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Volume 22, Number 6—June 2016
Dispatch

Prevalence of Nontuberculous Mycobacterial Pulmonary Disease, Germany, 2009–2014

Felix C. RingshausenComments to Author , Dirk Wagner, Andrés de Roux, Roland Diel, David Hohmann, Lennart Hickstein, Tobias Welte, and Jessica Rademacher
Author affiliations: German Center for Lung Research, Giessen, Germany (F.C. Ringshausen, R. Diel, T. Welte); Hannover Medical School, Hannover, Germany (F.C. Ringshausen, T. Welte, J. Rademacher); University Hospital Freiburg, Freiburg, Germany (D. Wagner); Pneumologische Praxis am Schloss Charlottenburg, Berlin, Germany (A. de Roux); University Medical Center Schleswig-Holstein, Kiel, Germany (R. Diel); HGC GesundheitsConsult, Düsseldorf, Germany (D. Hohmann); Health Risk Institute, Berlin (L. Hickstein)

Main Article

Table 1

Prevelance of nontuberculous mycobacterial pulmonary disease, stratified by age, sex, and year; Germany, 2009–2014*

Characteristic 2009 2010 2011 2012 2013 2014
Population of Germany, total no. 81,802,257 81,751,602 80,327,900 80,523,746 80,767,463 81,197,537
Mean age, y 43.4 43.7 43.9 44.1 44.2 44.3
Sex ratio, F:M 1.04 1.04 1.05 1.05 1.04 1.04
No. persons insured by SHI (% Germany population) 70,011,718 (85.6) 69,803,236 (85.4) 69,637,277 (86.7) 69,704,323 (86.6) 69,861,165 (86.5) 70,289,808 (86.6)
No. persons in study sample (% Germany population) 3,646,060 (4.5) 3,708,501 (4.5) 3,985,981 (5.0) 3,982,716 (4.9) 3,977,676 (4.9) 3,793,331 (4.7)
Mean age, y 44.0 44.1 43.7 44.0 44.3 45.1
Sex ratio, F:M 1.03 1.03 1.04 1.04 1.04 1.04
No. case-patients with NTM-PD 85 96 106 106 104 126
M, no. (% case-patients with NTM-PD) 43 (50.6) 50 (52.1) 50 (47.2) 60 (56.6) 49 (47.1) 63 (50.0)
F, no. (% case-patients with NTM-PD) 42 (49.4) 46 (47.9) 56 (52.8) 46 (43.4) 55 (52.9) 63 (50.0)
Outpatient care, no. (% case-patients with NTM-PD) 74 (87.1) 79 (82.3) 80 (75.5) 88 (83.0) 85 (81.7) 104 (82.5)
Hospital care, no. (% case-patients with NTM-PD) 20 (23.5) 28 (29.2) 34 (32.1) 25 (23.6) 37 (35.6) 38 (30.2)
Outpatient and hospital care, no. (% Case-patients with NTM-PD) 9 (10.6) 11 (11.5) 8 (7.5) 7 (6.6) 18 (17.3) 16 (12.7)
Hospital but no outpatient care in the same year, no. (% case-patients who had hospital care) 11 (55.8) 17 (60.7) 26 (76.5) 18 (72.0) 19 (51.4) 22 (57.9)
Mean age of case-patients with NTM-PD, y (SD) 60.3 (20.0) 57.3 (22.2) 55.0 (23.8) 55.5 (25.4) 59.7 (22.6) 61.0 (20.4)
M 58.7 (20.1)† 55.3 (21.3)† 57.6 (20.0)† 55.2 (25.3)† 54.8 (24.6)‡ 58.2 (19.3)†
F 62.1 (20.0) 59.4 (23.2) 52.7 (26.7) 56.0 (25.7) 64.1 (19.8) 63.7 (21.2)
Prevalence, rate/100,000 population, total (95% CI) 2.3 (1.87–2.87) 2.6 (2.11–3.15) 2.7 (2.19–3.20) 2.7 (2.19–3.21) 2.6 (2.15–3.16) 3.3 (2.78–3.94)
M 2.4 (1.76–3.20) 2.8 (2.06–3.59) 2.6 (1.92–3.34) 3.1 (2.36–3.92) 2.5 (1.88–3.29) 3.4 (2.63–4.31)
F 2.3 (1.65–3.03) 2.4 (1.81–3.22) 2.8 (2.10–3.56) 2.3 (1.68–3.0) 2.7 (2.07–3.51) 3.3 (2.53–4.14)
Projected total number of case-patients with NTM-PD in Germany 1,907 2,116 2,136 2,143 2,112 2,697

*SHI, statutory health insurance; NTM-PD, nontuberculous mycobacterial pulmonary disease.
†Mean age was not significantly different among male and female patients: 2009, p = 0.44; 2010, p = 0.37; 2011, p = 0.28; 2012, p = 0.87; 2014, p = 0.13.
‡p = 0.038 for mean age between male and female patients.

Main Article

Page created: May 16, 2016
Page updated: May 16, 2016
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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