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Published on: February 13, 2011
Moyamoya disease in Washington State and California
Ken Uchino1, S Claiborne Johnston, Kyra J Becker
1Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA. uchinok@upmc.edu
Abstract:
The authors identified 298 diagnoses of moyamoya in California and Washington from hospital discharge databases during the period 1987 to 1998. The incidence was 0.086/100,000 persons. The ethnicity-specific incidence rate ratios compared to whites were 4.6 (95% CI: 3.4 to 6.3) for Asian Americans, 2.2 (95% CI: 1.3 to 2.4) for African Americans, and 0.5 (95% CI: 0.3 to 0.8) for Hispanics. The incidence of moyamoya in Washington and California was lower than reported in Japan, but the rate among US Asians is similar.
Insights
Moyamoya disease incidence in California and Washington was 0.086 per 100,000 persons. Asian Americans showed a significantly higher moyamoya disease rate compared to white individuals.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Moyamoya disease is a rare cerebrovascular disorder.
- Understanding its epidemiology is crucial for public health planning.
Purpose of the Study:
- To determine the incidence and demographic patterns of moyamoya disease in California and Washington.
- To compare incidence rates across different ethnic groups.
Main Methods:
- Analysis of hospital discharge databases from California and Washington.
- Inclusion of diagnoses from 1987 to 1998.
- Calculation of incidence rates and ethnicity-specific rate ratios.
Main Results:
- A total of 298 moyamoya disease diagnoses were identified.
- The overall incidence was 0.086 per 100,000 persons.
- Asian Americans had the highest incidence rate ratio (4.6) compared to whites, followed by African Americans (2.2). Hispanic incidence was lower (0.5).
Conclusions:
- Moyamoya disease incidence in the studied US regions is lower than in Japan.
- Significant ethnic disparities in moyamoya disease incidence exist, with Asian Americans disproportionately affected.
- Further research into the causes of these disparities is warranted.
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