Shalom Sapir, Ben-Yosef Tamar, Sher Ifat, Zag Amir, Rotenstreich Ygal, Poleg Tomer, Birk Ohad S, Gradstein Libe, Ehrenberg Miriam, Deitch Iris, Mezer Eedy, Hecht Idan, Pras Eran, Ramon Dan, Khateb Samer, Zur Dinah, Newman Hadas, Kharouba Rawan, Goldenberg-Cohen Nitza, Leibu Rina, Soudry Shiri, Perlman Ido, Banin Eyal, Sharon Dror
Department of Ophthalmology, Hadassah Medical Center, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Department of Military Medicine and Tzameret, Faculty of Medicine, Hebrew University of Jerusalem and Medical Corps, Israel Defense Forces, Jerusalem, Israel.
JAMA Ophthalmol. 2024 Jul 1;142(7):609-616. doi: 10.1001/jamaophthalmol.2024.1461.
Data regarding the prevalence of various inherited retinal diseases (IRDs) are limited and vary across populations; moreover, nationwide prevalence studies may be limited to a specific IRD phenotype, potentially leading to inaccurate prevalence estimations. Therefore, nationwide prevalence data are needed.
To determine the prevalence of 67 IRD phenotypes in the Israeli population.
DESIGN, SETTING, AND PARTICIPANTS: This cohort study collected nationwide data regarding the number of individuals affected with IRD phenotypes assessed in 10 clinical and academic centers in Israel as part of the research activity of the Israeli inherited retinal disease consortium. Data were collected in May 2023 on 9396 individuals residing in Israel who were diagnosed by an ophthalmologist with an IRD using either electroretinography or retinal imaging where included. Individuals with retinal diseases known to have a nonmendelian basis or without a clear genetic basis and those who were reported as deceased at the time of data collection were excluded from this study.
Prevalence of 67 IRD phenotypes.
Among the 9396 participants in our cohort, the most common IRD in Israel was retinitis pigmentosa with a disease prevalence of approximately 1:2400 individuals, followed by cone-rod dystrophy (approximately 1:14 000), Stargardt disease (approximately 1:16 000), Usher syndrome (approximately 1:16,000), and congenital stationary night blindness (approximately 1:18 000). The prevalence of all IRDs combined was 1:1043 individuals.
The current study provides large prevalence dataset of 67 IRD phenotypes, some of which are extremely rare, with only a single identified case. This analysis highlights the potential importance of performing additional nationwide prevalence studies to potentially assist with determining the prevalence of IRDs worldwide.
关于各种遗传性视网膜疾病(IRD)患病率的数据有限,且因人群而异;此外,全国性患病率研究可能仅限于特定的IRD表型,这可能导致患病率估计不准确。因此,需要全国性的患病率数据。
确定以色列人群中67种IRD表型的患病率。
设计、背景和参与者:这项队列研究收集了以色列全国范围内的数据,这些数据涉及在以色列10个临床和学术中心评估的患有IRD表型的个体数量,这是以色列遗传性视网膜疾病联盟研究活动的一部分。2023年5月收集了居住在以色列的9396名个体的数据,这些个体由眼科医生使用视网膜电图或视网膜成像诊断为IRD(如有相关检查则纳入)。已知具有非孟德尔遗传基础或无明确遗传基础的视网膜疾病患者以及在数据收集时报告已死亡的个体被排除在本研究之外。
67种IRD表型的患病率。
在我们队列的9396名参与者中,以色列最常见的IRD是色素性视网膜炎,疾病患病率约为1:2400人,其次是锥杆营养不良(约1:14000)、斯特格病变(约1:16000)、Usher综合征(约1:16000)和先天性静止性夜盲(约1:18000)。所有IRD合并患病率为1:1043人。
本研究提供了67种IRD表型的大型患病率数据集,其中一些极为罕见,仅发现一例确诊病例。该分析强调了开展更多全国性患病率研究对于潜在帮助确定全球IRD患病率的潜在重要性。