全球自身免疫性胃炎的流行:系统性审查和元分析
Meixuan Li1, Yu Huang1, Xiao Liang1
1Division of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Ministry of Health, State Key Laboratory for Oncogenes and Related Genes, Renji Hospital, School of Medicine, Shanghai Jiao Tong University; Shanghai Institute of Digestive Disease, Shanghai, China.
这项研究估计自身免疫性胃炎 (AIG) 的全球患病率为3.85%,显示出显著的地理差异和诊断方法的影响. 需要进一步的研究来规范诊断和探索风险因素以更好地管理AIG.
科学领域:
- 胃肠病学
- 免疫学
- 流行病学
背景情况:
- 自免疫性胃炎 (AIG) 是一种慢性,免疫媒介的疾病.
- 具有抗细胞抗体和体缩的特征.
- 目前尚不清楚AIG的全球流行程度和影响因素.
研究的目的:
- 系统估计自身免疫性胃炎 (AIG) 的全球患病率.
- 确定影响AIG流行率变化的人口和诊断因素.
主要方法:
- 来自Medline,Scopus和Embase的研究的系统审查和元分析.
- 使用随机效应模型的流行情况.
- 小组分析和元回归研究了异质性.
主要成果:
- 全球AIG患病率在47项研究中估计为3. 85% (15, 817人).
- 在非洲 (8.46%) 和澳大利亚 (8.08%) 的流行率最高.
- 血清抗体诊断显示患病率高于组织学 (2. 71%);H. pylori感染与AIG有正相关性.
结论:
- 在AIG流行中观察到显著的地理和方法差异.
- 迫切需要进行大规模研究以标准化诊断标准.
- 需要进一步研究风险因素并改善AIG的理解和管理.
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