Department of Rheumatology, Hospital Virgen de la Salud, Complejo Hospitalario Universitario de Toledo, Toledo, Spain.
Instituto de Salud Musculoesquelética (Inmusc), Madrid, Spain.
Ophthalmic Epidemiol. 2021 Dec;28(6):461-468. doi: 10.1080/09286586.2021.1882506. Epub 2021 Feb 8.
: Although the impact of uveitis on people's lives is clear, the frequency of this condition is unclear.: To estimate the prevalence and incidence of uveitis.: A systematic review with meta-analysis was conducted. Medline, Embase, and Cochrane Library were searched from inception to January 2019. The quality of the included studies was critically appraised with a grading system based on the Oxford Levels of Evidence. A detailed description of the populations studied and of factors affecting estimates was undertaken. Pooled analyses were conducted using a random-effects approach and expressed as incidence rates per 100,000 with 95% confidence intervals. Subgroup analyses by geographical region were conducted along with meta-regression to analyze possible factors for heterogeneity.: A total of 49 studies were included and critically appraised. Twenty-two were population-based, and 27 hospital-based. Heterogeneity was substantial in terms of populations studied, methods for ascertaining uveitis, including definitions, and reporting of results. This was especially important in prevalence studies, with data ranging from 9 to 730 cases per 100,000. For incidence studies, the meta-analysis yielded a pooled incidence of 50.45 per 100.000. The meta-regression showed the geographic region as an important explanatory factor of the heterogeneity between studies.: Population-based estimates of the epidemiology of uveitis vary widely, owing to methodologies employed, definitions of uveitis and geographical regions; the representativeness and generalizability of many epidemiological studies of uveitis are limited.
尽管葡萄膜炎对人们生活的影响显而易见,但这种疾病的发病率尚不清楚。为了评估葡萄膜炎的患病率和发病率。我们进行了一项系统评价和荟萃分析。从建库到 2019 年 1 月,我们检索了 Medline、Embase 和 Cochrane 图书馆。使用基于牛津证据等级的分级系统对纳入研究的质量进行了严格评估。对所研究人群和影响估计的因素进行了详细描述。使用随机效应方法进行汇总分析,并以每 10 万人的发病率表示,置信区间为 95%。进行了按地理区域划分的亚组分析,并进行了荟萃回归分析,以分析可能存在异质性的因素。共纳入并批判性评价了 49 项研究。其中 22 项为基于人群的研究,27 项为基于医院的研究。在所研究的人群、确定葡萄膜炎的方法(包括定义)以及结果报告方面,异质性很大。这在患病率研究中尤为重要,数据范围从每 10 万人 9 例到 730 例。对于发病率研究,荟萃分析得出的汇总发病率为每 10 万人 50.45 例。荟萃回归显示,地理区域是研究间异质性的一个重要解释因素。由于采用的方法、葡萄膜炎的定义和地理区域不同,基于人群的葡萄膜炎流行病学估计值差异很大;许多葡萄膜炎的流行病学研究的代表性和普遍性受到限制。