慢性自发性荨麻疹的男女患者有差异吗？关于慢性自发性荨麻疹患者性别差异的系统综述

IF 3.9 2区医学 Q2 ALLERGY

World Allergy Organization Journal Pub Date : 2024-10-12 DOI:10.1016/j.waojou.2024.100974

Sarah Preis MD , Carla Claussen MD , Stefanie Ziehfreund , Tilo Biedermann MD , Sophia Horster MD , Alexander Zink MD, PhD

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引用次数: 0

摘要

近年来，人们对性别医学的兴趣明显增加，越来越多的人开始关注皮肤病的性别差异。虽然在临床实践中，门诊慢性自发性荨麻疹（CSU）患者中女性明显多于男性，但目前还没有针对CSU性别差异的系统综述。我们检索了 PubMed Medline、Web of Science 和 Cochrane Central Register of Controlled Trials (CENTRAL)，直至 2023 年 7 月。纳入了研究 CSU 性别差异的英语和德语随机对照试验、前瞻性和回顾性队列研究以及病例对照研究。两位作者独立筛选了报告的合格性。其中一位作者提取了所有数据，另一位作者对研究的质量和偏倚风险进行了双重检查和严格评估。共纳入 26 篇报告。文章回顾了女性和男性患者在流行病学、诊断、临床特征、治疗和生活质量方面的差异。研究结果提供了有限的数据，说明了性别和性别对 CSU 患者的实质性影响，并揭示了皮肤病学在性别护理方面存在的主要差距，这些差距应在未来几年内缩小，以优化以患者为中心的、个性化的、性别平等的医疗服务。

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Is there a difference between women and men in chronic spontaneous urticaria? A systematic review on gender and sex differences in CSU patients

In recent years, there has been a notable surge in interest in gender medicine, with a growing focus on exploring gender and sex differences in skin diseases.

Although it is noticeable in clinical practice that more women than men present with chronic spontaneous urticaria (CSU) in the outpatient setting, there is currently no systematic review available which addresses gender differences in CSU. PubMed Medline, Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched until July 2023. English and German randomized controlled trials, prospective and retrospective cohorts, and case-control studies that examined gender and sex differences in CSU were included. Two authors independently screened the reports for eligibility. One extracted all data, the second double-checked and critically appraised the quality and risk of bias of the studies. Twenty-six reports were included. The article reviewed differences in epidemiology, diagnostics, clinical characteristics, treatment, and quality of life in female and male patients. The findings provide limited data for the substantial impact of gender and sex in CSU patients and reveal major gaps in gender-specific care in dermatology which should be narrowed in the upcoming years to optimize patient-centered, individualized, gender-equal healthcare.

PROSPERO registration

CRD42023442958.

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来源期刊

World Allergy Organization Journal Immunology and Microbiology-Immunology

CiteScore

9.10

自引率

5.90%

发文量

审稿时长

9 weeks

期刊介绍： The official pubication of the World Allergy Organization, the World Allergy Organization Journal (WAOjournal) publishes original mechanistic, translational, and clinical research on the topics of allergy, asthma, anaphylaxis, and clincial immunology, as well as reviews, guidelines, and position papers that contribute to the improvement of patient care. WAOjournal publishes research on the growth of allergy prevalence within the scope of single countries, country comparisons, and practical global issues and regulations, or threats to the allergy specialty. The Journal invites the submissions of all authors interested in publishing on current global problems in allergy, asthma, anaphylaxis, and immunology. Of particular interest are the immunological consequences of climate change and the subsequent systematic transformations in food habits and their consequences for the allergy/immunology discipline.