Insight into the Epidemiology of the Adult-onset Systemic Autoimmune Rheumatic Diseases in Egypt: A Descriptive Study of 8690 Patients.

IF 1.2 Q4 RHEUMATOLOGY Current rheumatology reviews Pub Date : 2024-01-01 DOI:10.2174/0115733971277833231226071516
Doaa H S Attia, Eman R Mohamed, Ahmed Y Ismaeel, Yossra A Suliman, Nermeen H A Moneim, Rasha A Abdel Noor
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Abstract

Background/objective: Although systemic autoimmune rheumatic diseases (SARDs) seem to be ubiquitous, Africa and the Middle East seem to be a remarkable exception with scarcity of data compared with the developed countries. Furthermore, most of the studies addressed a particular disease. This work aimed to shed light on the relative frequency and epidemiology of the different adult-onset SARDs in Egypt.

Methods: This is a retrospective hospital-based study including six university hospitals providing free health care services: Cairo, Alexandria, Tanta, Suez Canal, Beni-Suef and Assiut University Hospitals. All available files for patients attending the outpatient clinics or admitted to the inpatient departments between January 2000 and December 2021 were retrospectively reviewed. Data about the patient's diagnosis, gender, age at disease onset, year of disease onset and residence were collected.

Results: The study included 8690 patients. Rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Behçet's disease (BD) and spondyloarthropathies (SPA) represented the main SARDs in Egypt. They mainly affect young patients below the age of 40 years. RA and SLE mainly affect females; males are mainly affected by axial SPA and BD. There is an increasing incidence of SARDs during the study period.

Conclusion: The study revealed the high burden of SARDs in Egypt, helping better allocation of economic resources for the management of diseases of the highest prevalence and those affecting the young reproductive age groups. Increased public and medical staff awareness about SARDs is recommended to help early referral of patients to rheumatologists and, hence, better estimation of their epidemiology.

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埃及成人发病型系统性自身免疫性风湿病流行病学透视:对8690名患者的描述性研究。
背景/目的:尽管全身性自身免疫性风湿病(SARDs)似乎无处不在,但非洲和中东似乎是一个明显的例外,与发达国家相比,它们的数据非常稀少。此外,大多数研究都是针对一种特定的疾病。本研究旨在阐明埃及不同成人发病型 SARDs 的相对频率和流行病学:这是一项以医院为基础的回顾性研究,包括六家提供免费医疗服务的大学医院:开罗、亚历山大、坦塔、伊斯梅利亚、贝尼苏伊夫和阿苏特大学医院。研究人员对 2000 年 1 月至 2021 年 12 月期间在门诊就诊或在住院部住院的患者的所有档案进行了回顾性审查。研究收集了患者的诊断、性别、发病年龄、发病年份和居住地等数据:研究包括 8690 名患者。类风湿性关节炎(RA)、系统性红斑狼疮(SLE)、白塞氏病(BD)和脊柱关节病(SPA)是埃及主要的 SARDs。它们主要影响 40 岁以下的年轻患者。RA和系统性红斑狼疮主要影响女性患者;男性患者主要是轴性SPA和BD。在研究期间,SARDs 的发病率呈上升趋势:这项研究揭示了 SARDs 在埃及造成的沉重负担,有助于更好地分配经济资源,用于管理发病率最高的疾病和影响年轻育龄群体的疾病。建议提高公众和医务人员对 SARDs 的认识,以便及早将患者转诊给风湿病专家,从而更好地评估其流行病学。
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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
82
期刊介绍: Current Rheumatology Reviews publishes frontier reviews on all the latest advances on rheumatology and its related areas e.g. pharmacology, pathogenesis, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians in rheumatology.
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