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Published on: December 9, 2015
Changes in multiple sclerosis epidemiology in Finland over five decades
Anna-Leena Pirttisalo1, Merja Soilu-Hänninen1, Marja-Liisa Sumelahti2
1Division of Clinical Neurosciences, Turku University Hospital, University of Turku, Turku, Finland.
Multiple sclerosis (MS) prevalence in Finland shows significant regional variation, concentrated in western areas. New data confirms a steady increase in MS cases over decades, emphasizing the need for standardized epidemiological reporting.
Area of Science:
- Epidemiology
- Neurology
- Public Health
Background:
- Finland has a high incidence of multiple sclerosis (MS).
- Previous epidemiological studies on MS in Finland, dating back to 1964, require comprehensive review.
- Regional variations in MS occurrence within Finland are suspected but not fully analyzed.
Purpose of the Study:
- To systematically review existing Finnish MS epidemiology studies.
- To present new MS prevalence data from western Finland.
- To analyze and compare epidemiological figures for consistency and regional differences.
Main Methods:
- Systematic literature search of PubMed for Finnish MS epidemiology studies.
- Retrospective analysis of hospital administrative registries for MS prevalence data (1980-2007) in western Finnish hospital districts.
- Calculation of age-standardized MS prevalence rates for enhanced comparability.
Main Results:
- Confirmed significant regional disparities in MS epidemiology, with higher concentrations in western and southwestern Finland.
- The highest age-standardized MS prevalence was 288/100,000 in South Ostrobothnia in 2007.
- A consistent rise in MS prevalence was observed over the decades, with a notable incidence increase in the 1990s.
Conclusions:
- MS epidemiology in Finland is characterized by distinct regional patterns, particularly in the west.
- Methodological inconsistencies across studies hinder direct comparisons, underscoring the need for standardized reporting.
- Further comprehensive epidemiological research is crucial for understanding the etiology of MS.
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