Prevalence estimates for pyoderma gangrenosum in the United States: An age- and sex-adjusted population analysis.

Background: The disease burden of pyoderma gangrenosum (PG) is poorly understood.Objective: To determine standardized overall and age-, sex-, and race-specific prevalence estimates for PG among adults in the United States.Methods: Cross-sectional analysis of 1971 patients with PG identified using el...

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Published in:Journal of the American Academy of Dermatology Vol. 83; no. 2; pp. 425 - 430
Main Authors: Xu, Amy, Balgobind, Amrita, Strunk, Andrew, Garg, Amit, Alloo, Allireza
Format: research tables/charts Journal Article
Published: Elsevier B.V. Aug2020
Online Access:View this record in EBSCOhost
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      dt: Aug2020
      vid: 83
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.jaad.2019.08.001
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        atl: Prevalence estimates for pyoderma gangrenosum in the United States: An age- and sex-adjusted population analysis.
      aug:
        au:
          Xu, Amy
          Balgobind, Amrita
          Strunk, Andrew
          Garg, Amit
          Alloo, Allireza
        affil: Department of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York
      sug:
        subj:
          Economic Aspects of Illness
          Pyoderma Gangrenosum Epidemiology
          Demography
          United States
          Female
          Sex Factors
          Risk Factors
          Middle Age
          Young Adult
          Adolescence
          Prevalence
          Age Factors
          Male
          Aged
          Cross Sectional Studies
          Aged, 80 and Over
          Adult
          Human
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
          Aged: 65+ years
          Aged, 80 & over
          Adult: 19-44 years
          Female
          Male
      ab: Background: The disease burden of pyoderma gangrenosum (PG) is poorly understood.Objective: To determine standardized overall and age-, sex-, and race-specific prevalence estimates for PG among adults in the United States.Methods: Cross-sectional analysis of 1971 patients with PG identified using electronic health records data from a diverse population-based sample of more than 58 million patients.Results: The age- and sex-standardized prevalence of PG among the study population was 0.0058%, or 5.8 PG cases (95% confidence interval [CI], 5.6-6.1) per 100,000 adults. Adjusted prevalence was nearly twice as high among women (7.1 cases [95% CI, 6.7-7.5] per 100,000) than men (4.4 cases [95% CI, 4.0-4.7] per 100,000). Patients between the ages of 70 and 79 years had the highest standardized prevalence (9.8 cases [95% CI, 8.8-10.9] per 100,000), with patients aged ≥50 years representing nearly 70% of all PG cases. Standardized prevalence was similar among white and African American patients. The female-to-male ratio of PG was >1.8 across all age groups.Limitations: Analysis of electronic health records data may result in misclassification bias.Conclusion: PG is a rare disease that most commonly affects women and those aged ≥50 years.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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