文章基本信息

标题：Decline incidence in upper gastrointestinal bleeding in several recent years: data of the Japan claims database of 13 million accumulated patients
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作者：Shun Fujimoto ; Nanae Tsuruoka ; Motohiro Esaki 等
期刊名称：Journal of Clinical Biochemistry and Nutrition
印刷版ISSN：0912-0009
电子版ISSN：1880-5086
出版年度：2021
卷号：68
期号：1
页码：95-100
DOI：10.3164/jcbn.20-153
出版社：The Society for Free Radical Research Japan
摘要：This study was to examine the recent trends in upper gastrointestinal bleeding in Japan using a large-scale real-world database. The incidence of upper gastrointestinal bleeding was evaluated in the Japan Medical Data Center claims database of 13,019,713 patients aged 20 to 74 years with traceability for 3 months from 2009 to 2014. The incidence was compared with peptic ulcers and gastroesophageal reflux disease. The prescription of medications was also evaluated. The incidence of bleeding was 0.137%, 0.121%, 0.113%, 0.106%, 0.099%, and 0.105% during 2009 to 2014 with a time-dependent decline ( p10 times higher than the incidence of bleeding) decreased with time ( p< 0.001), whereas gastroesophageal reflux disease increased ( p = 0.006). Upper gastrointestinal bleeding was higher in male patients and older patients (60–74 years old) ( p <0.001 respectively). The prescription rate of antithrombotic medications and proton pump inhibitors increased from 2009 to 2014 ( p <0.001 respectively). The incidence of upper gastrointestinal bleeding decreased from 2009 to 2014 in this relatively large-scale real-world database in Japan, concomitant with the decrease in peptic ulcers. The decreased incidence might have been due to changes in the disease structure and therapeutic strategies over time.
关键词：antithrombotic;gastroesophageal reflux disease;JMDC;peptic ulcer;proton pump inhibitor