Table 5.

Prevalence of AL amyloidosis in years 2012 to 2015

No. of cases per million (numerator/denominator*)APC
SexAge, y2012201320142015APC % (95% CI)P
Female 18-34 1.3 (8/6 027 440) 1.2 (6/4 905 115) 1.9 (10/5 174 857) 2.5 (8/3 203 983) 11.6 (−4.2 to 30.1) .133 
35-54 10.6 (91/8 598 579) 13.0 (90/6 901 069) 14.7 (104/7 087 336) 21.1 (91/4 306 274) 11.3 (5.8-17.2) .002 
55-64 45.4 (183/4 034 960) 50.7 (169/3 334 349) 53.6 (187/3 487 785) 65.4 (144/2 200 422) 10.1 (8.1-12.2) <.001 
65+ 79.9 (185/2 313 999) 98.0 (201/2 050 617) 92.6 (167/1 803 890) 134.3 (146/1 086 773) 12.4 (8.4-16.6) <.001 
All female 22.3 (467/20 974 978) 27.1 (466/17 191 150) 26.7 (468/17 553 868) 36.0 (389/10 797 452) 11.6 (9.5-13.8) <.001 
Male 18-34 1.2 (7/5 750 069) 0.4 (2/4 609 448) 0.6 (3/4 942 947) 1.3 (4/3 008 324) 6.0 (−11.5 to 26.9) .462 
35-54 13.4 (104/7 785 622) 17.0 (104/6 132 334) 16.6 (106/6 375 666) 18.5 (70/3 785 395) 11.6 (9.1-14.1) <.001 
55-64 57.0 (204/3 580 220) 61.0 (177/2 903 982) 66.7 (205/3 073 703) 80.3 (152/1 893 874) 10.5 (8.5-12.5) <.001 
65+ 159.4 (298/1 869 245) 185.1 (314/1 696 636) 184.8 (279/1 509 767) 239.6 (210/876 397) 13.2 (9.7-16.8) <.001 
All male 32.3 (613/18 985 156) 38.9 (597/15 342 400) 37.3 (593/15 902 083) 45.6 (436/9 563 990) 12.3 (10.6-13.9) <.001 
All sex 18-34 1.3 (15/11 777 509) 0.8 (8/9 514 563) 1.3 (13/10 117 804) 1.9 (12/6 212 307) 11.9 (−0.9 to 26.3) .064 
35-54 11.9 (195/16 384 201) 14.9 (194/13 033 403) 15.6 (210/13 463 002) 19.9 (161/8 091 669) 11.5 (7.9-15.2) <.001 
55-64 50.8 (387/7 615 180) 55.5 (346/6 238 331) 59.7 (392/6 561 488) 72.3 (296/4 094 296) 10.2 (8.4-12.1) <.001 
65+ 115.5 (483/4 183 244) 137.4 (515/3 747 253) 134.6 (446/3 313 657) 181.3 (356/1 963 170) 12.9 (9.4-16.6) <.001 
All patients 27.0 (1080/39 960 134) 32.7 (1063/32 533 550) 31.7 (1061/33 455 951) 40.5 (825/20 361 442) 12.0 (10.3-13.7) <.001 
US adult population Age-sex adjusted§rate, no. of cases per million 
 Female 26.5 31.7 31.9 44.2 11.5 (9.2-13.9) <.001 
 Male 38.6 44.3 45.0 56.5 12.3 (10.6-14.0) <.001 
 All 32.4 37.8 38.3 50.1 11.9 (10.1-13.8) <.001 
No. of cases per million (numerator/denominator*)APC
SexAge, y2012201320142015APC % (95% CI)P
Female 18-34 1.3 (8/6 027 440) 1.2 (6/4 905 115) 1.9 (10/5 174 857) 2.5 (8/3 203 983) 11.6 (−4.2 to 30.1) .133 
35-54 10.6 (91/8 598 579) 13.0 (90/6 901 069) 14.7 (104/7 087 336) 21.1 (91/4 306 274) 11.3 (5.8-17.2) .002 
55-64 45.4 (183/4 034 960) 50.7 (169/3 334 349) 53.6 (187/3 487 785) 65.4 (144/2 200 422) 10.1 (8.1-12.2) <.001 
65+ 79.9 (185/2 313 999) 98.0 (201/2 050 617) 92.6 (167/1 803 890) 134.3 (146/1 086 773) 12.4 (8.4-16.6) <.001 
All female 22.3 (467/20 974 978) 27.1 (466/17 191 150) 26.7 (468/17 553 868) 36.0 (389/10 797 452) 11.6 (9.5-13.8) <.001 
Male 18-34 1.2 (7/5 750 069) 0.4 (2/4 609 448) 0.6 (3/4 942 947) 1.3 (4/3 008 324) 6.0 (−11.5 to 26.9) .462 
35-54 13.4 (104/7 785 622) 17.0 (104/6 132 334) 16.6 (106/6 375 666) 18.5 (70/3 785 395) 11.6 (9.1-14.1) <.001 
55-64 57.0 (204/3 580 220) 61.0 (177/2 903 982) 66.7 (205/3 073 703) 80.3 (152/1 893 874) 10.5 (8.5-12.5) <.001 
65+ 159.4 (298/1 869 245) 185.1 (314/1 696 636) 184.8 (279/1 509 767) 239.6 (210/876 397) 13.2 (9.7-16.8) <.001 
All male 32.3 (613/18 985 156) 38.9 (597/15 342 400) 37.3 (593/15 902 083) 45.6 (436/9 563 990) 12.3 (10.6-13.9) <.001 
All sex 18-34 1.3 (15/11 777 509) 0.8 (8/9 514 563) 1.3 (13/10 117 804) 1.9 (12/6 212 307) 11.9 (−0.9 to 26.3) .064 
35-54 11.9 (195/16 384 201) 14.9 (194/13 033 403) 15.6 (210/13 463 002) 19.9 (161/8 091 669) 11.5 (7.9-15.2) <.001 
55-64 50.8 (387/7 615 180) 55.5 (346/6 238 331) 59.7 (392/6 561 488) 72.3 (296/4 094 296) 10.2 (8.4-12.1) <.001 
65+ 115.5 (483/4 183 244) 137.4 (515/3 747 253) 134.6 (446/3 313 657) 181.3 (356/1 963 170) 12.9 (9.4-16.6) <.001 
All patients 27.0 (1080/39 960 134) 32.7 (1063/32 533 550) 31.7 (1061/33 455 951) 40.5 (825/20 361 442) 12.0 (10.3-13.7) <.001 
US adult population Age-sex adjusted§rate, no. of cases per million 
 Female 26.5 31.7 31.9 44.2 11.5 (9.2-13.9) <.001 
 Male 38.6 44.3 45.0 56.5 12.3 (10.6-14.0) <.001 
 All 32.4 37.8 38.3 50.1 11.9 (10.1-13.8) <.001 
*

Number of members enrolled with a health plan on June 30th of each calendar year.

APC (for Tables 4 and 5).

P values are for the trend of APC, reflecting whether the APC is different from zero (for Tables 4 and 5).

§

Based on US 2010 census data. Overall rates were adjusted by age and sex distribution, and rates by sex were adjusted by age distribution within specific sex.

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