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1.
Artículo en Ruso | MEDLINE | ID: mdl-33901365

RESUMEN

The article considers the results of sociological study that was carried out to determine vector of dynamics of indices regulating duration of life of the Russian population, including the expected one. The method of secondary analysis of statistical and sociological information data was applied. Results. Against the background of decreasing of birth rate, "aging of population", migration inflows and transformation of value systems the reduction of population size in The Russian Federation (natural loss) dominates, though life expectancy itself is slightly increasing. The high value of indicator of «death external causes¼ is established. The trend of steady decreasing of infant mortality in Russia over the past 27 years is marked. The groups of factors affecting life expectancy of the Russian population is identified. The main characteristics are revealed that are fundamentally important to ensure higher life expectancy of Russians. One of the demographic behavior models in modern Russia is described. The approaches to solve demographic problems in the Russian Federation, proposed by state bodies on the basis of policy documents (Concept of demographic development of the Russian Federation for the period up to 2025, etc.) are considered. The importance of health-preserving projects (such as "Moscow longevity", etc.), is determined.


Asunto(s)
Esperanza de Vida , Longevidad , Humanos , Lactante , Mortalidad Infantil , Moscú , Federación de Rusia/epidemiología
2.
Artículo en Ruso | MEDLINE | ID: mdl-33901383

RESUMEN

The article analyzes negative changes in the USSR population health in the era of stagnation. These changes are traced on the basis of statistical indices of physical development, morbidity of infectious and mental diseases, mortality and life expectancy. The mentioned data are compared with indices of ecological pollution, drinking water and foodstuff quality. The study results are explained by political decisions on reclamation of unsettled territories, developing of all-Union constructions, (anti)alcohol campaigns.


Asunto(s)
Esperanza de Vida , Humanos , Morbilidad
3.
Soins Gerontol ; 26(148): 20-23, 2021.
Artículo en Francés | MEDLINE | ID: mdl-33894909

RESUMEN

Dependency care is a real public health issue. The lengthening of life expectancy and the increase in polypathologies require health policies that are as close as possible to the needs of the elderly. The World Health Organisation has set up a program to encourage healthy ageing. Based on this program, the Toulouse gerontopôle has developed digital tools for the prevention, evaluation, monitoring and management of ageing in order to detect and monitor 200,000 elderly people in Occitania within five years.


Asunto(s)
Envejecimiento , Esperanza de Vida , Anciano , Humanos
4.
Artículo en Inglés | MEDLINE | ID: mdl-33801588

RESUMEN

This study aims to calculate the health-adjusted life years (HALE) by using years lived with disability (YLD) from the national claims data, as well as to identify the differences and inequalities in income level and region. The study was carried out on total population receiving health insurance and medical benefits. We calculated incidence-based YLD for 260 disease groups, and used it as the number of healthy years lost to calculate HALE. We adopted the insurance premium to calculate the income as a proxy indicator. For the region classification, we chose 250 Korean municipal-level administrative districts. Our results revealed that HALE increased from 2008 to 2018. HALE in males increased faster than that in females. HALE was higher in higher income levels. In 2018, the gap in HALE between Q1 and Q2, the lower income group, was about 5.57 years. The gap in females by income level was smaller than that in males. Moreover, the gap in HALE by region was found to increase. Results suggest that there is an inequality in YLD in terms of income level in Korea. Therefore, we need intensive management for the low-income group to promote HALE at the national level.


Asunto(s)
Renta , Esperanza de Vida , Femenino , Estado de Salud , Masculino , Años de Vida Ajustados por Calidad de Vida , República de Corea/epidemiología
5.
Natl Vital Stat Rep ; 70(1): 1-18, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33814036

RESUMEN

Objectives-This report presents complete period life tables for each of the 50 states and the District of Columbia by sex based on age-specific death rates in 2018. Methods-Data used to prepare the 2018 state-specific life tables include 2018 final mortality statistics; July 1, 2018 population estimates based on the 2010 decennial census; and 2018 Medicare data for persons aged 66-99. The methodology used to estimate the state-specific life tables is the same as that used to estimate the 2018 national life tables, with some modifications. Results-Among the 50 states and the District of Columbia, Hawaii had the highest life expectancy at birth, 81.0 years in 2018, and West Virginia had the lowest, 74.4 years. Life expectancy at age 65 ranged from 17.5 years in Kentucky to 21.1 years in Hawaii. Life expectancy at birth was higher for females in all states and the District of Columbia. The difference in life expectancy between females and males ranged from 3.8 years in Utah to 6.2 years in New Mexico.


Asunto(s)
Esperanza de Vida/tendencias , Tablas de Vida , Mortalidad/tendencias , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Grupos Étnicos/estadística & datos numéricos , Femenino , Hispanoamericanos/estadística & datos numéricos , Humanos , Lactante , Recién Nacido , Esperanza de Vida/etnología , Masculino , Persona de Mediana Edad , Mortalidad/etnología , Distribución por Sexo , Estados Unidos/epidemiología , Adulto Joven
6.
Artículo en Inglés | MEDLINE | ID: mdl-33809240

RESUMEN

The coronavirus disease 2019 (COVID-19) epidemic in the United States has disproportionately impacted communities of color across the country. Focusing on COVID-19-attributable mortality, we expand upon a national comparative analysis of years of potential life lost (YPLL) attributable to COVID-19 by race/ethnicity (Bassett et al., 2020), estimating percentages of total YPLL for non-Hispanic Whites, non-Hispanic Blacks, Hispanics, non-Hispanic Asians, and non-Hispanic American Indian or Alaska Natives, contrasting them with their respective percent population shares, as well as age-adjusted YPLL rate ratios-anchoring comparisons to non-Hispanic Whites-in each of 45 states and the District of Columbia using data from the National Center for Health Statistics as of 30 December 2020. Using a novel Monte Carlo simulation procedure to perform estimation, our results reveal substantial racial/ethnic disparities in COVID-19-attributable YPLL across states, with a prevailing pattern of non-Hispanic Blacks and Hispanics experiencing disproportionately high and non-Hispanic Whites experiencing disproportionately low COVID-19-attributable YPLL. Furthermore, estimated disparities are generally more pronounced when measuring mortality in terms of YPLL compared to death counts, reflecting the greater intensity of the disparities at younger ages. We also find substantial state-to-state variability in the magnitudes of the estimated racial/ethnic disparities, suggesting that they are driven in large part by social determinants of health whose degree of association with race/ethnicity varies by state.


Asunto(s)
Grupos Étnicos , District of Columbia , Disparidades en el Estado de Salud , Hispanoamericanos , Humanos , Esperanza de Vida , Estados Unidos/epidemiología
7.
BMC Infect Dis ; 21(1): 343, 2021 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-33845774

RESUMEN

BACKGROUND: The COVID-19 infections and deaths have largely been uneven within and between countries. With 17% of the world's population, India has so far had 13% of global COVID-19 infections and 8.5% of deaths. Maharashtra accounting for 9% of India's population, is the worst affected state, with 19% of infections and 33% of total deaths in the country until 23rd December 2020. Though a number of studies have examined the vulnerability to and spread of COVID-19 and its effect on mortality, no attempt has been made to understand its impact on mortality in the states of India. METHOD: Using data from multiple sources and under the assumption that COVID-19 deaths are additional deaths in the population, this paper examined the impact of the disease on premature mortality, loss of life expectancy, years of potential life lost (YPLL), and disability-adjusted life years (DALY) in Maharashtra. Descriptive statistics, a set of abridged life tables, YPLL, and DALY were used in the analysis. Estimates of mortality indices were compared pre- and during COVID-19. RESULT: COVID-19 attributable deaths account for 5.3% of total deaths in the state and have reduced the life expectancy at birth by 0.8 years, from 73.2 years in the pre-COVID-19 period to 72.4 years by the end of 2020. If COVID-19 attributable deaths increase to 10% of total deaths, life expectancy at birth will likely reduce by 1.4 years. The probability of death in 20-64 years of age (the prime working-age group) has increased from 0.15 to 0.16 due to COVID-19. There has been 1.06 million additional loss of years (YPLL) in the state, and DALY due to COVID-19 has been estimated to be 6 per thousand. CONCLUSION: COVID-19 has increased premature mortality, YPLL, and DALY and has reduced life expectancy at every age in Maharashtra.


Asunto(s)
/epidemiología , Esperanza de Vida , Mortalidad Prematura , Años de Vida Ajustados por Calidad de Vida , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Femenino , Humanos , India/epidemiología , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Adulto Joven
8.
Wiad Lek ; 74(3 cz 2): 750-755, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33843648

RESUMEN

OBJECTIVE: The aim: To analyze the data of social health determinants - life expectancy of population and infant mortality in neighboring countries: Ukraine and Poland in cut-away of territory habitation. PATIENTS AND METHODS: Materials and methods: The statistical materials of the Ukrainian and Polish information sources were used in this work: SI "The center of medical statistics of the Ministry of Health of Ukraine", The state statistics service of Ukraine, The central statistical management of Poland (Glówny Urzad Statystyczny). Methods of system approach, bibliosemantic, statistical, analytical were used for analysis. RESULTS: Results: In both countries, Poland and Ukraine, the general dynamics as to the growth of an average life expectancy (ALE) among men and women was observed during 28 years of surveillance, and in both countries it was revealed that the ALE indices in women were much higher than in men. Within the last five years, there is a considerable tendency of decrease in the infant death rate in Ukraine, while in Poland this index is particularly invariable. This may be due to the fact that the level of infant mortality in Poland is half the level in Ukraine; moreover, this correlation is approximate within the last five years of observation. A significant place in the structure of all the causes of infant mortalityin 2019 is occupied by the Ð¥VІ chapter in accordance with ICD-10 "Certain conditions originating in the perinatal period" - 54.39 % in Ukraine and 53.05 % in Poland, the last - "Diseases of the Urogenital system" (chapter ХІV) - 0 % and 0.7 %, correspondingly. CONCLUSION: Conclusions: With a view of an incessant improvement of a high-quality information which is registered when the statistical data are formed, it is necessary to promote a broad intersector cooperation inside the countries and international collaboration between the countries.


Asunto(s)
Mortalidad Infantil , Esperanza de Vida , Grupos Étnicos , Femenino , Humanos , Lactante , Masculino , Polonia/epidemiología , Embarazo , Ucrania
9.
Nat Commun ; 12(1): 1947, 2021 04 13.
Artículo en Inglés | MEDLINE | ID: mdl-33850131

RESUMEN

Superfund sites could affect life expectancy (LE) via increasing the likelihood of exposure to toxic chemicals. Here, we assess to what extent such presence could alter the LE independently and in the context of sociodemographic determinants. A nationwide geocoded statistical modeling at the census tract level was undertaken to estimate the magnitude of impact. Results showed a significant difference in LE among census tracts with at least one Superfund site and their neighboring tracts with no sites. The presence of a Superfund site could cause a decrease of -0.186 ± 0.027 years in LE. This adverse effect could be as high as -1.22 years in tracts with Superfund sites and high sociodemographic disadvantage. Specific characteristics of Superfund sites such as being prone to flooding and the absence of a cleanup strategy could amplify the adverse effect. Furthermore, the presence of Superfund sites amplifies the negative influence of sociodemographic factors at lower LEs.


Asunto(s)
Sustancias Peligrosas/análisis , Esperanza de Vida , Algoritmos , Exposición a Riesgos Ambientales , Humanos , Aprendizaje Automático , Estados Unidos
10.
Artículo en Inglés | MEDLINE | ID: mdl-33917872

RESUMEN

We estimate the weekly excess all-cause mortality in Norway and Sweden, the years of life lost (YLL) attributed to COVID-19 in Sweden, and the significance of mortality displacement. We computed the expected mortality by taking into account the declining trend and the seasonality in mortality in the two countries over the past 20 years. From the excess mortality in Sweden in 2019/20, we estimated the YLL attributed to COVID-19 using the life expectancy in different age groups. We adjusted this estimate for possible displacement using an auto-regressive model for the year-to-year variations in excess mortality. We found that excess all-cause mortality over the epidemic year, July 2019 to July 2020, was 517 (95%CI = (12, 1074)) in Norway and 4329 [3331, 5325] in Sweden. There were 255 COVID-19 related deaths reported in Norway, and 5741 in Sweden, that year. During the epidemic period of 11 March-11 November, there were 6247 reported COVID-19 deaths and 5517 (4701, 6330) excess deaths in Sweden. We estimated that the number of YLL attributed to COVID-19 in Sweden was 45,850 [13,915, 80,276] without adjusting for mortality displacement and 43,073 (12,160, 85,451) after adjusting for the displacement accounted for by the auto-regressive model. In conclusion, we find good agreement between officially recorded COVID-19 related deaths and all-cause excess deaths in both countries during the first epidemic wave and no significant mortality displacement that can explain those deaths.


Asunto(s)
Humanos , Esperanza de Vida , Mortalidad , Noruega/epidemiología , Suecia/epidemiología
11.
Washington, D.C.; PAHO; 2021-04-21. (PAHO/FPL/HL/21-0016).
en Inglés | PAHO-IRIS | ID: phr-53737

RESUMEN

In the Region of the Americas, the number of people requiring care from others will continue to grow rapidly. The issue of long-term care call for a long-term solution that will address the demographic and epidemiological shift facing the Region. This policy brief outlines the current situation and presents the challenges in terms of human resources, financing, and monitoring and evaluation. It encourages countries to take the opportunity to develop a strategic solution for long-term care by, among others, prioritizing the issue, investing in appropriate systems, ensuring proper funding, developing evidence, and measuring progress. It is targeted at those involved in policymaking on long-term care at country and regional level.


Asunto(s)
Envejecimiento , Promoción de la Salud , Sector de Atención de Salud , Recursos Humanos , Fuerza Laboral en Salud , Esperanza de Vida , Cuidados a Largo Plazo , Pronóstico de Población , Población , Densidad de Población
12.
Washington, D.C.; OPAS; 2021-04-21. (OPAS/FPL/HL/21-0016).
en Portugués | PAHO-IRIS | ID: phr-53733

RESUMEN

Na Região das Américas, o número de pessoas que precisam de cuidados continua crescendo rapidamente. Portanto, o cuidado de longo prazo requer uma solução duradoura que responda às mudanças demográficas e epidemiológicas que a Região está passando. Este resumo de políticas descreve a situação atual e apresenta os desafios em termos de recursos humanos, financiamento e monitoramento e avaliação. Além disso, os países são incentivados a aproveitar a oportunidade para desenvolver uma solução estratégica que aborde o cuidado de longo prazo, investindo em sistemas apropriados, financiamento suficiente e sustentável, gerando evidências e medindo o progresso, entre outros fatores. Destina-se a pessoal nacional e regional que participa nos processos de formulação de políticas nesta área.


Asunto(s)
Cuidados a Largo Plazo , Promoción de la Salud , Recursos Humanos , Esperanza de Vida , Envejecimiento , Densidad de Población , Población , Pronóstico de Población , Américas
13.
Washington, D.C.; OPS; 2021-04-21. (OPS/FPL/HL/21-0016).
en Español | PAHO-IRIS | ID: phr-53731

RESUMEN

En la Región de las Américas, el número de personas que necesitan cuidados sigue creciendo a gran velocidad. Por tanto, la atención a largo plazo requiere una solución duradera que dé respuesta a los cambios demográficos y epidemiológicos que experimenta la Región. En esta sinopsis de política se describe la situación actual y se presentan los desafíos en cuanto a recursos humanos, financiamiento, y seguimiento y evaluación. Además, se alienta a los países a aprovechar la oportunidad para desarrollar una solución estratégica que aborde la atención a largo plazo mediante la inversión en sistemas adecuados, un financiamiento suficiente y sostenible, la generación de evidencia y la medición de los progresos, entre otros factores. Está dirigida al personal nacional y regional que participa en los procesos de formulación de políticas en este ámbito.


Asunto(s)
Promoción de la Salud , Atención a la Salud , Recursos Humanos , Esperanza de Vida , Envejecimiento , Cuidados a Largo Plazo , Densidad de Población , Pronóstico de Población , Población , Américas
14.
Artículo en Inglés | MEDLINE | ID: mdl-33806110

RESUMEN

As the ethnic composition around the world is becoming more diverse, the need to produce vital statistics for ethnically mixed populations is continuously increasing. Our aim is to provide the first life expectancy estimates for individuals with uniform Finnish, uniform Swedish, and mixed Finnish-Swedish backgrounds, based on individuals in the native population of Finland who can be linked to both their parents. Life expectancy at birth in the period 2005-2015 was calculated from population and mortality numbers at the one-year level based on each person's sex, year of birth, and the unique ethnolinguistic affiliation of the index person and each parent. Swedish-registered individuals with Swedish-registered parents had the longest life expectancy at birth, or 85.68 years (95% CI: 85.60-85.77) for females and 81.36 for males (95% CI: 81.30-81.42), as compared to 84.76 years (95% CI: 84.72-84.79) and 78.89 years (95% CI: 78.86-78.92) for Finnish-registered females and males with Finnish-registered parents. Persons with mixed backgrounds were found in between those with uniform Finnish and uniform Swedish backgrounds. An individual's own ethnolinguistic affiliation is nevertheless more important for longevity than parental affiliation. Similar register-based analyses for other countries with mixed populations would be useful.


Asunto(s)
Grupos Étnicos , Esperanza de Vida , Femenino , Finlandia/epidemiología , Humanos , Longevidad , Masculino , Mortalidad , Suecia/epidemiología
15.
Artículo en Inglés | MEDLINE | ID: mdl-33670818

RESUMEN

Objective: To quantitatively estimate life expectancy (LE) and depression and anxiety-free life expectancy (DAFLE) for the years 2013 and 2018 in Jiangxi Province, China, by sex and urban-rural areas. Additionally, to compare the discrepancy of DAFLE/LE of different sexes and urban-rural areas over various years. Methods: Based on the summary of the health statistics of Jiangxi Province in 2013 and 2018 and the results of the 5th and 6th National Health Service Surveys in Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban-rural areas. Sullivan's method was used to calculate DAFLE. Results: Data from 2013 indicate that those aged 15 can expect to live 56.20 years without depression and anxiety for men and 59.67 years without depression and anxiety for women. Compared to 2013, DAFLE had not fluctuated significantly in 2018. The proportion of life expectancy without depression and anxiety (DAFLE/LE) declined between 2013 and 2018. DAFLE/LE in urban areas was higher than in rural areas. Men had higher DAFLE/LE than women. From 2013 to 2018, the DAFLE aged 15 decreased by 0.18 years for urban men and decreased by 0.52 years for urban women, rural areas also decreased to varying degrees. Conclusions: Even if women had a longer life span than men, they would spend more time with depression or anxiety. DAFLE did not increase with the increase in LE from 2013 to 2018, suggesting an absolute expansion of the burden, especially in rural areas. Depression and anxiety health services in Jiangxi, China will face more serious obstacles and challenges, which may lead to more disability. This requires more attention and more effective measures from the public, medical departments and the government.


Asunto(s)
Esperanza de Vida , Medicina Estatal , Adolescente , Ansiedad/epidemiología , China/epidemiología , Depresión/epidemiología , Femenino , Humanos , Masculino , Población Rural , Población Urbana
16.
BMC Geriatr ; 21(1): 176, 2021 03 11.
Artículo en Inglés | MEDLINE | ID: mdl-33706709

RESUMEN

BACKGROUND: Chile has one of the longest life expectancies of Latin America. The country is characterised by an important macroeconomic growth and persisting socioeconomic inequalities. This study analyses socioeconomic differences in life expectancy (LE) and disability-free life expectancy (DFLE) among Chilean older people. METHODS: The sample of the Social Protection Survey, a longitudinal study, was analysed. Five waves, from 2004 to 2016, were considered. The indicator was disability, defined as having difficulties to perform at least one basic activity of daily living. Type of health insurance was used to determine socioeconomic position (SEP). Total LE and DFLE were estimated with multistate life table models. RESULTS: At age 60, men in the higher SEP could expect to live 3.7 years longer (22.2; 95% CI 19.6-24.8) compared to men of the same age in the medium SEP (18.4; 95% CI 17.4-19.4), and 4.9 years longer than men of the same age in the lower SEP (17.3; 95% CI 16.4-18.2). They also had a DFLE (19.4; 95% CI 17.1-21.7) 4 (15.4; 95% CI 14.6-16.1) and 5.2 (14.2; 95% CI 13.4-14.9) years longer, compared to the same groups. Women aged 60 years in the higher SEP had a LE (27.2; 95% CI 23.7-30.8) 4.6 (22.7; 95% CI 21.9-23.5) and 5.6 (21.6; 20.6-22.6) years longer, compared to women in the medium and the lower SEP. The difference in DFLE, for the same age and groups was 4.9 and 6.1 years, respectively (high: 21.4; 95% CI 19.5-23.3; medium: 16.5; 95% CI 15.8-17.1; low: 15.3; 95% CI 14.6-16.0). Socioeconomic differences in LE and DFLE were observed among both sexes until advanced age. DISCUSSION: Socioeconomic inequalities in LE and DFLE were found among Chilean older men and women. Older people in the highest SEP live longer and healthier lives. CONCLUSION: A reform to the Chilean health system should be considered, in order to guarantee timely access to care and benefits for older people who are not in the wealthiest group.


Asunto(s)
Personas con Discapacidad , Esperanza de Vida , Anciano , Anciano de 80 o más Años , Chile/epidemiología , Femenino , Disparidades en el Estado de Salud , Humanos , Estudios Longitudinales , Masculino , Factores Socioeconómicos
17.
N Z Med J ; 134(1531): 22-43, 2021 03 26.
Artículo en Inglés | MEDLINE | ID: mdl-33767474

RESUMEN

AIM: We aimed to update and provide more complete epidemiological information on the health impacts of the South African War on New Zealand military personnel. METHODS: Mortality datasets were identified and analysed. Systematic searches were conducted to identify additional war-attributable deaths in the post-war period. To estimate the morbidity burden, we analysed a random sample of archival military files of 100 military personnel. Lifespan analyses of veterans included those by level of combat exposure (eg, a non-combat sample came from a troopship that arrived at the time the war ended). RESULTS: We identified 10 additional war-attributable deaths (and removed three non-attributable deaths) to give a new New Zealand total of 239 war-attributable deaths. Given the average age of death of 26 years, this equates to the loss of 10,300 years of life. Most deaths (59%) were from disease rather than directly from the conflict (30%). Over a third (39%; 95%CI: 30%-49%) of personnel were estimated to have had some form of reported illness (26%) or injury (14%). The lifespan analysis of veterans suggested no substantive differences by exposure to combat (68.5 [combat] vs 69.1 years [non-combat]) and similarly when compared to a matched New Zealand male population. CONCLUSIONS: The mortality burden was larger and the morbidity impacts on the New Zealand military personnel in this war were much more substantive than revealed in the prior historical literature. There is a need to more fully describe historical conflicts so that their adverse health impacts are properly understood.


Asunto(s)
Conflictos Armados/historia , Causas de Muerte , Esperanza de Vida/historia , Personal Militar/historia , Bases de Datos Factuales , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Nueva Zelanda , Sudáfrica
18.
Endocr Pract ; 27(3): 228-235, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33779556

RESUMEN

OBJECTIVE: Guidelines endorse active surveillance for low-risk papillary thyroid carcinoma (PTC), but this is not commonly utilized. Those with limited life expectancy due to age and comorbidity may be best suited for active surveillance given their higher likelihood of other-cause mortality compared to disease-specific mortality. METHODS: Surveillance, epidemiology, and end results-Medicare was queried for patients >65 years with T1, N0, M0 PTC who received surgery. We evaluated the overall survival, disease-specific survival (DSS), and survival based on tumor size and extent of surgery (hemi- vs total thyroidectomy). We created a competing risk model to identify the cumulative incidence of other-cause mortality to define patient groups with life expectancies of less than 10 and 15 years. RESULTS: A total of 3280 patients were included. The 20-year overall survival and DSS were 38.2% and 98.5%, respectively. DSS was comparable between patients based on tumor size and surgery. The cancer cohort had better survival compared to matched controls (P < .001). Life expectancy was less than 15 years for any patient aged >80 years regardless of Charlson comorbidity score (CCS ≥ 0) and any patient aged >70 years with CCS ≥ 1. Life expectancy was less than 10 years for any patient a >80 years with CCS ≥ 1 and aged >70 years with CCS ≥ 3. CONCLUSION: Older patients with comorbidities have limited life expectancies but excellent DSS from low-risk PTC. Incorporating life expectancy into management decisions and guidelines would likely promote selection of less aggressive management for populations that are most suited for this approach.


Asunto(s)
Esperanza de Vida , Neoplasias de la Tiroides , Anciano , Humanos , Medicare , Cáncer Papilar Tiroideo/epidemiología , Cáncer Papilar Tiroideo/cirugía , Neoplasias de la Tiroides/epidemiología , Neoplasias de la Tiroides/cirugía , Tiroidectomía , Estados Unidos/epidemiología
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