National, regional, and worldwide epidemiology of psoriasis: systematic analysis and modelling study
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National, regional, and worldwide epidemiology of psoriasis: systematic analysis and modelling study. / Parisi, Rosa; Iskandar, Ireny Y K; Kontopantelis, Evangelos; Augustin, Matthias; Griffiths, Christopher E M; Ashcroft, Darren M; Global Psoriasis Atlas.
In: BMJ-BRIT MED J, Vol. 369, 28.05.2020, p. m1590.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - National, regional, and worldwide epidemiology of psoriasis: systematic analysis and modelling study
AU - Parisi, Rosa
AU - Iskandar, Ireny Y K
AU - Kontopantelis, Evangelos
AU - Augustin, Matthias
AU - Griffiths, Christopher E M
AU - Ashcroft, Darren M
AU - Global Psoriasis Atlas
N1 - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2020/5/28
Y1 - 2020/5/28
N2 - OBJECTIVE: To systematically review and provide information on the incidence of psoriasis and quantify global, regional, and country specific estimates of its prevalence.DESIGN: Systematic review and meta-analysis.DATA SOURCES: Medline, Embase, Web of Science, SciELO, Korean Journal Databases, Russian Science Citation Index, WPRIM, SaudiMedLit, Informit, IndMed, and HERDIN were searched systematically from their inception dates to October 2019.METHODS: Studies were included if they reported on the incidence or prevalence of psoriasis in the general population. Incidence data were summarised descriptively, whereas bayesian hierarchical models were fitted to estimate the global, regional, and country specific prevalence of psoriasis.RESULTS: 41 164 records were identified and 168 studies met the inclusion criteria. In adults, the incidence of psoriasis varied from 30.3 per 100 000 person years (95% confidence interval 26.6 to 34.1) in Taiwan to 321.0 per 100 000 person years in Italy. The prevalence of psoriasis varied from 0.14% (95% uncertainty interval 0.05% to 0.40%) in east Asia to 1.99% (0.64% to 6.60%) in Australasia. The prevalence of psoriasis was also high in western Europe (1.92%, 1.07% to 3.46%), central Europe (1.83%, 0.62% to 5.32%), North America (1.50%, 0.63% to 3.60%), and high income southern Latin America (1.10%, 0.36% to 2.96%).CONCLUSIONS: Eighty one per cent of the countries of the world lack information on the epidemiology of psoriasis. The disease occurs more frequently in adults than in children. Psoriasis is unequally distributed across geographical regions; it is more frequent in high income countries and in regions with older populations. The estimates provided can help guide countries and the international community when making public health decisions on the appropriate management of psoriasis and assessing its natural history over time.SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42019160817.
AB - OBJECTIVE: To systematically review and provide information on the incidence of psoriasis and quantify global, regional, and country specific estimates of its prevalence.DESIGN: Systematic review and meta-analysis.DATA SOURCES: Medline, Embase, Web of Science, SciELO, Korean Journal Databases, Russian Science Citation Index, WPRIM, SaudiMedLit, Informit, IndMed, and HERDIN were searched systematically from their inception dates to October 2019.METHODS: Studies were included if they reported on the incidence or prevalence of psoriasis in the general population. Incidence data were summarised descriptively, whereas bayesian hierarchical models were fitted to estimate the global, regional, and country specific prevalence of psoriasis.RESULTS: 41 164 records were identified and 168 studies met the inclusion criteria. In adults, the incidence of psoriasis varied from 30.3 per 100 000 person years (95% confidence interval 26.6 to 34.1) in Taiwan to 321.0 per 100 000 person years in Italy. The prevalence of psoriasis varied from 0.14% (95% uncertainty interval 0.05% to 0.40%) in east Asia to 1.99% (0.64% to 6.60%) in Australasia. The prevalence of psoriasis was also high in western Europe (1.92%, 1.07% to 3.46%), central Europe (1.83%, 0.62% to 5.32%), North America (1.50%, 0.63% to 3.60%), and high income southern Latin America (1.10%, 0.36% to 2.96%).CONCLUSIONS: Eighty one per cent of the countries of the world lack information on the epidemiology of psoriasis. The disease occurs more frequently in adults than in children. Psoriasis is unequally distributed across geographical regions; it is more frequent in high income countries and in regions with older populations. The estimates provided can help guide countries and the international community when making public health decisions on the appropriate management of psoriasis and assessing its natural history over time.SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42019160817.
KW - Adult
KW - Child
KW - Global Health
KW - Humans
KW - Incidence
KW - Prevalence
KW - Psoriasis/epidemiology
U2 - 10.1136/bmj.m1590
DO - 10.1136/bmj.m1590
M3 - SCORING: Journal article
C2 - 32467098
VL - 369
SP - m1590
JO - BMJ-BRIT MED J
JF - BMJ-BRIT MED J
SN - 0959-535X
ER -