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Global burden of rheumatic heart disease: trends from 1990 to 2019
Arthritis Research & Therapy ( IF 4.9 ) Pub Date : 2022-06-11 , DOI: 10.1186/s13075-022-02829-3
Zejin Ou 1, 2 , Danfeng Yu 3 , Yuanhao Liang 4 , Jinhua Wu 5 , Huan He 4 , Yongzhi Li 4 , Wenqiao He 4 , Yuhan Gao 4 , Fei Wu 4 , Qing Chen 4
Affiliation  

Rheumatic heart disease (RHD) is a critical public health issue worldwide, and its epidemiological patterns have changed over the decades. This article aimed to estimate the global trends of RHD, and attributable risks from 1990 to 2019. Data on RHD burden were explored from the Global Burden of Disease Study 2019. Trends of the RHD burden were estimated using the estimated annual percentage change (EAPC) and age-standardized rate (ASR). During 1990–2019, increasing trends in the ASR of incidence and prevalence of RHD were observed worldwide, with the respective EAPCs of 0.58 (95% confidence interval [CI] 0.52 to 0.63) and 0.57 (95%CI 0.50 to 0.63). Meanwhile, increasing trends commonly occurred in low and middle Socio-Demographic Index (SDI) regions and countries. The largest increasing trends in the ASR of incidence and prevalence were seen in Fiji, with the respective EAPCs being 2.17 (95%CI 1.48 to 2.86) and 2.22 (95%CI 1.53 to 2.91). However, death and disability-adjusted life years (DALYs) due to RHD showed pronounced decreasing trends of ASR globally, in which the EAPCs were − 2.98 (95%CI − 3.03 to − 2.94) and − 2.70 (95%CI − 2.75 to − 2.65), respectively. Meanwhile, decreasing trends were also observed in all SDI areas and geographic regions. The largest decreasing trends of death were observed in Thailand (EAPC = − 9.55, 95%CI − 10.48 to − 8.61). Among the attributable risks, behavioral risk-related death and DALYs caused by RHD had pronounced decreasing trends worldwide and in SDI areas. Pronounced decreasing trends of death and DALYs caused by RHD were observed in regions and countries from 1990 to 2019, but the RHD burden remains a substantial challenge globally. The results would inform the strategies for more effective prevention and control of RHD.

中文翻译:

风湿性心脏病的全球负担:1990 年至 2019 年的趋势

风湿性心脏病 (RHD) 是世界范围内的一个重要公共卫生问题,其流行病学模式在过去几十年中发生了变化。本文旨在估计 1990 年至 2019 年 RHD 的全球趋势和归因风险。RHD 负担的数据来自 2019 年全球疾病负担研究。使用估计的年度百分比变化 (EAPC) 估计 RHD 负担的趋势和年龄标准化率(ASR)。在 1990-2019 年期间,在全球范围内观察到 RHD 发病率和患病率的 ASR 呈上升趋势,各自的 EAPC 分别为 0.58(95% 置信区间 [CI] 0.52 至 0.63)和 0.57(95% CI 0.50 至 0.63)。与此同时,社会人口指数(SDI)中低地区和国家普遍呈现上升趋势。斐济的发病率和患病率的 ASR 增长趋势最大,各自的 EAPC 为 2.17(95%CI 1.48 至 2.86)和 2.22(95%CI 1.53 至 2.91)。然而,RHD 导致的死亡和伤残调整生命年 (DALYs) 在全球范围内显示出 ASR 的明显下降趋势,其中 EAPC 分别为 - 2.98 (95%CI - 3.03 至 - 2.94) 和 - 2.70 (95%CI - 2.75 至− 2.65),分别。同时,所有SDI地区和地理区域也出现下降趋势。在泰国观察到最大的死亡下降趋势(EAPC = - 9.55, 95%CI - 10.48 至 - 8.61)。在归因风险中,由 RHD 引起的与行为风险相关的死亡和 DALYs 在全球和 SDI 地区都有明显的下降趋势。从 1990 年到 2019 年,在地区和国家观察到 RHD 导致的死亡和 DALYs 呈明显下降趋势,但 RHD 负担在全球范围内仍然是一项重大挑战。结果将为更有效地预防和控制 RHD 的策略提供信息。
更新日期:2022-06-12
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