The global prevalence of premature ovarian insufficiency: a systematic review and meta-analysis.

IF 2.9 4区医学 Q1 OBSTETRICS & GYNECOLOGY Climacteric Pub Date : 2023-04-01 DOI:10.1080/13697137.2022.2153033

M Li, Y Zhu, J Wei, L Chen, S Chen, D Lai

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引用次数: 5

Abstract

Objective: The objective of this review was to answer the global prevalence of premature ovarian insufficiency (POI), and explore the associated factors including etiopathology and regions with POI.

Methods: The search was conducted on reports from a total of eight databases that comprised Chinese National Knowledge Infrastructure (CNKI), Wanfang, China BioMedical Literature Database (CBM), PubMed, the Cochrane Library, Embase, Web of Science and Ovid MEDLINE^® between 1946 and 2021. To analyze the source of heterogeneity, we performed subgroup analysis based on different etiologies and regions. Meta-analysis was carried out by Stata14.0 software.

Results: The results showed that the global overall prevalence of POI among women was 3.5%. By subgroup analysis, the prevalence of POI among women with iatrogenic etiology was 11.2%, followed by autoimmunity (10.5%); the prevalence of POI by region was 11.3% at the highest in North America followed by South America (5.4%); and the prevalence of POI was 5.3% in a developing country, higher than 3.1% in a developed country. The trend of prevalence of POI over the past 20 years was on the rise (although p > 0.05).

Conclusion: We recommend that health and medical institutions strengthen public health awareness, achieve health-education goals related to POI and increase women's awareness of and attention to POI.

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卵巢功能不全的全球患病率:系统回顾和荟萃分析。

目的:本综述的目的是回答卵巢早衰(POI)的全球患病率，并探讨相关因素，包括病因和地区的POI。方法:检索来自8个数据库的报告，包括中国知网(CNKI)、万方、中国生物医学文献数据库(CBM)、PubMed、Cochrane图书馆、Embase、Web of Science和Ovid MEDLINE®，检索时间为1946年至2021年。为了分析异质性的来源，我们基于不同的病因和地区进行了亚组分析。采用Stata14.0软件进行meta分析。结果:结果显示，全球女性POI总患病率为3.5%。通过亚组分析，医源性病因的女性POI患病率为11.2%，其次是自身免疫性(10.5%);各区域POI患病率为11.3%，北美最高，其次是南美(5.4%);发展中国家POI患病率为5.3%，高于发达国家的3.1%。近20年POI患病率呈上升趋势(p > 0.05)。结论:建议卫生和医疗机构加强公众健康意识，实现与POI相关的健康教育目标，提高妇女对POI的认识和重视。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Climacteric 医学-妇产科学

CiteScore

1.70

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.