先天性高胰岛素血症的出生率:一种罕见疾病流行病学的叙述性回顾。

IF 2.6 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
David Lapidus, Diva D De León, Paul S Thornton, Davelyn Hood, Jeffrey Breit, Julie Raskin, Tai L S Pasquini
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引用次数: 0

摘要

背景 先天性胰岛素分泌过多症(HI)是一种罕见的儿科疾病,也是导致儿童期严重、持续性低血糖的最常见原因。其特点是胰腺分泌的胰岛素失调,可导致不可逆的脑损伤和终身神经残疾。摘要 目前,全球 HI 出生率尚不清楚。以证据为基础估算 HI 出生流行率对于改善诊断和患者管理、推动临床研究和新疗法的开发以及为公共政策提供信息至关重要。为了估算持续性流感的出生流行率,我们对报告流感流行病学数据的研究进行了有针对性的文献综述,并分析了每项研究的优势和局限性。总体而言,共发现八项全球研究报告了独立确定的流感流行病学数据。关键信息 在欧洲近亲结婚人群中,持续性 HI 的出生流行率的最佳估计值为每 10 万名新生儿中有 3.5 例。当地的近亲结婚模式似乎对每个国家的持续性花柳病出生率有相当大的影响,因此无法将这一数字应用于全球所有人群。需要进行更多的流行病学研究,并采用可靠的方法,才能对全球人口的羊水穿刺发病率和流行率得出可靠的近似值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Birth Prevalence of Congenital Hyperinsulinism: A Narrative Review of the Epidemiology of a Rare Disease.

Background: Congenital hyperinsulinism (HI) is a rare pediatric disease and the most common cause of severe, persistent hypoglycemia in childhood. It is characterized by the dysregulation of insulin secretion from the pancreas and can lead to irreversible brain damage with lifelong neurodisability.

Summary: The global birth prevalence of HI is currently unknown. An evidence-based estimate of HI birth prevalence is essential to improve diagnosis and patient management, to drive clinical research and the development of new treatments, and to inform public policy. In order to estimate the birth prevalence of persistent HI, a targeted literature review of studies that report HI epidemiological data was undertaken, and the strengths and limitations of each study were analyzed. Overall, eight global studies were identified that reported independently determined HI epidemiological data.

Key messages: The best estimate for the birth prevalence of persistent HI in European-ancestry populations is 3.5 per 100,000 births. Local consanguinity patterns appear to have a considerable impact on the birth prevalence of persistent HI in each country, precluding the application of this figure to all global populations. More epidemiological studies with robust methodology are needed to enable a reliable approximation of the incidence and prevalence of HI in global populations.

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来源期刊
Hormone Research in Paediatrics
Hormone Research in Paediatrics ENDOCRINOLOGY & METABOLISM-PEDIATRICS
CiteScore
4.90
自引率
6.20%
发文量
88
审稿时长
4-8 weeks
期刊介绍: The mission of ''Hormone Research in Paediatrics'' is to improve the care of children with endocrine disorders by promoting basic and clinical knowledge. The journal facilitates the dissemination of information through original papers, mini reviews, clinical guidelines and papers on novel insights from clinical practice. Periodic editorials from outstanding paediatric endocrinologists address the main published novelties by critically reviewing the major strengths and weaknesses of the studies.
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