Burden of gallstone disease in the United States population:Prepandemic rates and trends  

作　　者：Aynur Unalp-Arida Constance E Ruhl 

机构地区：[1]National Institute of Diabetes and Digestive and Kidney Diseases,National Institutes of Health,Bethesda,MD 20892-5458,United States [2]Social&Scientific Systems,Inc.,DLH Holdings Corp Company,Silver Spring,MD 20910,United States

出　　处：《World Journal of Gastrointestinal Surgery》2024年第4期1130-1148,共19页世界胃肠外科杂志（英文版）（电子版）

基　　金：supported by a contract from the National Institute of Diabetes and Digestive and Kidney Diseases,No.75N94022F00050.

摘　　要：BACKGROUND Gallstone disease is one of the most common digestive disorders in the United States and leads to significant morbidity,mortality,and health care utilization.AIM To expand on earlier findings and investigate prepandemic rates and trends in the gallstone disease burden in the United States using national survey and claims databases.METHODS The National Ambulatory Medical Care Survey,National Inpatient Sample,Nationwide Emergency Department Sample,Nationwide Ambulatory Surgery Sample,Vital Statistics of the United States,Optum Clinformatics®Data Mart,and Centers for Medicare and Medicaid Services Medicare 5%Sample and Medicaid files were used to estimate claims-based prevalence,medical care including cholecystectomy,and mortality with a primary or other gallstone diagnosis.Rates were age-adjusted(for national databases)and shown per 100000 population.RESULTS Gallstone disease prevalence(claims-based,2019)was 0.70%among commercial insurance enrollees,1.03%among Medicaid beneficiaries,and 2.09%among Medicare beneficiaries and rose over the previous decade.Recently,in the United States population,gallstone disease contributed to approximately 2.2 million ambulatory care visits,1.2 million emergency department visits,625000 hospital discharges,and 2000 deaths annually.Women had higher medical care rates with a gallstone disease diagnosis,but mortality rates were higher among men.Hispanics had higher ambulatory care visit and hospital discharge rates compared with Whites,but not mortality rates.Blacks had lower ambulatory care visit and mortality rates,but similar hospital discharge rates compared with whites.During the study period,ambulatory care and emergency department visit rates with a gallstone disease diagnosis rose,while hospital discharge and mortality rates declined.Among commercial insurance enrollees,rates were higher compared with national data for ambulatory care visits and hospitalizations,but lower for emergency department visits.Cholecystectomies performed in the United States included 6050

关 键 词：Gallstone disease BURDEN CHOLECYSTECTOMY Mortality Health care use CHOLELITHIASIS GALLSTONES Epidemiology 

分 类 号：R57[医药卫生—消化系统]