Prevalence of Arthritis in Africa: A Systematic Review and Meta-Analysis
Identifieur interne : 000287 ( Main/Exploration ); précédent : 000286; suivant : 000288Prevalence of Arthritis in Africa: A Systematic Review and Meta-Analysis
Auteurs : Anthony Usenbo [Afrique du Sud] ; Veronika Kramer [Royaume-Uni] ; Taryn Young [Afrique du Sud] ; Alfred Musekiwa [Afrique du Sud]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Afrique (épidémiologie), Arthrite (classification), Arthrite (épidémiologie), Biais (épidémiologie) (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Nourrisson (MeSH), Population rurale (MeSH), Population urbaine (MeSH), Prévalence (MeSH), République d'Afrique du Sud (épidémiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études transversales (MeSH).
- MESH :
- épidémiologie : Afrique, Arthrite, République d'Afrique du Sud.
- classification : Adolescent, Adulte, Adulte d'âge moyen, Arthrite, Biais (épidémiologie), Enfant, Enfant d'âge préscolaire, Femelle, Humains, Jeune adulte, Mâle, Nourrisson, Population rurale, Population urbaine, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Africa (epidemiology), Aged (MeSH), Aged, 80 and over (MeSH), Arthritis (classification), Arthritis (epidemiology), Bias (MeSH), Child (MeSH), Child, Preschool (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Infant (MeSH), Male (MeSH), Middle Aged (MeSH), Prevalence (MeSH), Rural Population (MeSH), South Africa (epidemiology), Urban Population (MeSH), Young Adult (MeSH).
- MESH :
- classification : Arthritis.
- epidemiology : Africa, Arthritis, South Africa.
- Adolescent, Adult, Aged, Aged, 80 and over, Bias, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Infant, Male, Middle Aged, Prevalence, Rural Population, Urban Population, Young Adult.
Abstract
In this systematic review, we estimate the prevalence of six types of arthritis in Africa; namely rheumatoid arthritis, osteoarthritis, juvenile arthritis, psoriatic arthritis, gout, and ankylosing spondylitis.
We comprehensively searched literature on 31 August 2014 in MEDLINE, EMBASE, Web of Science and the Cochrane Library to identify eligible studies from 1975 up to 31 July 2014. Two review authors independently selected studies, extracted data, and appraised studies. We carried out random effects meta-analysis of prevalence of arthritis and assessed heterogeneity through subgroup analyses. We performed separate analyses for population- and hospital-based studies, as well as rural and urban settings.
We included 27 cross-sectional studies (20 population-based and 7 hospital-based) from Africa reporting on the prevalence of arthritis. The majority of the studies were from South Africa (44.4%, 12/27). Rheumatoid arthritis in urban settings ranged from 0.1% in Algeria, 0.6% in the DRC, to a meta-analysis overall prevalence of 2.5% in South Africa, and in rural settings ranged from a meta-analysis overall prevalence of 0.07% in South Africa, 0.3% in Egypt, to 0.4% in Lesotho. Osteoarthritis was the most prevalent form of arthritis and in urban settings it was 55.1% in South Africa and in rural settings, all in South Africa, ranged from 29.5%, 29.7%, up to 82.7% among adults aged over 65 years. Other results include highest prevalence of 33.1% for knee osteoarthritis in rural South Africa, 0.1% for ankylosing spondylitis in rural South Africa, 4.4% for psoriatic arthritis in urban South Africa, 0.7% for gout in urban South Africa, and 0.3% for juvenile idiopathic arthritis in urban Egypt. A third of the included studies had a low risk of bias (33.3%, 9/27), 40.8% (11/27) moderate risk, and 25.9% (7/27) had a high risk of bias.
In this systematic review, we have identified the paucity of latest prevalence data on arthritis in Africa. More studies are needed to address the prevalence and the true burden of this disease in Africa.
Url:
DOI: 10.1371/journal.pone.0133858
PubMed: 26241756
PubMed Central: 4524637
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Africa (epidemiology)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Arthritis (classification)</term>
<term>Arthritis (epidemiology)</term>
<term>Bias (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Rural Population (MeSH)</term>
<term>South Africa (epidemiology)</term>
<term>Urban Population (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Afrique (épidémiologie)</term>
<term>Arthrite (classification)</term>
<term>Arthrite (épidémiologie)</term>
<term>Biais (épidémiologie) (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Population rurale (MeSH)</term>
<term>Population urbaine (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>République d'Afrique du Sud (épidémiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Études transversales (MeSH)</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Arthritis</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Africa</term>
<term>Arthritis</term>
<term>South Africa</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Afrique</term>
<term>Arthrite</term>
<term>République d'Afrique du Sud</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bias</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Rural Population</term>
<term>Urban Population</term>
<term>Young Adult</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Arthrite</term>
<term>Biais (épidémiologie)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Population rurale</term>
<term>Population urbaine</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Objective</title>
<p>In this systematic review, we estimate the prevalence of six types of arthritis in Africa; namely rheumatoid arthritis, osteoarthritis, juvenile arthritis, psoriatic arthritis, gout, and ankylosing spondylitis.</p>
</sec>
<sec id="sec002"><title>Methods</title>
<p>We comprehensively searched literature on 31 August 2014 in MEDLINE, EMBASE, Web of Science and the Cochrane Library to identify eligible studies from 1975 up to 31 July 2014. Two review authors independently selected studies, extracted data, and appraised studies. We carried out random effects meta-analysis of prevalence of arthritis and assessed heterogeneity through subgroup analyses. We performed separate analyses for population- and hospital-based studies, as well as rural and urban settings.</p>
</sec>
<sec id="sec003"><title>Main Findings</title>
<p>We included 27 cross-sectional studies (20 population-based and 7 hospital-based) from Africa reporting on the prevalence of arthritis. The majority of the studies were from South Africa (44.4%, 12/27). Rheumatoid arthritis in urban settings ranged from 0.1% in Algeria, 0.6% in the DRC, to a meta-analysis overall prevalence of 2.5% in South Africa, and in rural settings ranged from a meta-analysis overall prevalence of 0.07% in South Africa, 0.3% in Egypt, to 0.4% in Lesotho. Osteoarthritis was the most prevalent form of arthritis and in urban settings it was 55.1% in South Africa and in rural settings, all in South Africa, ranged from 29.5%, 29.7%, up to 82.7% among adults aged over 65 years. Other results include highest prevalence of 33.1% for knee osteoarthritis in rural South Africa, 0.1% for ankylosing spondylitis in rural South Africa, 4.4% for psoriatic arthritis in urban South Africa, 0.7% for gout in urban South Africa, and 0.3% for juvenile idiopathic arthritis in urban Egypt. A third of the included studies had a low risk of bias (33.3%, 9/27), 40.8% (11/27) moderate risk, and 25.9% (7/27) had a high risk of bias.</p>
</sec>
<sec id="sec004"><title>Conclusions</title>
<p>In this systematic review, we have identified the paucity of latest prevalence data on arthritis in Africa. More studies are needed to address the prevalence and the true burden of this disease in Africa.</p>
</sec>
</div>
</front>
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