世界的なケラトコノスの発生率と流行:体系的なレビューとメタ分析
Aswen Sriranganathan1, Clara C Chan2, Jobanpreet Dhillon3
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Cornea
|August 20, 2025
まとめ
全世界のケラトコナス (KC) の罹患率は0.24%で,237万人以上が罹患しています. 発症率と流行率は男性と特定の年齢層や地域で増加しており,さらなる研究が必要である.
科学分野:
- 眼科について
- 流行病学について
- 公衆衛生
背景:
- ケラトコナス (KC) は進行性角膜エクタジアである.
- 世界的な負担を推定することは 公衆衛生の計画にとって極めて重要です
研究 の 目的:
- 世界的なケラトコノスの発生率と流行傾向を決定する.
- KC率の人口統計的および地理的変動を特定する
主な方法:
- 2024年1月までの研究の体系的レビューとメタ解析
- すべての年齢層,性別,地域を含む.
- ランダム効果モデルがプーリングされた見積もりに使用され,異質性は χ2とI2統計によって評価される.
主要な成果:
- KCの集団発生率: 10万人当たり289. 1 (0. 24%) 発生率: 10万人当たり4. 0
- 男性は,より高いKCの確率を示した (OR1. 10). 20~29歳のグループとアフリカで最も多い.
- 流行率はアジア全体で著しく変化し,特に2020年以降に増加傾向が見られた.
結論:
- 世界中で2370万人を超える人が KC を患っている.
- KCの世界的負担は増加しています.
- 公共衛生戦略と患者ケアにおいて,時間的および地域的なパターンのさらなる研究が不可欠です.
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