尼日利亚化脓性汗腺炎的医院患病率、诊断延误和社会人口学特征:一项多中心回顾性研究

Ehiaghe Lonia Anaba, Obumneme Emeka Okoro, Perpetua Ibekwe, Hadiza Sani, Bolaji Ibiesa Otike-Odibi, Eshan Blessing Henshaw
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引用次数: 0

摘要

摘要背景:化脓性汗腺炎(HS)在非洲很少见,因此在该人群中不常见。目的:我们旨在记录医院患病率、社会人口因素、诊断延迟以及与诊断延迟相关的因素。材料和方法:这项多中心回顾性研究在尼日利亚7个门诊皮肤科诊所对64名HS患者进行了研究。在伦理批准后,检索了2017年和2022年的数据。提取的信息包括发病年龄、诊断年龄、诊断延迟、性别、HS家族史、体重指数、吸烟史、社会经济状况和Hurley分期。使用IBM Statistics version 26分析数据。对于所有统计检验,P <0.05认为有统计学意义。结果:新就诊患者13662例,男5850例,女7752例,其中HS 64例,医院患病率为0.47%(64/ 13602)。以女性居多(70.3%)。患者年龄中位数(四分位数间距)为30(24,36)岁,年龄范围为12-59岁。诊断年龄20 ~ 39岁占76.6%。延迟诊断率为45.3%,延迟诊断与HS病程、严重程度有显著相关性;0.001和P <0.005,分别。结论:HS在尼日利亚并不常见。诊断经常延迟,患者表现出严重的疾病形式。此外,HS在社会经济地位低的个体中罕见。有必要在初级保健一级提高对这种使人衰弱的疾病的认识和及时转诊。
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Hospital Prevalence, Delay in Diagnosis, and Sociodemographic Features of Hidradenitis Suppurativa in Nigeria: A Multicentre Retrospective Study
Abstract Background: Hidradenitis suppurativa (HS) is rare in Africans and so not commonly documented in this population. Aim: We aimed to document the hospital prevalence, sociodemographic factors, delay in diagnosis, and factors associated with a delay in diagnosis. Materials and Methods: This multicentre retrospective study of 64 HS patients was conducted across seven outpatient dermatology clinics in Nigeria. Data spanning 2017 and 2022 were retrieved following ethical approval. Extracted information included age at onset, age at diagnosis, delay in diagnosis, gender, family history of HS, body mass index, smoking history, socioeconomic status, and Hurley stage. Data were analysed using IBM Statistics version 26. For all statistical tests, P < 0.05 was considered statistically significant. Results: Thirteen thousand six-hundred and two new patients composed of 5850 males and 7752 females attended the clinics and 64 of them had HS giving a hospital prevalence of 0.47% (64/13,602). Most of the HS (70.3%) were female. The median (interquartile range) age of the patients was 30 (24, 36) years and the age range was 12–59 years. Age at diagnosis was 20–39 years in 76.6%. There was a delay in diagnosis in 45.3%, a significant relationship between delay in diagnosis with duration and severity of HS with P < 0.001 and P < 0.005, respectively. Conclusion: HS is uncommon in Nigeria. Diagnosis is frequently delayed and patients present with a severe form of the disease. Furthermore, HS is rare among individuals with a low socioeconomic status. There is a need for more awareness and prompt referral of this debilitating disease at the primary health-care level.
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来源期刊
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发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
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