肌萎缩侧索硬化症的流行病学:最新文献的更新。

Epidemiology of amyotrophic lateral sclerosis: an update of recent literature.

机构信息

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

出版信息

Curr Opin Neurol. 2019 Oct;32(5):771-776. doi: 10.1097/WCO.0000000000000730.

Abstract

PURPOSE OF REVIEW

The cause of amyotrophic lateral sclerosis (ALS) remains unknown for most of the patients with the disease. Epidemiologic studies can help describe disease burden and examine its potential risk factors, providing thereby evidence base for future mechanistic studies. With this review, we aimed to provide a summary of epidemiologic studies published during the past 18 months, which studied the incidence and risk factors for ALS.

RECENT FINDINGS

An increasing incidence and prevalence of ALS continue to be reported from different parts of the world. Several previously studied risk factors are confirmed as causally related to ALS by Mendelian randomization analysis. The previously known prognostic indicators for ALS appear to be the same across populations.

SUMMARY

Provided with the increasing number of patients diagnosed with ALS and the improved societal awareness of the disease, more resources should be allocated to the research and care of ALS. Population-based studies, especially population-based disease registers, should be the priorities in ALS research, and more data from outside Europe are needed in gaining a better global perspective of the disease.

摘要

目的综述

对于大多数患有肌萎缩侧索硬化症(ALS)的患者,其病因仍不清楚。流行病学研究有助于描述疾病负担并检查其潜在的危险因素,从而为未来的机制研究提供依据。通过本次综述,我们旨在总结过去 18 个月发表的有关 ALS 发病率和危险因素的流行病学研究。

最近发现

来自世界不同地区的研究继续报告 ALS 的发病率和患病率呈上升趋势。几项先前研究的危险因素通过孟德尔随机分析被证实与 ALS 有因果关系。在不同人群中,先前已知的 ALS 预后指标似乎是相同的。

总结

随着诊断出的 ALS 患者数量的增加以及社会对该病的认识的提高,应该为 ALS 的研究和护理分配更多的资源。基于人群的研究,特别是基于人群的疾病登记,应该是 ALS 研究的重点,并且需要来自欧洲以外的更多数据,以更好地了解全球范围内的该病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c92c/6735526/ca848f32d7b5/coneu-32-771-g001.jpg

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