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Epidemiology of Demyelinating Diseases in Korean Pediatric Patients
Hye Hyun Yoon1, Ji Young Park1, Su Yeong Kim1
1Department of Pediatrics, 65542Chung-Ang University Hospital, Seoul, Korea.
Insights
This study reveals the first comprehensive epidemiology of pediatric demyelinating diseases in South Korea. Guillain-Barré syndrome was most common, with seasonal and regional variations observed in children.
Area of Science:
- Pediatric Neurology
- Epidemiology
- Demyelinating Diseases
Background:
- Epidemiological data on pediatric demyelinating diseases in Korea is lacking.
- Demyelinating diseases can significantly impact child health and development.
Purpose of the Study:
- To determine the incidence and characteristics of pediatric demyelinating diseases in South Korea.
- To analyze the epidemiology of acute-disseminated encephalomyelitis, multiple sclerosis, neuromyelitis optica, and Guillain-Barré syndrome in children.
Main Methods:
- Utilized big data from the Korean Health Insurance Review and Assessment Service (HIRA).
- Analyzed records of children aged 0-17 diagnosed between January 2010 and December 2017.
- Examined disease prevalence, sex ratios, seasonality, and regional distribution.
Main Results:
- 1722 children were included: 54.1% Guillain-Barré syndrome, 32.1% acute-disseminated encephalomyelitis, 9.9% multiple sclerosis, 3.9% neuromyelitis optica.
- Male-female ratios varied by disease: higher in ADEM and GBS, lower in MS and NMO.
- Peak prevalence occurred in summer, with significant regional differences noted, particularly in Seoul and Gyeonggi.
Conclusions:
- This is the first study to report the incidence of pediatric demyelinating diseases in South Korea.
- Findings highlight the importance of considering demographic, seasonal, and regional factors in pediatric demyelinating disease epidemiology.
- Establishes a baseline for future research and public health strategies in Korea.
Abstract:
The epidemiology of demyelinating diseases in the Korean pediatric population has not been reported to date. This study aimed to identify the epidemiology of demyelinating diseases in Korean children by using big data. The subjects were children (0-17 years old) diagnosed with acute-disseminated encephalomyelitis, multiple sclerosis, neuromyelitis optica, and Guillain-Barré syndrome enrolled in the Korean Health Insurance Review and Assessment Service (HIRA) from January 2010 to December 2017.Of 1722 enrolled children, 553 (32.1%) had acute-disseminated encephalomyelitis, 170 (9.9%) had multiple sclerosis, 68 (3.9%) had neuromyelitis optica, and 931 (54.1%) had Guillain-Barré syndrome. The male-female ratios were 1.47:1 in acute-disseminated encephalomyelitis, 1.43:1 in Guillain-Barré syndrome, 1:1.66 in multiple sclerosis, and 1:1.62 in neuromyelitis optica. Demyelinating diseases were most prevalent in summer. The prevalence differed by region, with 545 (31.6%) in Seoul and 298 (17.3%) in Gyeonggi. This study is the first to identify the incidence of demyelinating diseases in South Korea.
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