 per 100000 population(95%CI 0.06-0.21)and 0.10 per 100000 population(95%CI 0.04-0.19),respectively.The prevalence of PCL peaked at 70-79 years old.Sensitivity analyses proved the robustness of the primary result.The age-adjusted prevalence based on 2010 Chinese census data was 0.12 per 100000 population(95%CI 0.11-0.13).Conclusion This study firstly analyzed the epidemiological characteristics of PCL in China,which can provide evidence for the research and policies regarding PCL.

关 键 词：浆细胞白血病 患病率 医疗保险 

分 类 号：R733.7[医药卫生—肿瘤]