估计的家族肌缩侧面硬化症比例:文学综述和元分析
Julie Barberio1, Cathy Lally1, Varant Kupelian1
1From the Epidemiologic Research and Methods LLC (J.B., C.L., W.D.F.); Rollins School of Public Health (J.B., W.D.F.), Emory University, Atlanta, GA; Biogen (V.K.), Cambridge, MA; and Trinity Biomedical Sciences Institute (O.H.), Dublin, Ireland.
Neurology. Genetics
|December 4, 2023
概括
这项研究估计了家族性肌缩侧面硬化症 (fALS) 病例的比例,发现总体为8%. 研究设计和地理区域等因素影响了fALS估计,突出了对标准化标准的需求.
科学领域:
- 神经学 神经学
- 遗传学 遗传学 是一个
- 流行病学 流行病学
背景情况:
- 肌缩侧面硬化症 (ALS) 是一种罕见的神经退行性疾病.
- 家庭ALS (fALS) 病例估计占所有ALS病例的5%-10%.
- 没有最近的综合性审查评估了fALS.的比例.
研究的目的:
- 为了估计家族ALS病例 (fALS) 的比例.
- 分析地理区域的影响和研究特征对fALS比例的影响.
- 找出有关fALS检测的当前研究中的差距.
主要方法:
- 一个系统的文献综述和165项原始研究的元分析.
- 结果按地理区域分层,研究设计 (病例系列与基于人口的) 和出版十年.
- 基于用于定义fALS的家族史标准的子组分析.
主要成果:
- 整体聚合的fALS比例为8%.
- 基于人口的研究报告了较低的fALS比例 (5%) 与病例系列 (9%) 相比.
- fALS的比例因地区 (欧洲6%,拉丁美洲5%,北美5%) 和定义标准而异.
结论:
- 报告的fALS比例的变化与地理,研究设计和fALS定义有关.
- 缺乏标准化的fALS标准和非欧洲人口的代表性不足限制了目前的理解.
- 需要进一步研究共识标准和更广泛的人口研究.
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