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Population-wide analysis of differences in disease progression patterns in men and women

Sex-stratified medicine is a fundamentally important, yet understudied, facet of modern medical care. A data-driven model for how to systematically analyze population-wide, longitudinal differences in hospital admissions between men and women is needed. Here, we demonstrate a systematic analysis of...

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Autores principales: Westergaard, David, Moseley, Pope, Sørup, Freja Karuna Hemmingsen, Baldi, Pierre, Brunak, Søren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368599/
https://www.ncbi.nlm.nih.gov/pubmed/30737381
http://dx.doi.org/10.1038/s41467-019-08475-9
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author Westergaard, David
Moseley, Pope
Sørup, Freja Karuna Hemmingsen
Baldi, Pierre
Brunak, Søren
author_facet Westergaard, David
Moseley, Pope
Sørup, Freja Karuna Hemmingsen
Baldi, Pierre
Brunak, Søren
author_sort Westergaard, David
collection PubMed
description Sex-stratified medicine is a fundamentally important, yet understudied, facet of modern medical care. A data-driven model for how to systematically analyze population-wide, longitudinal differences in hospital admissions between men and women is needed. Here, we demonstrate a systematic analysis of all diseases and disease co-occurrences in the complete Danish population using the ICD-10 and Global Burden of Disease terminologies. Incidence rates of single diagnoses are different for men and women in most cases. The age at first diagnosis is typically lower for men, compared to women. Men and women share many disease co-occurrences. However, many sex-associated incongruities not linked directly to anatomical or genomic differences are also found. Analysis of multi-step trajectories uncover differences in longitudinal patterns, for example concerning injuries and substance abuse, cancer, and osteoporosis. The results point towards the need for an increased focus on sex-stratified medicine to elucidate the origins of the socio-economic and ethological differences.
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spelling pubmed-63685992019-02-11 Population-wide analysis of differences in disease progression patterns in men and women Westergaard, David Moseley, Pope Sørup, Freja Karuna Hemmingsen Baldi, Pierre Brunak, Søren Nat Commun Article Sex-stratified medicine is a fundamentally important, yet understudied, facet of modern medical care. A data-driven model for how to systematically analyze population-wide, longitudinal differences in hospital admissions between men and women is needed. Here, we demonstrate a systematic analysis of all diseases and disease co-occurrences in the complete Danish population using the ICD-10 and Global Burden of Disease terminologies. Incidence rates of single diagnoses are different for men and women in most cases. The age at first diagnosis is typically lower for men, compared to women. Men and women share many disease co-occurrences. However, many sex-associated incongruities not linked directly to anatomical or genomic differences are also found. Analysis of multi-step trajectories uncover differences in longitudinal patterns, for example concerning injuries and substance abuse, cancer, and osteoporosis. The results point towards the need for an increased focus on sex-stratified medicine to elucidate the origins of the socio-economic and ethological differences. Nature Publishing Group UK 2019-02-08 /pmc/articles/PMC6368599/ /pubmed/30737381 http://dx.doi.org/10.1038/s41467-019-08475-9 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Westergaard, David
Moseley, Pope
Sørup, Freja Karuna Hemmingsen
Baldi, Pierre
Brunak, Søren
Population-wide analysis of differences in disease progression patterns in men and women
title Population-wide analysis of differences in disease progression patterns in men and women
title_full Population-wide analysis of differences in disease progression patterns in men and women
title_fullStr Population-wide analysis of differences in disease progression patterns in men and women
title_full_unstemmed Population-wide analysis of differences in disease progression patterns in men and women
title_short Population-wide analysis of differences in disease progression patterns in men and women
title_sort population-wide analysis of differences in disease progression patterns in men and women
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368599/
https://www.ncbi.nlm.nih.gov/pubmed/30737381
http://dx.doi.org/10.1038/s41467-019-08475-9
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