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Incidence of epilepsy A systematic review and meta-analysis

  作者 Ngugi, AK; Kariuki, SM; Bottomley, C; Kleinschmidt, I; Sander, JW; Newton, CR  
  选自 期刊  Neurology;  卷期  2011年77-10;  页码  1005-1012  
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[摘要]Objective: To estimate the pooled incidence of epilepsy from published studies and investigate sources of heterogeneity in the estimates. Methods: We searched online databases for incidence studies and used meta-analytic methods to analyze the data. Results: Thirty-three articles met the entry criteria. The median incidence of epilepsy was 50.4/100,000/year (interquartile range [IQR] 33.6-75.6), while it was 45.0 (IQR 30.3-66.7) for high-income countries and 81.7 (IQR 28.0-239.5) for low- and middle-income countries. Population-based studies had higher incidence estimates than hospital-based studies (p = 0.02) while retrospective study design was associated with lower estimates than prospective studies (p = 0.04). Conclusion: We provide data that could potentially be used to assess the burden and analyze the trends in incidence of epilepsy. Our results support the need for large population-based incidence studies of epilepsy. Neurology (R) 2011;77:1005-1012

 
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