Trends of Mortality by Ulcer Decubitus in Colombia, 1998 - 2022
Author(s)
Bruny Carolina Llamas Castellanos, MD1, Francisco Camacho Chaljub, MD1, Nelson Rafael Alvis Zakzuk, Jr., MBA2, Nelson Alvis-Guzman, MPH, PhD, MD3.
1Dermatologia, Universidad de Cartagena, Cartagena, Colombia, 2ALZAK FOUNDATION, Cartagena, Colombia, 3Professor, Universidad de Cartagena - Universidad de la Costa, Cartagena, Colombia.
1Dermatologia, Universidad de Cartagena, Cartagena, Colombia, 2ALZAK FOUNDATION, Cartagena, Colombia, 3Professor, Universidad de Cartagena - Universidad de la Costa, Cartagena, Colombia.
OBJECTIVES: to analyze trends of mortality by DU in Colombia.
METHODS: Data on DU mortality (ICD-10: L89) from 1998 to 2022 and population projections were obtained from National Administrative Department of Statistics in Colombia. Crude mortality rates (CMR) for DU were estimated. DU mortality rates (DMR) per 100,000 people were estimated by sex and year. Trends of DMR were analyzed by Joinpoint regression. Annual Percent Change (APC) and Average Annual Percent Change (AAPC) were also estimated.
RESULTS: 10,469 DU-related deaths were registered (59.37% in women). The annual mean of deaths during period was 419 (95%CI 364 - 473). For women and men, 248 (95%CI 224 - 273) and 170 (95%CI 140 - 191), respectively. The annual mean of DMR was 0.95 (95%CI 0.84 - 1.07) per 100,000 people. For women and men, 1.11 (95%CI 0.99 - 1.23) and 0.79 (95%CI 0.69 - 0.90) per 100,000 people respectively. Three Joinpoint resulting in four periods with varying APC in DMR were observed: 1998-2001: 33.2 (95%CI: 7.0 to 73.6); 2001-2006: 5.1 (95%CI: -18.5 to 22.6); 2006-2019: -5.5 (95%CI: -19.7 to 3.4) and 2019-2022: 13.4 (95% CI: -4.0 to 44.3). For men, the APCs were: [1998-2001: 38.0 (95% CI: 14.3 to 87.0); 2001-2006: 5.2 (95%CI: -20.8 to 28.2); 2006-2014: -9.6 (95% CI: -25.7 to 17.9) and 2014-2022: -0.9 (95% CI: -21.3 to 35.9)]. For women, APCs were: [1998-2001: 33.2 (95% CI: 15.0 to 64.9); 2001-2006: 5.8 (95%CI: -12.2 to 19.7); 2006-2015: -7.9 (95% CI: -18.7 to 13.2) and 2015-2022: 2.1 (95% CI: -13.1 to 2.3)]. DMR increased non significantly during 1998-2022 [AAPC: 4.3 (95%CI -2.9; 11.5)]; in men: 5.2(95%CI -3.7; 14.0) in women: 4.1(95%CI -3.1; 11.3).
CONCLUSIONS: The trend in DMR did not increase significantly during the study period. However, the DMR increased from 2019 to 2022, especially for women.
METHODS: Data on DU mortality (ICD-10: L89) from 1998 to 2022 and population projections were obtained from National Administrative Department of Statistics in Colombia. Crude mortality rates (CMR) for DU were estimated. DU mortality rates (DMR) per 100,000 people were estimated by sex and year. Trends of DMR were analyzed by Joinpoint regression. Annual Percent Change (APC) and Average Annual Percent Change (AAPC) were also estimated.
RESULTS: 10,469 DU-related deaths were registered (59.37% in women). The annual mean of deaths during period was 419 (95%CI 364 - 473). For women and men, 248 (95%CI 224 - 273) and 170 (95%CI 140 - 191), respectively. The annual mean of DMR was 0.95 (95%CI 0.84 - 1.07) per 100,000 people. For women and men, 1.11 (95%CI 0.99 - 1.23) and 0.79 (95%CI 0.69 - 0.90) per 100,000 people respectively. Three Joinpoint resulting in four periods with varying APC in DMR were observed: 1998-2001: 33.2 (95%CI: 7.0 to 73.6); 2001-2006: 5.1 (95%CI: -18.5 to 22.6); 2006-2019: -5.5 (95%CI: -19.7 to 3.4) and 2019-2022: 13.4 (95% CI: -4.0 to 44.3). For men, the APCs were: [1998-2001: 38.0 (95% CI: 14.3 to 87.0); 2001-2006: 5.2 (95%CI: -20.8 to 28.2); 2006-2014: -9.6 (95% CI: -25.7 to 17.9) and 2014-2022: -0.9 (95% CI: -21.3 to 35.9)]. For women, APCs were: [1998-2001: 33.2 (95% CI: 15.0 to 64.9); 2001-2006: 5.8 (95%CI: -12.2 to 19.7); 2006-2015: -7.9 (95% CI: -18.7 to 13.2) and 2015-2022: 2.1 (95% CI: -13.1 to 2.3)]. DMR increased non significantly during 1998-2022 [AAPC: 4.3 (95%CI -2.9; 11.5)]; in men: 5.2(95%CI -3.7; 14.0) in women: 4.1(95%CI -3.1; 11.3).
CONCLUSIONS: The trend in DMR did not increase significantly during the study period. However, the DMR increased from 2019 to 2022, especially for women.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
EPH180
Topic
Epidemiology & Public Health
Topic Subcategory
Public Health
Disease
No Additional Disease & Conditions/Specialized Treatment Areas, SDC: Musculoskeletal Disorders (Arthritis, Bone Disorders, Osteoporosis, Other Musculoskeletal)