Global temporal trends and projections of epilepsy in women of childbearing age: insights from the global burden of disease study 2021.

IF 2.4 4区 医学 Q2 CLINICAL NEUROLOGY
Siyuan Yang, Xiaoyu Ji, Dejing Cheng, Chengyuan Ji
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Abstract

Background: This study aimed at delineating the temporal trends of epilepsy among women of childbearing age (WCBA), offering essential insights for prevention and management approaches in specific population.

Methods: Data from the Global Burden of Disease (GBD) 2021 were used to measure the burden of epilepsy among WCBA by region, country, age, and sociodemographic index (SDI). Age-period-cohort model, joinpoint regression analysis and the Auto Regressive Integrated Moving Average (ARIMA) model were carried out.

Results: The global prevalence, years-lived with disability (YLDs) rates of idiopathic epilepsy among WCBA show a decrease in 2021 compared with 1992, while the global prevalence and YLDs rates of secondary epilepsy increased; notably, the absolute number of cases has continued to rise. Low, low-middle and middle SDI regions face a growing epilepsy burden compared with higher SDI regions while high-SDI regions also showed higher idiopathic epilepsy prevalence among WCBA. The age effect revealed a general decline in idiopathic and total epilepsy prevalence with increasing age across global and SDI regions, in contrast to a progressive rise in secondary epilepsy prevalence. Unfavorable period effects of idiopathic and secondary epilepsy among WCBA were mostly exhibited in low, low-middle, middle and high SDI region. Favorable birth cohort effects were always seen in high-middle SDI region.

Conclusions: This study elucidates the complex epidemiological landscape of epilepsy among WCBA, noting a increase in disease burden. Strengthening epilepsy health education, optimizing WCBA epilepsy diagnosis and treatment and emphasizing WCBA epilepsy prevention can effectively reduce new cases of epilepsy and related disabilities.

育龄妇女癫痫的全球时间趋势和预测:来自2021年全球疾病负担研究的见解
背景:本研究旨在描述育龄妇女癫痫的时间趋势,为特定人群的预防和管理方法提供重要见解。方法:采用全球疾病负担(GBD) 2021的数据,按地区、国家、年龄和社会人口指数(SDI)衡量WCBA的癫痫负担。采用年龄-时期-队列模型、连接点回归分析和自回归综合移动平均(ARIMA)模型。结果:与1992年相比,2021年WCBA特发性癫痫全球患病率和伤残年(YLDs)率呈下降趋势,而继发性癫痫全球患病率和YLDs率呈上升趋势;值得注意的是,病例的绝对数量继续上升。与高SDI地区相比,低、中、低SDI地区的癫痫负担不断增加,而高SDI地区的WCBA中特发性癫痫患病率也较高。年龄效应显示,在全球和SDI地区,随着年龄的增长,特发性和总癫痫患病率普遍下降,而继发性癫痫患病率则逐渐上升。WCBA特发性和继发性癫痫的不利期效应主要表现在低、中低、中、高SDI区。在SDI中高地区,出生队列效应一直较好。结论:本研究阐明了WCBA中复杂的癫痫流行病学格局,注意到疾病负担的增加。加强癫痫健康教育,优化WCBA癫痫诊疗,重视WCBA癫痫预防,可有效减少癫痫新发病例及相关残疾。
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
Neurological Sciences
Neurological Sciences 医学-临床神经学
CiteScore
6.10
自引率
3.00%
发文量
743
审稿时长
4 months
期刊介绍: Neurological Sciences is intended to provide a medium for the communication of results and ideas in the field of neuroscience. The journal welcomes contributions in both the basic and clinical aspects of the neurosciences. The official language of the journal is English. Reports are published in the form of original articles, short communications, editorials, reviews and letters to the editor. Original articles present the results of experimental or clinical studies in the neurosciences, while short communications are succinct reports permitting the rapid publication of novel results. Original contributions may be submitted for the special sections History of Neurology, Health Care and Neurological Digressions - a forum for cultural topics related to the neurosciences. The journal also publishes correspondence book reviews, meeting reports and announcements.
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