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Investigating international time trends in the incidence and prevalence of atopic eczema 1990-2010: a systematic review of epidemiological studies.
PLoS One. 2012; 7(7):e39803.Plos

Abstract

The prevalence of atopic eczema has been found to have increased greatly in some parts of the world. Building on a systematic review of global disease trends in asthma, our objective was to study trends in incidence and prevalence of atopic eczema. Disease trends are important for health service planning and for generating hypotheses regarding the aetiology of chronic disorders. We conducted a systematic search for high quality reports of cohort, repeated cross-sectional and routine healthcare database-based studies in seven electronic databases. Studies were required to report on at least two measures of the incidence and/or prevalence of atopic eczema between 1990 and 2010 and needed to use comparable methods at all assessment points. We retrieved 2,464 citations, from which we included 69 reports. Assessing global trends was complicated by the use of a range of outcome measures across studies and possible changes in diagnostic criteria over time. Notwithstanding these difficulties, there was evidence suggesting that the prevalence of atopic eczema was increasing in Africa, eastern Asia, western Europe and parts of northern Europe (i.e. the UK). No clear trends were identified in other regions. There was inadequate study coverage worldwide, particularly for repeated measures of atopic eczema incidence. Further epidemiological work is needed to investigate trends in what is now one of the most common long-term disorders globally. A range of relevant measures of incidence and prevalence, careful use of definitions and description of diagnostic criteria, improved study design, more comprehensive reporting and appropriate interpretation of these data are all essential to ensure that this important field of epidemiological enquiry progresses in a scientifically robust manner.

Authors+Show Affiliations

Allergy and Respiratory Research Group, Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, United Kingdom. Ivette.deckers@maastrichtuniversity.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

22808063

Citation

Deckers, Ivette A G., et al. "Investigating International Time Trends in the Incidence and Prevalence of Atopic Eczema 1990-2010: a Systematic Review of Epidemiological Studies." PloS One, vol. 7, no. 7, 2012, pp. e39803.
Deckers IA, McLean S, Linssen S, et al. Investigating international time trends in the incidence and prevalence of atopic eczema 1990-2010: a systematic review of epidemiological studies. PLoS One. 2012;7(7):e39803.
Deckers, I. A., McLean, S., Linssen, S., Mommers, M., van Schayck, C. P., & Sheikh, A. (2012). Investigating international time trends in the incidence and prevalence of atopic eczema 1990-2010: a systematic review of epidemiological studies. PloS One, 7(7), e39803. https://doi.org/10.1371/journal.pone.0039803
Deckers IA, et al. Investigating International Time Trends in the Incidence and Prevalence of Atopic Eczema 1990-2010: a Systematic Review of Epidemiological Studies. PLoS One. 2012;7(7):e39803. PubMed PMID: 22808063.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Investigating international time trends in the incidence and prevalence of atopic eczema 1990-2010: a systematic review of epidemiological studies. AU - Deckers,Ivette A G, AU - McLean,Susannah, AU - Linssen,Sanne, AU - Mommers,Monique, AU - van Schayck,C P, AU - Sheikh,Aziz, Y1 - 2012/07/11/ PY - 2011/10/31/received PY - 2012/05/30/accepted PY - 2012/7/19/entrez PY - 2012/7/19/pubmed PY - 2013/3/27/medline SP - e39803 EP - e39803 JF - PloS one JO - PLoS One VL - 7 IS - 7 N2 - The prevalence of atopic eczema has been found to have increased greatly in some parts of the world. Building on a systematic review of global disease trends in asthma, our objective was to study trends in incidence and prevalence of atopic eczema. Disease trends are important for health service planning and for generating hypotheses regarding the aetiology of chronic disorders. We conducted a systematic search for high quality reports of cohort, repeated cross-sectional and routine healthcare database-based studies in seven electronic databases. Studies were required to report on at least two measures of the incidence and/or prevalence of atopic eczema between 1990 and 2010 and needed to use comparable methods at all assessment points. We retrieved 2,464 citations, from which we included 69 reports. Assessing global trends was complicated by the use of a range of outcome measures across studies and possible changes in diagnostic criteria over time. Notwithstanding these difficulties, there was evidence suggesting that the prevalence of atopic eczema was increasing in Africa, eastern Asia, western Europe and parts of northern Europe (i.e. the UK). No clear trends were identified in other regions. There was inadequate study coverage worldwide, particularly for repeated measures of atopic eczema incidence. Further epidemiological work is needed to investigate trends in what is now one of the most common long-term disorders globally. A range of relevant measures of incidence and prevalence, careful use of definitions and description of diagnostic criteria, improved study design, more comprehensive reporting and appropriate interpretation of these data are all essential to ensure that this important field of epidemiological enquiry progresses in a scientifically robust manner. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/22808063/full_citation L2 - https://dx.plos.org/10.1371/journal.pone.0039803 DB - PRIME DP - Unbound Medicine ER -