美国儿童干眼症的流行病学:IRIS® 注册表(视力智能研究)分析

IF 5.9 1区 医学 Q1 OPHTHALMOLOGY
Vivian Paraskevi Douglas, Nathan Hall , Connor Ross, Konstantinos A.A. Douglas, Tobias Elze, Joan W. Miller , Alice C. Lorch , Aisha S. Traish
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引用次数: 0

摘要

目的干眼症(DED)是一种慢性进行性眼表疾病,对儿科人群的研究有限。我们利用眼科学会的 IRIS® 注册表调查了 DED 在儿科人群中的患病率(PDED,18 岁患者)以及儿科和成人患者之间 DED 的人口统计学差异(ADED)。研究纳入了 2013 年 1 月 1 日至 2019 年 12 月 31 日期间的 DED 患者(N=4,795,979)。结果ADED患者的平均发病年龄为61.06(±14.75)岁,PDED患者的平均发病年龄为12.51(±3.86)岁。所有人口统计学特征的独立性总体检验和各类别比例的单独检验均具有统计学意义(p < 0.001)。PDED患者与IRIS注册儿科患者库(PIRIS)之间差异最大的特征分别包括女性性别(58.08% vs. 50.60%)、男性性别(41.58% vs. 48.78%)和亚洲人种(6.02% vs. 3.11%)。在 PDED 群体中,女性患 PDED 的风险更高(58% 对 42%)。PDED在患有屈光不正(76%)和眼睑/结膜疾病(41%)的儿童中更为普遍。PDED 和 ADED 患者之间差异最大的特征分别包括女性(58.08% 对 68.12%)、男性(41.58% 对 31.55%)和白种人(50.24% 对 67.06%)。与 PIRIS 相比,PDED 在女性和白种人中的发病率更高,并且更常见于屈光不正和眼睑/结膜疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The epidemiology of pediatric dry eye disease in the United States: An IRIS® registry (Intelligent Research in Sight) analysis

Purpose

Dry-eye disease (DED) is a chronic progressive ocular surface disorder with limited studies in the pediatric population. The Academy of Ophthalmology's IRIS® Registry was leveraged to investigate the prevalence of DED in the pediatric population (PDED, patients <18 years old) and the demographic differences of DED between pediatric and adult patients (ADED).

Methods

Retrospective cohort study. Patients with DED between January 1st, 2013 and December 31st, 2019 (N = 4,795,979) were included. Descriptive statistics, Pearson's chi-squared tests and two-sample proportions tests were conducted to compare key demographic distributions between the ADED and PDED cohorts.

Results

The average age at onset for ADED patients was 61.06 (±14.75) years and for PDED patients was 12.51 (±3.86). The overall tests for independence and the individual tests of proportions of each category were statistically significant for all demographic characteristics (p < 0.001). Characteristics with the largest discrepancies between patients of PDED and the IRIS Registry pediatric patient pool (PIRIS) included female sex (58.08 % vs. 50.60 %), male sex (41.58 % vs. 48.78 %) and Asian race (6.02 % vs. 3.11 %) respectively. Within the PDED cohort, females were at higher risk of PDED (58 % vs. 42 %). PDED was more prevalent in children with refractive errors (76 %) and eyelid/conjunctival disorders (41 %). Characteristics with the largest discrepancies between PDED and ADED patients included female sex (58.08 % vs. 68.12 %), male sex (41.58 % vs. 31.55 %) and Caucasian race (50.24 % vs. 67.06 %) respectively.

Conclusions

Significant differences in the PDED cohort are demonstrated in this study. PDED was more prevalent in the female sex and Caucasian race compared to PIRIS and was more commonly associated with refractive errors and eyelid/conjunctival disorders.

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来源期刊
Ocular Surface
Ocular Surface 医学-眼科学
CiteScore
11.60
自引率
14.10%
发文量
97
审稿时长
39 days
期刊介绍: The Ocular Surface, a quarterly, a peer-reviewed journal, is an authoritative resource that integrates and interprets major findings in diverse fields related to the ocular surface, including ophthalmology, optometry, genetics, molecular biology, pharmacology, immunology, infectious disease, and epidemiology. Its critical review articles cover the most current knowledge on medical and surgical management of ocular surface pathology, new understandings of ocular surface physiology, the meaning of recent discoveries on how the ocular surface responds to injury and disease, and updates on drug and device development. The journal also publishes select original research reports and articles describing cutting-edge techniques and technology in the field. Benefits to authors We also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services. Please see our Guide for Authors for information on article submission. If you require any further information or help, please visit our Support Center
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