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Erschienen in: European Journal of Epidemiology 7/2018

23.04.2018 | META-ANALYSIS

Age-specific ALS incidence: a dose–response meta-analysis

verfasst von: Benoît Marin, Andrea Fontana, Simona Arcuti, Massimilano Copetti, Farid Boumédiene, Philippe Couratier, Ettore Beghi, Pierre Marie Preux, Giancarlo Logroscino

Erschienen in: European Journal of Epidemiology | Ausgabe 7/2018

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Abstract

To evaluate the association between worldwide ALS incidence rates and age, using a dose–response meta-analysis. We reviewed Medline and Embase up to July 2016 and included all population-based studies of newly-diagnosed cases, using multiple sources for case ascertainment. A dose–response meta-analysis was performed. A meta-regression investigated potential sources of heterogeneity. Of 3254 articles identified in the literature, we included 41 incidence studies covering 42 geographical areas. Overall, the fit between observed and predicted age-specific rates was very good. The expected variation of ALS incidence with age was characterized, in each study, by a progressive increase in the incidence from the 40s leading to a peak in the 60s or 70s, followed by a sharp decrease. Cochran’s Q test suggested a significant heterogeneity between studies. Overall, estimated patterns of ALS age-specific incidence (at which the peak was reached) were similar among subcontinents of Europe and North America: peak of ALS incidence ranged in these areas between 6.98 and 8.17/100,000 PYFU, which referred to age in the range 71.6–77.4 years. The relationship between age and ALS incidence appeared different for Eastern Asia which was characterized by a peak of ALS incidence at 2.20/100,000 PYFU around 75 years of age. This study confirms the consistency of the age-specific ALS incidence pattern within different subcontinents. Age-specific incidence appears lower in Eastern Asia as compared to Europe and North America.
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Metadaten
Titel
Age-specific ALS incidence: a dose–response meta-analysis
verfasst von
Benoît Marin
Andrea Fontana
Simona Arcuti
Massimilano Copetti
Farid Boumédiene
Philippe Couratier
Ettore Beghi
Pierre Marie Preux
Giancarlo Logroscino
Publikationsdatum
23.04.2018
Verlag
Springer Netherlands
Erschienen in
European Journal of Epidemiology / Ausgabe 7/2018
Print ISSN: 0393-2990
Elektronische ISSN: 1573-7284
DOI
https://doi.org/10.1007/s10654-018-0392-x

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