2015~2019年太原市丙肝重复报告分析

Analysis on duplicated reporting of hepatitis C,Taiyuan city,2015-2019

目的了解2015~2019年太原市丙型肝炎(丙肝)重复报告情况,分析导致重报的可能原因,并提出相应的解决策略,进一步提高丙肝病例报告的准确性,为今后开展进一步研究提供数据支持和科学依据。方法利用中国疾病预防控制信息系统(China Information System for Disease Control And Prevention, CISFDCAP)收集的2015~2019年太原市丙肝报告病例进行个案管理,查重,计算丙肝重复报告率,并进行统计学分析。结果 2015~2019年太原市共报告丙肝病例12 951例,其中有1 542例重复报告病例,重复报告率为11.91%。各年度内重复报告病例共有648例,平均重复报告率为5.15%,重复率有上升趋势(P<0.01)。5年间重复报告894例,重复率为7.27%。各年龄组的重复报告率为5.73%~13.74%(P<0.01),高年龄组高于低年龄组。结论 2015~2019年太原市丙肝重报整体呈现上升趋势,不同级别的医院均存在不同程度的重报,以跨机构、跨年度重报为主。

Objective To understand the status of duplicated reporting of hepatitis C in Taiyuan city during 2015-2019,analyze the possible reasons of duplicated reporting, and put forward propose solutions to further improve the HCV accuracy reporting, so as to provide accurate data and scientific evidences to support future research. Methods The data of hepatitis C cases in Taiyuan from January 2015 to December 2019 were collected through China Information System for Disease Control And Prevention(CISFDCAP),and duplicated cases were identified to calculate the repetition rate. Results A total of 12 951 cases of hepatitis C were reported, in which 1 542 cases were duplicately reported, with a repetition rate of 11.91%.The number of annual duplicated reporting cards was 648 in all, with average repetition rate of 5.15%,with a rising trend(P<0.01).There were 894 cases of cumulative duplicate reporting cards during 5 years, with a repetition rate of 7.27%.The rate of duplicated reporting in different age groups ranged from 3.59% to 6.40%(P<0.01),and was higher in high age groups than in low age group. Conclusion There has been a overall upward tendencyof hepatitis C in Taiyuan city from 2015 to 2019.Different levels of medical institutions have different levels of duplicate reporting, different institution and year is most common.