Prevalence and Incidence of Atopic Dermatitis: A Systematic Review

被引:330
作者
Bylund, Simon [1 ]
von Kobyletzki, Laura B. [2 ,3 ,4 ]
Svalstedt, Marika [5 ]
Svensson, Ake [3 ]
机构
[1] Orebro Univ Hosp, Dept Pediat, Orebro, Sweden
[2] Orebro Univ, Univ Healthcare Res Ctr, Fac Med & Hlth, Orebro, Sweden
[3] Lund Univ, Skane Univ Hosp, Dept Dermatol, S-20502 Malmo, Sweden
[4] Skane Univ Hosp, Dept Occupat & Environm Dermatol, Malmo, Sweden
[5] Cent Hosp Karlstad, Hosp Lib, Karlstad, Region Of Varml, Sweden
关键词
systematic review; atopic dermatitis; prevalence; incidence; ISAAC PHASE-I; PRIMARY-SCHOOL CHILDREN; ALLERGIC RHINITIS; RISK-FACTORS; CHILDHOOD ECZEMA; TIME TRENDS; INCREASING PREVALENCE; DIAGNOSTIC-CRITERIA; CHANGING PREVALENCE; GENERAL-PRACTICE;
D O I
10.2340/00015555-3510
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The primary objective of this study was to systematically review and analyse epidemiological studies of the prevalence and incidence of atopic dermatitis (AD) during childhood and adulthood, focusing on data from the 21st century. A systematic search of PubMed, EMBASE and Google (manual search) was performed in June 2019, followed by data abstraction and study quality assessment (Newcastle-Ottawa Scale). Cross-sectional and longitudinal epidemiological studies of individuals with AD ( doctor-diagnosed or standardized definition) were included. Of 7,207 references reviewed, 378 moderate/good-quality studies were included: 352 on prevalence of AD and 26 on incidence of AD. In the 21st century, the 1-year prevalence of doctor-diagnosed AD ranged from 1.2% in Asia to 17.1% in Europe in adults, and 0.96% to 22.6% in children in Asia. The 1-year incidence ranged from 10.2 (95% confidence interval (95% CI) 9.9-10.6) in Italy to 95.6 (95% CI 93.4-97.9) per 1,000 person-years in children in Scotland. There were few recent studies on incidence of AD in the 21st century and no studies on adults only; most studies were conducted in Europe and the USA. Epidemiological studies on childhood and adulthood AD in different continents are still needed, especially on the incidence of AD during adulthood.
引用
收藏
页码:320 / 329
页数:10
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