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

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 Stu...

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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Global burden of disease Guillain–Barré syndrome Prevalence Years lived with disability Cause Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/7d0679897efd4380acce3b1427b6cafc
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spelling	oai:doaj.org-article:7d0679897efd4380acce3b1427b6cafc2021-11-14T12:38:13ZGlobal, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 201910.1186/s12974-021-02319-41742-2094https://doaj.org/article/7d0679897efd4380acce3b1427b6cafc2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12974-021-02319-4https://doaj.org/toc/1742-2094Abstract 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.Nicola Luigi BragazziAli-Asghar KolahiSeyed Aria NejadghaderiPiergiorgio LochnerFrancesco BrigoAndrea NaldiPaola LanteriSergio GarbarinoMark J. M. SullmanHaijiang DaiJianhong WuJude Dzevela KongHaitham JahramiMohammad-Reza SohrabiSaeid SafiriBMCarticleGlobal burden of diseaseGuillain–Barré syndromePrevalenceYears lived with disabilityCauseNeurology. Diseases of the nervous systemRC346-429ENJournal of Neuroinflammation, Vol 18, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Global burden of disease Guillain–Barré syndrome Prevalence Years lived with disability Cause Neurology. Diseases of the nervous system RC346-429
spellingShingle	Global burden of disease Guillain–Barré syndrome Prevalence Years lived with disability Cause Neurology. Diseases of the nervous system RC346-429 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 Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019
description	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.
format	article
author	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
author_facet	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
author_sort	Nicola Luigi Bragazzi
title	Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019
title_short	Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019
title_full	Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019
title_fullStr	Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019
title_full_unstemmed	Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019
title_sort	global, regional, and national burden of guillain–barré syndrome and its underlying causes from 1990 to 2019
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7d0679897efd4380acce3b1427b6cafc
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Global, regional, and national burden of Guillain–Barré syndrome and its underlying causes from 1990 to 2019

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