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Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019

Authors :
Nicola Luigi Bragazzi
Ali-Asghar Kolahi
Seyed Aria Nejadghaderi
Piergiorgio Lochner
Francesco Brigo
Andrea Naldi
Paola Lanteri
Sergio Garbarino
Mark J. M. Sullman
Haijiang Dai
Jianhong Wu
Jude Dzevela Kong
Haitham Jahrami
Mohammad-Reza Sohrabi
Saeid Safiri
Source :
Journal of Neuroinflammation, Vol 18, Iss 1, Pp 1-11 (2021)
Publication Year :
2021
Publisher :
BMC, 2021.

Abstract

Abstract Background This article presents the first detailed analysis of the prevalence and disability burden of Guillain–Barré syndrome (GBS) from 1990 to 2019 by cause, age, sex, and Socio-demographic Index (SDI) in 204 countries and territories. Methods Data from the Global Burden of Diseases Study (GBD) 2019 were used. GBD 2019 modelled the prevalence of GBS using hospital and claims data. Years lived with disability (YLDs) were estimated as the product of the GBS prevalence and the disability weight. This article also reported proportions in the age-standardised prevalence rate that were due to six underlying causes of GBS. Results In 2019, there were 150,095 [95% uncertainty intervals (UI) 119,924 to 188,309] total cases of GBS worldwide, which resulted in 44,407 (95% UI 28,016 to 64,777) YLDs. Globally, there was a 6.4% (95% UI 3.6 to 9.5) increase in the age-standardised prevalence of GBS per 100,000 population between 1990 and 2019. High-income Asia Pacific [1.9 (95% UI: 1.5 to 2.4)] and East Asia [0.8 (95% UI: 0.6 to 1.0)] had the highest and lowest age-standardised prevalence rates (per 100,000), respectively, in 2019. Nationally, Japan [6.4 (95% UI: 5.3 to 7.7)] and China [0.8 (95% UI: 0.6 to 1.0)] had the highest and lowest age-standardised prevalence rates (per 100,000). The age-standardised burden of GBS increased with increasing age and was higher in males in all age groups. Furthermore, the age-standardised prevalence of GBS (per 100,000) had a positive association with the level of development, as measured by SDI, although this association was not strong. Upper respiratory infections and unknown causes accounted for the highest proportions of underlying causes. Conclusions Globally, the prevalence of GBS continues to increase. Geographical differences and strategies aimed at preventing infectious diseases should be considered in future health policy planning and decision-making processes. This study had several limitations, such as using the same disability weight for all causes and a reliance on hospital- and self-reported data, which should be addressed in future research.

Details

Language :
English
ISSN :
17422094
Volume :
18
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Neuroinflammation
Publication Type :
Academic Journal
Accession number :
edsdoj.7d0679897efd4380acce3b1427b6cafc
Document Type :
article
Full Text :
https://doi.org/10.1186/s12974-021-02319-4