意大利晚期发病多发性硬化症的发生率:基于人口的研究
Calogero Edoardo Cicero1, Clara Chisari2, Giuseppe Salafica2
1Department of Medical, Surgical Sciences and Advanced technologies G.F. Ingrassia, Section of Neurosciences, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy. edoardo.cicero@gmail.com.
Scientific reports
|November 28, 2024
概括
晚期多发性硬化症 (LOMS) 发病率正在增加,特别是在60-69岁的人群中. 这项研究观察到随着时间的推移,LOMS病例的增加,这表明多发性硬化症发病年龄的潜在转变.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 晚期发病的多发性硬化症 (LOMS) 占所有多发性硬化症 (MS) 病例的0.6-12%.
- 有限的数据存在于基于人口的LOMS发病率.
研究的目的:
- 确定以人口为基础的队列中LOMS的年度发病率.
- 分析随着时间的推移和人口因素的发病趋势.
主要方法:
- 在2005年至2020年期间,在意大利卡塔尼亚开始时年龄≥50岁的患者的回顾性病例确定.
- 根据性别,年龄组和分期计算发病率 (IR).
- 用于比较分析的发病率比率 (IRR) 的计算.
主要成果:
- 确定了183例LOMS病例,发病时平均年龄为55.8岁. 主要的表型是复发性复发性多发性硬化症 (67.2%).
- 年平均原油IR为每10万人/年2.87.
- IR从2.54/100,000 (2005-2010) 增加到3.32/100,000 (2016-2020),特别是在60-69岁年龄组 (IRR3.48,p=0.002) 中.
结论:
- 在研究期间,观察到LOMS发病率的显著增加,特别是在60-69岁年龄组.
- 这一趋势可能表明在MS发病时年龄上升.
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