As part of a study of the spread of cirrhosis in 195 countries from 1990 to 2017, including an analysis of the causes
Moreover, it occupies 2.4% of the totalthe number of deaths, an increase of 0.5% since 1990. The largest relative death rate from this disease is in countries of Eastern Europe and Central Asia.
The lowest death rate from cirrhosis is inSingapore, Iceland and New Zealand - 3.7, 3.8 and 3.9 cases per 100 thousand people, respectively. The largest - 103.3 per 100 thousand people - is in Egypt.
Now 10.6 million people live in the world with a diagnosis of decompensated cirrhosis and 112 million people with compensated cirrhosis - the initial stage of this disease.
The causes of cirrhosis are not onlystrong alcohol dependence, but also hepatitis B and C, as well as non-alcoholic steatohepatitis, which usually develops against the background of obesity. As noted in the article, the main causes of cirrhosis in the world, especially in low-income countries, are hepatitis B and C.
At the same time, decompensated cirrhosis in 1990129 out of 100 thousand Russians had, and by 2017 this figure increased to 238 people per 100 thousand. On a Russian scale, this is about 450 thousand people. For compensated cirrhosis, these values were 1521.2 people per 100 thousand in 1990 and 2252.7 in 2017, which nationwide exceeds the population of Perm, Yekaterinburg and Novosibirsk combined - about 4 million people. At the same time, in a third of patients with cirrhosis in Russia, the main cause of the disease was alcoholism